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Persistently elevated osteopontin serum levels predict mortality in critically ill patients

Overview of attention for article published in Critical Care, December 2015
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Title
Persistently elevated osteopontin serum levels predict mortality in critically ill patients
Published in
Critical Care, December 2015
DOI 10.1186/s13054-015-0988-4
Pubmed ID
Authors

Christoph Roderburg, Fabian Benz, David Vargas Cardenas, Matthias Lutz, Hans-Joerg Hippe, Tom Luedde, Christian Trautwein, Norbert Frey, Alexander Koch, Frank Tacke, Mark Luedde

Abstract

Inflammatory, autoimmune and metabolic disorders have been associated with alterations in Osteopontin (OPN) serum levels. Furthermore, elevated serum levels of OPN were reported from a small cohort of patients with sepsis. We therefore analyzed OPN serum-concentrations in a large cohort of critically ill medical patients. 159 patients (114 with sepsis, 45 without sepsis) were studied prospectively upon admission to the medical intensive care unit (ICU) as well as after three days of ICU treatment and compared to 50 healthy controls. Clinical data, various laboratory parameters as well as investigational inflammatory cytokine profiles were assessed. Patients were followed for approximately one year. We found significantly elevated serum levels of OPN at admission to the ICU and after three days of treatment in critically ill patients compared to healthy controls. OPN concentrations were related to disease severity and significantly correlated with established prognosis scores and classical as well as experimental markers of inflammation and multi-organ failure. In the total cohort, OPN levels decreased from admission to day 3 of ICU treatment. However, persistently elevated OPN levels at day 3 of ICU-treatment were a strong independent predictor for an unfavorable prognosis, with similar or better diagnostic accuracy than routinely used markers of organ failure or prognostic scoring systems such as SAPS2 or APACHE-II score. Persistently elevated OPN serum concentrations are associated with an unfavorable outcome in patients with critical illness, independent of the presence of sepsis. Besides a possible pathogenic role of OPN in critical illness, our study indicates a potential value for OPN as a prognostic biomarker in critically ill patients during the early course of ICU treatment.

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Germany 1 2%
Unknown 40 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 10 24%
Student > Bachelor 5 12%
Student > Master 5 12%
Student > Ph. D. Student 3 7%
Student > Postgraduate 3 7%
Other 7 17%
Unknown 8 20%
Readers by discipline Count As %
Medicine and Dentistry 19 46%
Agricultural and Biological Sciences 4 10%
Engineering 3 7%
Biochemistry, Genetics and Molecular Biology 2 5%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Other 2 5%
Unknown 10 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 June 2015.
All research outputs
#15,739,010
of 25,371,288 outputs
Outputs from Critical Care
#5,130
of 6,554 outputs
Outputs of similar age
#209,654
of 395,397 outputs
Outputs of similar age from Critical Care
#428
of 466 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one is in the 20th percentile – i.e., 20% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 395,397 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 466 others from the same source and published within six weeks on either side of this one. This one is in the 4th percentile – i.e., 4% of its contemporaries scored the same or lower than it.