Evidence map›Paper›PMID 42116365›Full record

Observational studyMedicine2026

Neutrophil extracellular traps and severe mycoplasma pneumonia: A clinical observational study.

Zhonghua Hu, Lina Qi, Lifen Yuan, Baoxi Zhao, Junsheng Jiang

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 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

5 authors.

Zhonghua HuDepartment of Pediatrics, The Second Affiliated Hospital of Zhejiang University, Linping Campus, Hangzhou, China.
Lina Qi
Lifen Yuan
Baoxi Zhao
Junsheng Jiang

Funding

Zhejiang medical and health science and technology project 2024KY1463 and 2025KY1223
6 · The paper itself

Abstract

backgroundThis full-scale confirmatory study aimed to measure serum neutrophil extracellular traps (NETs) levels in children with severe Mycoplasma pneumoniae pneumonia (SMPP) and non-severe MPP, and to compare the predictive performance of serum NETs, C-reactive protein (CRP), and lactate dehydrogenase (LDH) for SMPP.

methodsA total of 200 children hospitalized with MPP between January 2023 and August 2024 were consecutively enrolled and divided into SMPP (n = 100) and non-severe MPP (n = 100) groups. Baseline demographic and laboratory indices were compared between groups. Receiver operating characteristic (ROC) curves were used to assess predictive value, and univariate and multivariate logistic regression were performed to identify independent predictors of SMPP.

resultsAge and sex distributions were comparable between groups (all P > .05). Serum white blood cell count, neutrophil ratio, CRP, D-dimer, LDH, and NETs were significantly higher in the SMPP group (all P < .001). ROC analysis showed serum NETs had the highest area under the curve (AUC = 0.83, 95% confidence interval [CI]: 0.762-0.896), with a cutoff value of 19.2, sensitivity 0.818, and specificity 0.835. Multivariate logistic regression confirmed serum NETs (odds ratio [OR] = 4.32, 95% CI: 3.45-7.25, P = .023), CRP (OR = 3.62, 95% CI: 1.85-9.25, P = .010), and LDH (OR = 1.63, 95% CI: 1.18-2.26, P = .001) as independent predictors of SMPP.

conclusionSerum NETs are strongly elevated in children with SMPP and show better predictive performance than conventional CRP and LDH. Combined measurement of NETs, CRP, and LDH provides a reliable tool for the early identification of pediatric SMPP. This study extends and validates our preliminary exploratory findings with a larger sample and complete statistical analysis.

Indexed as

Extracellular TrapsNeutrophilsPneumonia, MycoplasmaBiomarkersChildChild, PreschoolC-Reactive ProteinFemaleFibrin Fibrinogen Degradation ProductsHumansL-Lactate DehydrogenaseMaleMycoplasma pneumoniaeROC CurveSeverity of Illness IndexBiomarkersC-Reactive ProteinFibrin Fibrinogen Degradation ProductsL-Lactate DehydrogenasechildrenC-reactive proteinlactate dehydrogenaseMycoplasma pneumoniae pneumonianeutrophil extracellular trapsseverity prediction

Identifiers

PMID42116365
PMCPMC13166758

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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.