The prognostic value of the CALLY index in sepsis: a systematic review and meta-analysis - Scorecard - MDSpire

The prognostic value of the CALLY index in sepsis: a systematic review and meta-analysis

  • By

  • Chuangying Xie

  • Peng Sun

  • Min Zhang

  • Hong Fan

  • Zhenzhen Li

  • Xiang Tong

  • May 8, 2026

  • 0 min

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Clinical Scorecard: Evaluating the Prognostic Significance of the CALLY Index in Sepsis: A Comprehensive Meta-Analysis

At a Glance

CategoryDetail
ConditionSepsis
Key MechanismsC-reactive protein, albumin, lymphocyte count
Target PopulationPatients with sepsis
Care SettingClinical management of sepsis

Key Highlights

  • CALLY index shows variable prognostic value in sepsis across different ethnic cohorts.
  • Higher CALLY index correlated with survival in Chinese cohorts but with mortality in Turkish cohorts.
  • Moderate diagnostic accuracy for predicting mortality: sensitivity 0.59, specificity 0.77.
  • Significant heterogeneity observed across pooled analyses.
  • Potential for CALLY index as a low-cost biomarker in sepsis management.

Guideline-Based Recommendations

Diagnosis

  • Utilize the CALLY index as a composite biomarker in sepsis evaluation.

Management

  • Consider the CALLY index in conjunction with other biomarkers for prognostic assessment.

Monitoring & Follow-up

  • Regularly assess CALLY index levels to evaluate patient prognosis.

Risks

  • Be aware of variable prognostic implications of the CALLY index across different populations.

Patient & Prescribing Data

Patients diagnosed with sepsis

CALLY index may assist in identifying patients at higher risk of mortality.

Clinical Best Practices

  • Incorporate CALLY index into routine sepsis assessments.
  • Validate findings in larger, multinational studies.

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