Evidence map›Paper›PMID 20890191›Full record

Trial reportCritical care medicine2010

Plasma adiponectin and mortality in critically ill subjects with acute respiratory failure.

Allan J Walkey, Todd W Rice, Jason Konter, Noriyuki Ouchi, Rei Shibata, Kenneth Walsh, Bennett P deBoisblanc, Ross Summer

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Critical care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 67 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. The role of adipokines as prognostic factors of one-year mortality in hip fracture patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  15. Review
  16. Review
  17. Article
  18. Circulating adipokine levels and prognostic value in septic patients.Journal of inflammation (London, England) · 2016
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Allan J WalkeyDepartment of Medicine, The Pulmonary Center, Boston University School of Medicine, Boston, MA, USA. alwalkey@bu.edu
Todd W Rice
Jason Konter
Noriyuki Ouchi
Rei Shibata
Kenneth Walsh
Bennett P deBoisblanc
Ross Summer
Boston University · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
REGULATION OF VESSEL WALL APOPTOSISR37AG015052 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WALSH, KENNETH · 2003 to 2012
$4.0M
Adiponectin inhibits activation and injury of lung endotheliumR01HL105490 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI SUMMER, ROSS S · 2011 to 2015
$1.9M
Attenuating Inflammation via Protein-Calorie RestrictionK23HL081431 · NHLBI · VANDERBILT UNIVERSITY · PI RICE, TODD W · 2006 to 2010
$759k
The Identification and Study of a Lung Mesenchymal Stem CellK08HL077138 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI SUMMER, ROSS S · 2006 to 2010
$642k
NCRR NIH HHS UL1 RR024975NHLBI NIH HHS K08 HL077138NHLBI NIH HHS K23 HL081431NHLBI NIH HHS K23-HL81431NHLBI NIH HHS KO8-HL-077138NHLBI NIH HHS R01 HL105490NIA NIH HHS R37 AG015052
6 · The paper itself

Abstract

objective: Adiponectin, an anti-inflammatory cytokine produced by adipose tissue, has been shown to modulate survival in animal models of critical illness. We examined the association between plasma adiponectin and clinical outcomes in critically ill patients with acute respiratory failure.

design: Secondary analysis of a single-center, randomized controlled trial.

setting: Medical intensive care unit of a university-based, tertiary medical center. PATIENTS: : One hundred seventy-five subjects with acute respiratory failure enrolled in randomized, controlled pilot trial of Early versus Delayed Enternal Nutrition (EDEN pilot study).

interventions: None. MEASUREMENTS AND MAIN

results: Adiponectin measured within 48 hrs of respiratory failure (Apn1) was inversely correlated with body mass index (r=-0.25, p=.007) and was higher in females (median, 12.6 μg/mL; interquartile range, 7.6-17.1) than males (9.45 μg/mL; 6.2-14.2; p=.02). Adiponectin increased at day 6 (Apn1: 11.4 μg/mL [6.6-15.3] vs. Apn6: 14.1 μg/mL [10.3-18.6], p<.001). This increase was significant only in survivors (Δ adiponectin in survivors: 3.9±6 μg/mL, n=80, p<.001 vs. Δ in nonsurvivors: 1.69±4.6 μg/mL, n=14, p=.19). Higher Apn1 was significantly associated with 28-day mortality (odds ratio 1.59 per 5-μg/mL increase; 95% confidence interval 1.15-2.21; p=.006). No measured demographic, clinical, or cytokine covariates, including interleukin-6, interleukin-8, interleukin-10, interleukin-1β, interleukin-12, tumor necrosis factor-α, and interferon-γ, were confounders or effect modifiers of this association between adiponectin and mortality.

conclusions: Independent of measured covariates, increased plasma adiponectin levels measured within 48 hrs of respiratory failure are associated with mortality. This finding suggests that factors derived from adipose tissue play a role in modulating the response to critical illness.

Indexed as

AdiponectinAdultAgedAPACHEBiomarkersConfidence IntervalsCritical CareCritical IllnessEnteral NutritionEnzyme-Linked Immunosorbent AssayFemaleFollow-Up StudiesHospital MortalityHospitals, UniversityHumansIntensive Care UnitsAdiponectinBiomarkers

Identifiers

PMID20890191
PMCPMC3703623
OpenAlexW2004032781

What OpenQuestion holds

Textmetadata
LicenceTDM
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.