Evidence map›Paper›PMID 19890625›Full record

ArticleIntensive care medicine2010

The impact of crystalloid and colloid infusion on the kidney in rodent sepsis.

Martin Alexander Schick, Tobias Jobst Isbary, Nicolas Schlegel, Juergen Brugger, Jens Waschke, Ralf Muellenbach, Norbert Roewer, Christian Wunder

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  9. Article
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  11. Intravenous fluid therapy in critically ill adults.Nature reviews. Nephrology · 2018
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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

8 authors at 1 institution in 1 country.

Martin Alexander SchickKlinik und Poliklinik für Anästhesiologie, Zentrum für Operative Medizin, University of Würzburg, Oberdürrbacherstrasse 6, 97080 Würzburg, Germany.
Tobias Jobst Isbary
Nicolas Schlegel
Juergen Brugger
Jens Waschke
Ralf Muellenbach
Norbert Roewer
Christian Wunder
University of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVolume replacement remains one of the pillars of sepsis therapy. The effect of different volume solutions on kidney function in sepsis still remains unclear. We therefore determined the impact of crystalloid and colloid solutions on kidney function in a rodent model of abdominal sepsis induced by cecal ligation and puncture (CLP).

methodsAnesthetized rats underwent the CLP procedure, whereas control animals were sham operated. Septic animals were treated with crystalloid and colloid solutions. Hemodynamic variables and blood gases were measured. After 24 h animals were re-anesthetized, the kidneys were harvested, and creatinine (crea), urea, cystatin C and neutrophil gelatinase-associated lipocalin (NGAL) were investigated.

resultsSeptic animals exhibited a mortality rate of 19% after 24 h. Gelatin-treated animals showed significantly increased levels of crea and urea. Colloids [gelatin 4% (Gel) or hydroxyethyl starch 6% 130/0.4 (HES)] as volume replacement resulted in elevated levels of NGAL. The histopathological observations revealed that Gel- and HES-treated animals showed vesicles within epithelial cells of the tubulus system and an overall increased injury. In contrast, total injury scores in groups treated with crystalloids [0.9% NaCl (NaCl) and Sterofundin ISO (SteroIso)] were not significantly different compared to sham-treated animals.

conclusionNone of the examined volume solution was inert to the kidney. In a CLP rodent sepsis model, animals infused with balanced crystalloid SteroIso exhibited the least effects on kidney function. Both hydroxyethyl starch 6% 130/0.4 and gelatin 4% derogated the kidney, whereas gelatin was more harmful when compared with hydroxyethyl starch.

Indexed as

Acute-Phase ProteinsAnimalsColloidsCreatinineCrystalloid SolutionsCystatin CGelatinHydroxyethyl Starch DerivativesIsotonic SolutionsLipocalin-2LipocalinsProto-Oncogene ProteinsRatsRenal InsufficiencySepsisAcute-Phase ProteinsColloidsCreatinineCrystalloid SolutionsCystatin CGelatinHydroxyethyl Starch DerivativesIsotonic SolutionsLcn2 protein, ratLipocalin-2LipocalinsProto-Oncogene Proteins

Identifiers

PMID19890625
OpenAlexW2046338968

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.