Evidence map›Paper›PMID 38012789›Full record

ReviewCritical care (London, England)2023

Extending the 'host response' paradigm from sepsis to cardiogenic shock: evidence, limitations and opportunities.

Marie Buckel, Patrick Maclean, Julian C Knight, Patrick R Lawler, Alastair G Proudfoot

Open access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Why Molecular Subphenotyping Is Needed in Cardiogenic Shock and How to Accomplish This.American journal of respiratory and critical care medicine · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 3 countries.

Marie Buckel *Department of Perioperative Medicine, Bart's Heart Centre, St. Bartholomew's Hospital, London, UK.
Patrick Maclean *Wellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Julian C KnightWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Patrick R LawlerPeter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, ON, Canada.
Alastair G ProudfootDepartment of Perioperative Medicine, Bart's Heart Centre, St. Bartholomew's Hospital, London, UK. alastair.proudfoot1@nhs.net.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNMcGill University Health Centre · CAQueen Mary University of London · GBSt Bartholomew's Hospital · GBUniversity of Oxford · GB

Funding

Medical Research Council MR/V002503/1Medical Research Council MR/ W03011X/1Medical Research Council MR/W03011X/1
6 · The paper itself

Abstract

Recent clinical and research efforts in cardiogenic shock (CS) have largely focussed on the restoration of the low cardiac output state that is the conditio sine qua non of the clinical syndrome. This approach has failed to translate into improved outcomes, and mortality has remained static at 30-50%. There is an unmet need to better delineate the pathobiology of CS to understand the observed heterogeneity of presentation and treatment effect and to identify novel therapeutic targets. Despite data in other critical illness syndromes, specifically sepsis, the role of dysregulated inflammation and immunity is hitherto poorly described in CS. High-dimensional molecular profiling, particularly through leukocyte transcriptomics, may afford opportunity to better characterise subgroups of patients with shared mechanisms of immune dysregulation. In this state-of-the-art review, we outline the rationale for considering molecular subtypes of CS. We describe how high-dimensional molecular technologies can be used to identify these subtypes, and whether they share biological features with sepsis and other critical illness states. Finally, we propose how the identification of molecular subtypes of patients may enrich future clinical trial design and identification of novel therapies for CS.

Indexed as

SepsisShock, CardiogenicCardiac Output, LowCritical IllnessHumansInflammationCardiogenic shockCritical illnessHost responseImmune dysregulationInflammationSepsis

Identifiers

PMID38012789
PMCPMC10683227
OpenAlexW4389057990

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.