Evidence map›Paper›PMID 20565752›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2010

"Metabolic staging" after major trauma - a guide for clinical decision making?

Philip F Stahel, Michael A Flierl, Ernest E Moore

Open access · goldAbstract readEditorial
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 28% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Prescribed hypocaloric nutrition support for critically-ill adults.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Review
  9. Metabolic response to maxillofacial trauma revisited: A retrospective study.Journal of family medicine and primary care · 2019
    Article
  10. Review
  11. Energy Requirements in Critically Ill Patients.Clinical nutrition research · 2018
    Review
  12. Article
  13. Dysfunctional Natural Killer Cells in the Aftermath of Cancer Surgery.International journal of molecular sciences · 2017
    Review
  14. Article
  15. Article
  16. Early hemorrhage triggers metabolic responses that build up during prolonged shock.American journal of physiology. Regulatory, integrative and comparative physiology · 2015
    Article
  17. 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

3 authors at 2 institutions in 1 country.

Philip F StahelDepartment of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, 80204, USA. philip.stahel@dhha.org
Michael A Flierl
Ernest E Moore
Denver Health Medical Center · USUniversity of Colorado Denver · US

Funding

Trauma Reprograms CellsP50GM049222 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI BANERJEE, ANIRBAN · 1993 to 2017
$26.1M
NIGMS NIH HHS P50 GM049222
6 · The paper itself

Abstract

Metabolic changes after major trauma have a complex underlying pathophysiology. The early posttraumatic stress response is associated with a state of hyperinflammation, with increased oxygen consumption and energy expenditure. This hypercatabolic state must be recognized early and mandates an early nutritional management strategy. A proactive concept of early enteral "immunonutrition" in severely injured patients, is aimed at counterbalancing the negative aspects of hyperinflammation and hypercatabolism in order to reduce the risk of late complications, including infections and posttraumatic organ failure. Recently, the concept of "metabolic staging" has been advocated, which takes into account the distinct inflammatory phases and metabolic phenotypes after major trauma, including the "ischemia/reperfusion phenotype", the "leukocytic phenotype", and the "angiogenic phenotype". The potential clinical impact of metabolic staging, and of an appropriately adapted "metabolic control" and nutritional support, remains to be determined.

Indexed as

Decision Support Systems, ClinicalGuidelines as TopicTrauma Severity IndicesHumansSystemic Inflammatory Response SyndromeWounds and Injuries

Identifiers

PMID20565752
PMCPMC2894005
OpenAlexW1980650218

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.