Evidence map›Paper›PMID 18685861›Full record

ArticleLangenbeck's archives of surgery2009

Direct hemoperfusion with polymyxin-B-immobilized fiber columns improves septic hypotension and reduces inflammatory mediators in septic patients with colorectal perforation.

Tomoharu Shimizu, Kazuyoshi Hanasawa, Koichi Sato, Masahiko Umeki, Nobuhiko Koga, Tatsushi Naganuma, Seiji Sato, Tomonori Shimonishi, Toshiaki Ikeda, Naoto Matsuno and 8 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 33 citations in OpenAlex.

  1. Hemoperfusion in patients with severe COVID-19 respiratory failure, lifesaving or not?Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2021
    Article
  2. Anti-endotoxin Properties of Polymyxin B-immobilized Fibers.Advances in experimental medicine and biology · 2019
    Review
  3. Review
  4. Successful treatment of sepsis due toRespiratory medicine case reports · 2016
    Article
  5. Novel formulations for antimicrobial peptides.International journal of molecular sciences · 2014
    Review
  6. Article
  7. 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

18 authors at 11 institutions in 1 country.

Tomoharu ShimizuDepartment of Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
Kazuyoshi Hanasawa
Koichi Sato
Masahiko Umeki
Nobuhiko Koga
Tatsushi Naganuma
Seiji Sato
Tomonori Shimonishi
Toshiaki Ikeda
Naoto Matsuno
Satoshi Ono
Hitoshi Saitoh
Koshi Satoh
Yoshimasa Otani
Yoshihiro Endo
Yutaka Eguchi
Tohru Tani
PMX Treatment Study Group
Shiga University of Medical Science · JPTokyo Medical University · JPHyogo Prefectural Awaji Medical Center · JPJuntendo University Shizuoka Hospital · JPKanazawa Medical University · JPNational Defense Medical College · JPNational Sagamihara Hospital · JPSaga University · JPShinkoga Hospital · JPShirasagi Hospital · JPShizuoka Saiseikai General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough some studies have reported favorable effects of direct hemoperfusion with polymyxin-B-immobilized fiber columns (PMX) for the treatment of septic shock, few studies have demonstrated the efficacy of PMX in studies with a uniform case definition and without any other blood purification techniques. MATERIALS AND

methodsFifty-two patients with severe sepsis or septic shock secondary to colorectal perforation were treated with PMX. Hemodynamic alterations and plasma concentrations of endotoxin, interleukin (IL)-1beta, IL-1 receptor antagonist (IL-1Ra), IL-6, IL-8, and IL-10 were evaluated following PMX treatment.

resultsWe observed a significant reduction in plasma endotoxin in the nonsurvivors immediately after PMX treatment compared to before treatment. Systolic blood pressure was markedly increased and circulating levels of IL-1beta, IL-1Ra, and IL-8 were significantly reduced during a 2-h interval of PMX.

conclusionsOur findings suggested that PMX treatment appears to adsorb endotoxin and also modulates circulating cytokine during a 2-h interval of direct hemoperfusion in septic patients with such condition.

Indexed as

AgedAnti-Bacterial AgentsBacterial InfectionsColonic DiseasesCytokinesEndotoxinsFemaleHemoperfusionHumansHypotensionInflammation MediatorsIntestinal PerforationMalePolymyxin BPostoperative ComplicationsProspective StudiesAnti-Bacterial AgentsCytokinesEndotoxinsInflammation MediatorsPolymyxin B

Identifiers

PMID18685861
OpenAlexW2062205646

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.