Evidence map›Paper›PMID 40223136›Full record

ArticleScientific reports2025

Combination value of cell index, CSF PCT, and CSF IL-6 for intracranial infection diagnosis after neurosurgery.

Caimu Wang, Yiping Zhou, Chao Zhong, Hui Shan, Ping Wang, Zisheng Ge, Yushi Fan, Xinyun Zhang, Kai Zhang, Yesong Wang and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 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

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

14 authors.

Caimu Wang *Department of Critical Care Medicine, Ninghai First Hospital, Zhejiang, 315600, China.
Yiping Zhou *Department of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Chao Zhong *Department of Critical Care Medicine, Ninghai First Hospital, Zhejiang, 315600, China.
Hui Shan *Department of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Ping WangDepartment of Critical Care Medicine, Ninghai First Hospital, Zhejiang, 315600, China.
Zisheng GeDepartment of Critical Care Medicine, Ninghai First Hospital, Zhejiang, 315600, China.
Yushi FanDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Xinyun ZhangDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Kai ZhangDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Yesong WangDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Wei CuiDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Linlin DuDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China. Dulinlin@zju.edu.cn.
Qijiang ChenDepartment of Critical Care Medicine, Ninghai First Hospital, Zhejiang, 315600, China. cqjgjc@163.com.
Gensheng ZhangDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China. genshengzhang@zju.edu.cn.

Funding

The Medical and Health Research Program of Zhejiang Province No. 2020KY907
6 · The paper itself

Abstract

This study evaluated the predictive value of cell index (CI), cerebrospinal fluid procalcitonin (CSF PCT), and cerebrospinal fluid interleukin-6 (CSF IL-6) for detecting intracranial infection after neurosurgery. A two-center, prospective study analyzed CSF samples from ICU patients suspected of having intracranial infection following neurosurgery from January 2020 to June 2023. Patients with infection had longer operation times and longer stays in the ICU. The AUCs for single biomarkers ranged from 0.829 to 0.860, with the highest AUC of 0.938 observed for the combined biomarkers CI + CSF PCT + CSF IL-6. CI was most effective in patients with elevated CSF RBC counts, and PCT was most effective for detecting Gram-negative infections. The combined use of these biomarkers enhances early diagnosis of intracranial infection after neurosurgery and warrants further study.

Indexed as

Interleukin-6Neurosurgical ProceduresProcalcitoninAdultAgedBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesBiomarkersIL6 protein, humanInterleukin-6ProcalcitoninCell indexCSF IL-6CSF PCTIntracranial infectionPost-neurosurgery

Identifiers

PMID40223136
PMCPMC11994761

What OpenQuestion holds

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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.