Evidence map›Paper›PMID 40861795›Full record

ArticleJournal of circulating biomarkers

Monocyte Distribution Width (MDW) as a useful and cost-effective biomarker for sepsis prediction.

Dimitrios Theodoridis, Angeliki Tsifi, Emmanouil Magiorkinis, Riris Ioannis, Vatistas Ioannis, Evgenia Moustaferi, Kanakaris Christos, Tsiligianni Ekaterini, Anastasios Ioannidis, Efstathios Chronopoulos and 1 more

Abstract read
In one paragraph

Article in Journal of circulating biomarkers. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Dimitrios TheodoridisHematology Laboratory, Konstantopoulio General Hospital, Nea Ionia - Greece.
Angeliki TsifiΙntensive Care Unit, General Hospital of Athens EVANGELISMOS, Athens - Greece.
Emmanouil MagiorkinisHematology Laboratory, Metaxa Cancer Hospital, Pireas - Greece.ORCID https://orcid.org/0000-0001-8883-7275
Riris IoannisSchool of Medicine, School of Health Sciences, National and Kapodistrian University of Athens, Athens - Greece.
Vatistas IoannisInternal medicine resident at Konstantopoulio General Hospital, Nea Ionia - Greece.
Evgenia MoustaferiHematology Laboratory, Konstantopoulio General Hospital, Nea Ionia - Greece.
Kanakaris ChristosHematology Laboratory, Konstantopoulio General Hospital, Nea Ionia - Greece.
Tsiligianni EkateriniHematology Laboratory, Konstantopoulio General Hospital, Nea Ionia - Greece.
Anastasios IoannidisLaboratory of Basic Health Sciences, Department of Nursing, Faculty of Health Sciences, University of Peloponnese, Tripoli - Greece.
Efstathios ChronopoulosSchool of Medicine, School of Health Sciences, National and Kapodistrian University of Athens, Athens - Greece.
Stylianos ChatzipanagiotouDepartment of Biopathology and Clinical Microbiology, Aeginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens - Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sepsis is a life-threatening condition and a major cause of hospital mortality worldwide. This study investigated the diagnostic utility of monocyte mean volume (MONO MEAN-V), monocyte distribution width (MDW), monocyte mean conductivity (MONO MEAN-C), and monocyte standard deviation conductivity (MONO Sd-C) for sepsis, compared to conventional markers. Methods: A prospective cohort study was conducted in two centers, enrolling adult patients classified into three groups: sepsis, septic shock, and febrile. Blood was drawn from septic patients on days 1, 3, and 5 of admission. MDW and other inflammatory parameters were measured in all patients. Results: Patients with sepsis or septic shock exhibited significantly elevated MONO MEAN-V, MDW, and MONO MEAN-C and lower MONO Sd-C compared to febrile patients. Among the biomarkers evaluated, MDW emerged as a reliable predictor of sepsis. A cut-off MDW value of 25.1 on day 1 demonstrated optimal diagnostic performance, with an area under the ROC curve of 0.84 (95% CI: 0.77-0.91), sensitivity of 75%, and specificity of 91.2%. Conclusions: MDW appears to be a cost-effective, rapid marker for sepsis detection, performing at least as effectively as existing biomarkers. Our findings corroborate other published studies, highlighting MDW's potential to enhance early sepsis recognition.

Indexed as

BiomarkerDiagnosisMDWSepsis

Identifiers

PMID40861795
PMCPMC12371540

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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.