Evidence map›Paper›PMID 39763685›Full record

ArticleInfection and drug resistance2025

Establishment and Validation of a Risk Prediction Model for Sepsis-Associated Liver Injury in ICU Patients: A Retrospective Cohort Study.

Chang Li, Jinling Ji, Ting Shi, Shennan Pan, Kun Jiang, Yuzhang Jiang, Kai Wang

Abstract read
In one paragraph

Article in Infection and drug resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. A Machine Learning-Based Prognostic Model for Sepsis-Associated Liver Injury Using Routine Indicators.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Article
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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

7 authors.

Chang Li *Department of Medical Laboratory, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu, People's Republic of China.
Jinling Ji *Department of Medical Laboratory, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu, People's Republic of China.
Ting ShiDepartment of Hepatobiliary and Pancreatic Surgery, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu, People's Republic of China.
Shennan PanDepartment of Medical Laboratory, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu, People's Republic of China.
Kun JiangDepartment of Medical Laboratory, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu, People's Republic of China.
Yuzhang Jiang *Department of Medical Laboratory, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu, People's Republic of China.ORCID 0000-0002-8544-9485
Kai Wang *Department of Immunology and Rheumatology, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu, People's Republic of China.ORCID 0000-0002-0511-8038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Sepsis-associated liver injury (SALI) leads to increased mortality in sepsis patients, yet no specialized tools exist for early risk assessment. This study aimed to develop and validate a risk prediction model for early identification of SALI before patients meet full diagnostic criteria. Patients and Methods: This retrospective study analyzed 415 sepsis patients admitted to ICU from January 2019 to January 2022. Patients with pre-existing liver conditions were excluded. Using LASSO regression and multivariate logistic analysis, we developed a predictive nomogram incorporating clinical variables. Model performance was evaluated through internal validation using bootstrapping method. Results: Among the cohort, 97 patients (23.4%) developed SALI. The final model identified five key predictors: total bilirubin, ALT, γ-GGT, mechanical ventilation, and kidney failure. The model demonstrated good discrimination (AUC=0.841, 95% CI: 0.795-0.887) and calibration. Decision curve analysis showed clinical utility across a threshold probability range of 4-87%. The model outperformed traditional scoring systems (SOFA and SAPS II) in predicting SALI risk. Conclusion: This novel nomogram effectively predicts SALI risk in sepsis patients by integrating readily available clinical parameters. While external validation is needed, the model shows promise as a practical tool for early risk stratification, potentially enabling timely interventions in high-risk patients.

Indexed as

nomogramprobabilityriskSALIvariable

Identifiers

PMID39763685
PMCPMC11700480

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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.