Evidence map›Paper›PMID 39212218›Full record

ArticleAnnals of medicine2024

Combining host immune response biomarkers and clinical scores for early prediction of sepsis in infection patients.

Xiaoming Zhou, Chen Liu, Zhe Xu, Jiaze Song, Haijuan Jin, Hao Wu, Qianhui Cheng, Wenqian Deng, Dongyuan He, Jingwen Yang and 5 more

Abstract read
In one paragraph

Article in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Diagnostic accuracy of PCT, IL-6, and MR-ProADM for early identification of sepsis in the emergency department.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Biomarkers to guide sepsis management.Annals of intensive care · 2025
    Review
  11. Article
  12. 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

15 authors.

Xiaoming ZhouDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Chen LiuDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Zhe XuDepartment of Intensive Care Unit, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Jiaze SongThe Second Clinical Medical College, Wenzhou Medical University, Wenzhou, China.
Haijuan JinDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Hao WuTaishun County People's Hospital Medical Community Sixi Branch, Taishun, China.
Qianhui ChengDepartment of Geriatric Medicine, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Wenqian DengDepartment of Geriatric Medicine, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Dongyuan HeThe Second Clinical Medical College, Wenzhou Medical University, Wenzhou, China.
Jingwen YangDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Jiaying LinDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Liang WangDepartment of Public Health, Robbins College of health and Human Sciences, Baylor University, Waco, TX, USA.
Zhiyi WangDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Chan ChenWenzhou Key Laboratory of Precision General Practice and Health Management, Wenzhou, China.
Jie WengDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.ORCID 0000-0003-1859-9309

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe performance of host immune responses biomarkers and clinical scores was compared to identify infection patient populations at risk of progression to sepsis, ICU admission and mortality.

methodsImmune response biomarkers were measured and NEWS, SIRS, and MEWS. Logistic and Cox regression models were employed to evaluate the strength of association.

resultsIL-10 and NEWS had the strongest association with sepsis development, whereas IL-6 and CRP had the strongest association with ICU admission and in-hospital mortality. IL-6 [HR (95%CI) = 2.68 (1.61-4.46)] was associated with 28-day mortality. Patient subgroups with high IL-10 (≥ 5.03 pg/ml) and high NEWS (> 5 points) values had significantly higher rates of sepsis development (88.3% vs 61.1%;

conclusionsPatients exhibiting low severity signs of infection but high IL-10 levels showed an elevated probability of developing sepsis. Combining IL-10 with the NEWS score provides a reliable tool for predicting the progression from infection to sepsis at an early stage. Utilizing IL-6 in the emergency room can help identify patients with low NEWS or SIRS scores.

Indexed as

BiomarkersHospital MortalityIntensive Care UnitsInterleukin-10Interleukin-6SepsisAgedC-Reactive ProteinFemaleHumansMaleMiddle AgedPrognosisSeverity of Illness IndexSystemic Inflammatory Response SyndromeBiomarkersC-Reactive ProteinIL10 protein, humanInterleukin-10Interleukin-6IL-10IL-6immune response biomarkersinfectionintensive care unitmortalityNEWSSepsissepsis developmentSIRS

Identifiers

PMID39212218
PMCPMC11370677

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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.