Evidence map›Paper›PMID 39982589›Full record

ArticleIntensive care medicine experimental2025

Early sepsis recognition: a pilot study using a rapid high-multiplex host-response mRNA diagnostic test.

Jingyi Lu, Michèle A Ter Voert, Mehtap Ünal, Natalie N Whitfield, Oliver Liesenfeld, Jan C Ter Maaten, Timothy E Sweeney, Hjalmar R Bouma

Abstract read
In one paragraph

Article in Intensive care medicine experimental, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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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

8 authors.

Jingyi LuDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-0510-5034
Michèle A Ter VoertDepartment of Acute Care, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.ORCID http://orcid.org/0009-0000-6606-8030
Mehtap ÜnalDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-0308-0291
Natalie N WhitfieldInflammatix, Inc, Sunnyvale, CA, 94085, USA.
Oliver LiesenfeldInflammatix, Inc, Sunnyvale, CA, 94085, USA.
Jan C Ter MaatenDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-0353-4011
Timothy E SweeneyInflammatix, Inc, Sunnyvale, CA, 94085, USA.
Hjalmar R BoumaDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands. h.r.bouma@umcg.nl.ORCID http://orcid.org/0000-0003-1032-321X

Funding

Health~Holland PPP-2021-24
6 · The paper itself

Abstract

backgroundEarly sepsis diagnosis is essential to allow timely initiation of adequate care. The TriVerity™ Test, performed on the Myrna™ Instrument, is the first rapid high-multiplex host-response mRNA diagnostic test that supports clinical decision-making by evaluating the likelihood of bacterial and/or viral infections and severity of illness. We present findings of the first, proof of concept, real-world evaluation in an emergency department (ED).

methodsBlood was collected in PAXgene

resultsAmong 60 patients, there were 20 (33%) bacterial infections, 15 (25%) viral infections, 11 (18%) bacterial-viral coinfections and 14 (23%) did not have an infection under forced adjudication. Under consensus adjudication, bacterial results demonstrated 95% rule-in specificity and 95% rule-out sensitivity. Viral results demonstrated rule-in specificity 100% and 92% rule-out sensitivity. Since only three patients were admitted to the ICU or died in this cohort, we cannot draw firm conclusions about the predictive value of the test for severe endpoints.

conclusionsTriVerity is a rapid whole-blood host-response test to reliably detect the presence or absence of bacterial and/or viral infections, as well as to assess illness severity in patients presenting to the ED. Its quick turnaround time aligns with the ED workflow, offering timely insights for clinical decision-making. Results from upcoming large-scale validation studies will provide more detailed results on the diagnostic and prognostic accuracy of the test.

Indexed as

Acute infectionAcutelinesDiagnosisHost responsemRNAPrognosisSepsisTriVerity

Identifiers

PMID39982589
PMCPMC11845329

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Registered trials

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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.