Evidence map›Paper›PMID 38182736›Full record

Observational studyScientific reports2024

A biomarker panel of C-reactive protein, procalcitonin and serum amyloid A is a predictor of sepsis in severe trauma patients.

Mei Li, Yan-Jun Qin, Xin-Liang Zhang, Chun-Hua Zhang, Rui-Juan Ci, Wei Chen, De-Zheng Hu, Shi-Min Dong

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Article
  2. Observational
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Performance evaluation of Eu3Practical laboratory medicine · 2024
    Article
  18. Article
  19. Review
  20. 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

8 authors.

Mei LiDepartment of Emergency Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Yan-Jun QinDepartment of Emergency Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Xin-Liang ZhangDepartment of Emergency Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Chun-Hua ZhangDepartment of Emergency Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Rui-Juan CiDepartment of Emergency Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Wei ChenDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, People's Republic of China.
De-Zheng HuDepartment of Emergency Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Shi-Min DongDepartment of Emergency Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China. dongsm@hebmu.edu.cn.

Funding

Health Commission of Hebei Province 20211688
6 · The paper itself

Abstract

Severe trauma could induce sepsis due to the loss of control of the infection, which may eventually lead to death. Accurate and timely diagnosis of sepsis with severe trauma remains challenging both for clinician and laboratory. Combinations of markers, as opposed to single ones, may improve diagnosis. We compared the diagnostic characteristics of routinely used biomarkers of sepsis alone and in combination, trying to define a biomarker panel to predict sepsis in severe patients. This prospective observational study included patients with severe trauma (Injury severity score, ISS = 16 or more) in the emergency intensive care unit (EICU) at a university hospital. Blood samples were collected and plasma levels of procalcitonin (PCT), C-reactive protein (CRP), interleukin-6 (IL-6) and serum amyloid A (SAA) were measured using commercial enzyme linked immunosorbent assay (ELISA) kits. A total of 100 patients were eligible for analysis. Of these, 52 were diagnosed with sepsis. CRP yielded the highest discriminative value followed by PCT. In multiple logistic regression, SAA, CRP, and PCT were found to be independent predictors of sepsis. Bioscore which was composed of SAA, CRP, and PCT was shown to be far superior to that of each individual biomarker taken individually. Therefore, compared with single markers, the biomarker panel of PCT, CRP, and SAA was more predictive of sepsis in severe polytrauma patients.

Indexed as

C-Reactive ProteinSepsisBiomarkersHumansProcalcitoninSerum Amyloid A ProteinBiomarkersC-Reactive ProteinProcalcitoninSerum Amyloid A Protein

Identifiers

PMID38182736
PMCPMC10770317

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.