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Cited by 1,620

The DOI matches its Crossref record; 210 of the 210 references it cites were found in a registry or an index.

Sepsis and septic shock

Open access
Hotchkiss, Richard S., Moldawer, Lyle L., Opal, Steven M., Reinhart, Konrad, Turnbull, Isaiah R., Vincent, Jean-Louis·2016·Nature Reviews Disease Primers

Abstract

For more than two decades, sepsis was defined as a microbial infection that produces fever (or hypothermia), tachycardia, tachypnoea and blood leukocyte changes. Sepsis is now increasingly being considered a dysregulated systemic inflammatory and immune response to microbial invasion that produces organ injury for which mortality rates are declining to 15–25%. Septic shock remains defined as sepsis with hyperlactataemia and concurrent hypotension requiring vasopressor therapy, with in-hospital mortality rates approaching 30–50%. With earlier recognition and more compliance to best practices, sepsis has become less of an immediate life-threatening disorder and more of a long-term chronic critical illness, often associated with prolonged inflammation, immune suppression, organ injury and lean tissue wasting. Furthermore, patients who survive sepsis have continuing risk of mortality after discharge, as well as long-term cognitive and functional deficits. Earlier recognition and improved implementation of best practices have reduced in-hospital mortality, but results from the use of immunomodulatory agents to date have been disappointing. Similarly, no biomarker can definitely diagnose sepsis or predict its clinical outcome. Because of its complexity, improvements in sepsis outcomes are likely to continue to be slow and incremental.

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Metadata

Authors
Hotchkiss, R. S., Moldawer, L. L., Opal, S. M., Reinhart, K., Turnbull, I. R., & Vincent, J.-L.
Venue
Nature Reviews Disease Primers
Published
2016-06-30
Volume
2
Issue
1
Pages
16045-16045
ISSN
2056-676X (ISSN-L)
OpenAlex
W748993927
Cited by
1,620
References
210
FWCI
10.01
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Sepsis and septic shock. https://app.cochat.ai/papers/10.1038/nrdp.2016.45
The paper
Hotchkiss, R. S., Moldawer, L. L., Opal, S. M., Reinhart, K., Turnbull, I. R., & Vincent, J.-L. (2016). Sepsis and septic shock. Nature Reviews Disease Primers. https://doi.org/10.1038/nrdp.2016.45

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.