Evidence map›Paper›PMID 38902117›Full record

ArticleBritish journal of anaesthesia2024

Charting the course for improved outcomes in chronic critical illness: therapeutic strategies for persistent inflammation, immunosuppression, and catabolism syndrome (PICS).

Valerie E Polcz, Evan L Barrios, Shawn D Larson, Philip A Efron, Jaimar C Rincon

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In one paragraph

Article in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Myeloid-derived suppressor cells in sepsis: drivers of persistent immunosuppression and targets for precision immunotherapy.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Valerie E PolczDepartment of Surgery, University of Florida, Gainesville, FL, USA.
Evan L BarriosDepartment of Surgery, University of Florida, Gainesville, FL, USA.
Shawn D LarsonDepartment of Surgery, University of Florida, Gainesville, FL, USA.
Philip A EfronDepartment of Surgery, University of Florida, Gainesville, FL, USA.
Jaimar C RinconDepartment of Surgery, University of Florida, Gainesville, FL, USA. Electronic address: jaimar.rincon@surgery.ufl.edu.

Funding

Molecular Biology in Burns and TraumaT32GM008721 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron · 1999 to 2026
$5.0M
R35 Equipment SupplementR35GM140806 · NIGMS · UNIVERSITY OF FLORIDA · PI EFRON, PHILIP A · 2021 to 2025
$2.2M
Prevention of Neonatal Sepsis by Therapeutic Targeting of MDSCsR01GM143143 · NIGMS · UNIVERSITY OF FLORIDA · PI LARSON, SHAWN DAVID · 2022 to 2025
$1.5M
NIGMS NIH HHS R01 GM143143NIGMS NIH HHS R35 GM140806NIGMS NIH HHS T32 GM008721
6 · The paper itself

Abstract

Enhanced critical care delivery has led to improved survival rates in critically ill patients, yet sepsis remains a leading cause of multiorgan failure with variable recovery outcomes. Chronic critical illness, characterised by prolonged ICU stays and persistent end-organ dysfunction, presents a significant challenge in patient management, often requiring multifaceted interventions. Recent research, highlighted in a comprehensive review in the British Journal of Anaesthesia, focuses on addressing the pathophysiological drivers of chronic critical illness, such as persistent inflammation, immunosuppression, and catabolism, through targeted therapeutic strategies including immunomodulation, muscle wasting prevention, nutritional support, and microbiome modulation. Although promising avenues exist, challenges remain in patient heterogeneity, treatment timing, and the need for multimodal approaches.

Indexed as

Critical CareCritical IllnessInflammationChronic DiseaseHumansMultiple Organ FailureNutritional SupportSyndromeand catabolism syndromechronic critical illnessimmunosuppressionpersistent inflammationPICSpost-intensive care syndromesepsistrauma

Identifiers

What OpenQuestion holds

Textmetadata
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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.