Evidence mapPaperPMID 39182045Full record

Observational studyBMC geriatrics2024

Improving prognostication of pneumonia among elderly patients: usefulness of suPAR.

Artida Ulaj, Arni Ibsen, Leire Azurmendi, Jean-Charles Sanchez, Virginie Prendki, Xavier Roux

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02467192 (The Place of Imaging and Microbiology in the Diagnosis of Pneumonia in the Elderly), which is not on this 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.

NCT02467192 nacompletednot on this map

The Place of Imaging and Microbiology in the Diagnosis of Pneumonia in the Elderly: PneumOldCT

TypeinterventionalSponsorUniversity Hospital, GenevaRan2015 to 2017Enrolled203ConditionsPneumoniaArmsLow dose CT
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

6 authors.

Artida Ulaj *Division of Anesthesiology, Department of Acute Medicine, Geneva University Hospital, Geneva, Switzerland.ORCID https://orcid.org/0000-0001-8576-2749
Arni Ibsen *Division of Anesthesiology, Department of Acute Medicine, Geneva University Hospital, Geneva, Switzerland.
Leire AzurmendiDepartment of Internal Medicine Specialties, Medical Faculty, Geneva University Hospitals, Geneva, Switzerland.ORCID https://orcid.org/0000-0002-9469-9849
Jean-Charles SanchezDepartment of Internal Medicine Specialties, Medical Faculty, Geneva University Hospitals, Geneva, Switzerland.ORCID https://orcid.org/0000-0002-8733-5932
Virginie PrendkiDivision of Infectious Diseases, Department of Internal Medicine, Geneva University Hospital, Geneva, Switzerland.ORCID https://orcid.org/0000-0003-1315-2938
Xavier RouxDivision of Geriatric Medicine, Department of Rehabilitation and Geriatrics Medicine, Geneva University Hospitals, Thônex, Switzerland. xavier.roux@hcuge.ch.ORCID https://orcid.org/0000-0003-4356-1898

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeElderly patients with suspected pneumonia represent a significant proportion of hospital admissions, which is a prognostic challenge for physicians. Our research aimed to assess the prognosis of patients with pneumonia using soluble urokinase plasminogen activator receptor (suPAR) combined with clinical data.

methodsIn a prospective observational study including 164 patients > 65 years (mean age 84.2 (+/-7.64) years) who were hospitalized for a suspicion of pneumonia, suPAR was assessed for each patient, as was the prognosis score (PSI, CURB65) and inflammatory biomarkers (C-reactive protein, procalcitonin, white blood cells). The prognostic value of the suPAR for 30-day mortality was assessed using receiver operating characteristic (ROC) curve analyses. Optimal cut-offs with corresponding sensitivity (SE) and specificity (SP) were determined using the Youden index.

resultsA suPAR > 5.1 ng/mL was predictive of 30-day mortality with a sensitivity of 100% and a specificity of 40.4%. A combination of the following parameters exhibited an SE of 100% (95% CI, 100-100) for an SP value of 64.9% (95% CI, 57.6-72.2) when at least two of them were above or below the following cut-off threshold values: suPAR > 9.8 ng/mL, BMI < 29.3 kg/m2 and PSI > 106.5.

conclusionThe suPAR seems to be a promising biomarker that can be combined with the PSI and BMI to improve the prognosis of pneumonia among elderly patients. Prospective studies with larger populations are needed to confirm whether this new approach can improve patient outcomes.

trial registrationClinicalTrials.gov (NCT02467192), 27th may 2015.

Indexed as

BiomarkersPneumoniaReceptors, Urokinase Plasminogen ActivatorAgedAged, 80 and overFemaleHumansMalePrognosisProspective StudiesBiomarkersReceptors, Urokinase Plasminogen ActivatorBiomarkerGeriatricMortalityPneumonia

Identifiers

PMID39182045
PMCPMC11344914

What Socratic holds

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Registered trials

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 Socratic graph.