Evidence map›Paper›PMID 41494694›Full record

Observational studyBMJ open respiratory research2026

Validation of plasma soluble receptor of advanced glycation end-products and angiopoietin-2 in paediatric acute respiratory distress syndrome.

Judith Ju Ming Wong, Herng Lee Tan, Clare Foo, Rehana Sultana, Yee Hui Mok, Salvatore Albani, Joo Guan Yeo

Abstract readObservational StudyValidation Study
In one paragraph

Observational study in BMJ open respiratory research, 2026. 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

7 authors.

Judith Ju Ming WongChildren's Intensive Care Unit, KK Women's and Children's Hospital, Singapore judith.wong.jm@singhealth.com.sg.ORCID http://orcid.org/0000-0002-7987-4303
Herng Lee TanRespiratory Therapy Service, Division of Allied Health Specialties, KK Women's and Children's Hospital, Singapore.
Clare FooChildren's Intensive Care Unit, KK Women's and Children's Hospital, Singapore.ORCID http://orcid.org/0009-0004-7386-2231
Rehana SultanaDuke-NUS Medical School Centre for Quantitative Medicine, Singapore.
Yee Hui MokChildren's Intensive Care Unit, KK Women's and Children's Hospital, Singapore.
Salvatore AlbaniSingHealth Duke-NUS Translational Immunology Institute, Singapore.
Joo Guan YeoSingHealth Duke-NUS Translational Immunology Institute, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPaediatric acute respiratory distress syndrome (PARDS) is a heterogeneous condition and identifying a specific biomarker remains a challenge. We aimed to validate the association of plasma soluble receptor for advanced glycation end-products (sRAGE) and angiopoietin-2 (Ang-2) with PARDS diagnosis, and its prognostic performance.

methodsThis prospective observational study included children with PARDS and non-PARDS critical illness. Plasma sRAGE and Ang-2 levels were measured using enzyme-linked immunosorbent assays. Comparisons were made between PARDS versus non-PARDS critical illness and survivors versus non-survivors. Multivariable logistic regression was used to determine the association between biomarkers and intensive care unit (ICU) mortality after adjusting for age and the Pediatric Index of Mortality 3 score.

results93 and 117 patients with PARDS and non-PARDS critical illness, respectively, were included in this study. Plasma sRAGE was higher in PARDS versus non-PARDS critical illness (2981 (1027 to 6198) vs 1575 (864 to 2994) pg/mL; p=0.002) and in non-survivors vs survivors (5323 (1647 to 8261) vs 1601 (864 to 3572); p<0.001). Plasma Ang-2 was elevated in non-survivors versus survivors (3054 (1760 to 6808) vs 1748 (845 to 3868); p=0.002), though there was no difference between PARDS and non-PARDS groups. In the multivariable model, sRAGE demonstrated an independent association with PARDS diagnosis (adjusted OR (aOR) 1.01 95% CI 1.01 to 1.02; p=0.003) and ICU mortality (aOR 1.02 (95% CI 1.01 to 1.03); p<0.001), whereas there was no association observed with Ang-2.

conclusionWithin an ICU cohort, only sRAGE demonstrated an association with the diagnosis of PARDS and ICU mortality, which remained after controlling for confounders.

Indexed as

Angiopoietin-2Receptor for Advanced Glycation End ProductsRespiratory Distress SyndromeAdolescentBiomarkersChildChild, PreschoolCritical IllnessFemaleHospital MortalityHumansInfantMalePrognosisProspective StudiesAngiopoietin-2ANGPT2 protein, humanBiomarkersReceptor for Advanced Glycation End ProductsARDSCritical CarePaediatric Lung Disaese

Identifiers

PMID41494694
PMCPMC12778280

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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.