Evidence map›Paper›PMID 40319081›Full record

Observational studyScientific reports2025

Calprotectin as a sepsis diagnostic marker in critical care: a retrospective observational study.

Maria Lengquist, Vera Sundén-Cullberg, Sofie Hyllner, Hazem Koozi, Anders Larsson, Lisa Mellhammar, Hans Friberg, Alexandru Schiopu, Attila Frigyesi

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 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. Article
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  4. Observational
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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

9 authors.

Maria LengquistDepartment of Clinical Medicine, Lund University, Lund, Sweden. maria.lengquist@med.lu.se.
Vera Sundén-CullbergDepartment of Clinical Medicine, Lund University, Lund, Sweden.
Sofie HyllnerDepartment of Clinical Medicine, Lund University, Lund, Sweden.
Hazem KooziDepartment of Clinical Medicine, Lund University, Lund, Sweden.
Anders LarssonDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Lisa MellhammarDepartment of Clinical Medicine, Lund University, Lund, Sweden.
Hans FribergDepartment of Clinical Medicine, Lund University, Lund, Sweden.
Alexandru SchiopuDepartment of Translational Medicine, Lund University, Malmö, Sweden.
Attila FrigyesiDepartment of Clinical Medicine, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnosing sepsis in critical care remains a challenge due to the lack of gold-standard diagnostics. Calprotectin (S100A8/A9) has been proposed as a diagnostic marker to identify sepsis in critically ill patients. This study evaluated the diagnostic performance of calprotectin and C-reactive protein (CRP) to distinguish between sepsis and non-sepsis on intensive care unit (ICU) admission. Admission biobank blood samples from adult patients admitted to four ICUs (2015-2018) were used to analyse calprotectin and CRP. All adult patients were screened retrospectively for the sepsis-3 criteria at ICU admission. The diagnostic performance of calprotectin and CRP was evaluated using receiver operating characteristic (ROC) curves. We included 4732 patients, of whom 44% had sepsis. Calprotectin levels were higher in sepsis (p < 0.001). The area under the receiver operating curve (AUROC) to diagnose sepsis was 0.61 for calprotectin compared to 0.72 for CRP (p < 0.001). Among microbiological subgroups of sepsis patients, fungal sepsis had the highest level of calprotectin. We conclude that the diagnostic performance of calprotectin in identifying sepsis patients at ICU admission was inferior to that of CRP.

Indexed as

Critical CareLeukocyte L1 Antigen ComplexSepsisAdultAgedBiomarkersC-Reactive ProteinCritical IllnessFemaleHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesROC CurveBiomarkersC-Reactive ProteinLeukocyte L1 Antigen ComplexBiomarkersC-reactive proteinCritical careInfectionsLeukocytesS100 ProteinsSepsisSepticShock

Identifiers

PMID40319081
PMCPMC12049440

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.