Sepsis & infection

An international observational study validating gene-expression sepsis immune subgroups

Crit CarePublished Prospective observational cohort study

Authors' conclusion

Gene-expression diagnostics can identify patients with sepsis at high-risk of poor outcomes

Study context

Population
Adults with sepsis in the intensive care unit (ICU), 17 sites in the UK, Sweden and France (March 2021-November 2022)
Participants
357 adults · 17 sites
Exposure
High vs low risk groups assigned by 2 gene-expression models
Outcome
90-day mortality by gene-expression risk group
Follow-up
Blood at days 2-5 (S1), 6-8 (S2) and 13-15 (S3) after ICU admission
Methodological detailsinternational, multicentre (17 sites), central blood analysis, Recruitment March 2021-November 2022
  • International
  • Multicentre (17 sites)
  • Central blood analysis
  • Recruitment March 2021-November 2022

Main finding

As reported in the abstract

90-day mortality, model 1

High-risk (S1) vs Low-risk (S1): P = 0.04 · High-risk (S2) vs Low-risk (S2): P < 0.001 · High-risk (S3) vs Low-risk (S3): P = 0.007

Observational data: associations, not effects.

Further findings

90-day mortality, model 2, S1 · S1 (days 2-5)

P = 0.77

90-day mortality, model 2, S2 · S2 (days 6-8)

P = 0.002

90-day mortality, model 2, S3 · S3 (days 13-15)

P = 0.13

Original publication

An international observational study validating gene-expression sepsis immune subgroups. Crit Care. Published 3 March 2025. doi:10.1186/s13054-025-05319-5

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