Evidence map›Paper›PMID 22323076›Full record

ArticleIntensive care medicine2012

Consensus statement of the ESICM task force on colloid volume therapy in critically ill patients.

Konrad Reinhart, Anders Perner, Charles L Sprung, Roman Jaeschke, Frederique Schortgen, A B Johan Groeneveld, Richard Beale, Christiane S Hartog, European Society of Intensive Care Medicine

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 15 pooled it
29.8field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 15 syntheses or guidelines pooled it, 285 citations in OpenAlex.

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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 7 countries.

Konrad ReinhartDepartment for Anesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich-Schiller University, Erlanger Allee 101, 07747 Jena, Germany. konrad.reinhart@med.uni-jena.de
Anders Perner
Charles L Sprung
Roman Jaeschke
Frederique Schortgen
A B Johan Groeneveld
Richard Beale
Christiane S Hartog
European Society of Intensive Care Medicine
Assistance Publique – Hôpitaux de Paris · FRErasmus University Rotterdam · NLFriedrich Schiller University Jena · DEGuy's and St Thomas' NHS Foundation Trust · GBHadassah Medical Center · ILJena University Hospital · DEMcMaster University · CARigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeColloids are administered to more patients than crystalloids, although recent evidence suggests that colloids may possibly be harmful in some patients. The European Society of Intensive Care Medicine therefore assembled a task force to compile consensus recommendations based on the current best evidence for the safety and efficacy of the currently most frequently used colloids--hydroxyethyl starches (HES), gelatins and human albumin.

methodsMeta-analyses, systematic reviews and clinical studies of colloid use were evaluated for the treatment of volume depletion in mixed intensive care unit (ICU), cardiac surgery, head injury, sepsis and organ donor patients. Clinical endpoints included mortality, kidney function and bleeding. The relevance of concentration and dosage was also assessed. Publications from 1960 until May 2011 were included. The quality of available evidence and strength of recommendations were based on the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. RECOMMENDATIONS AND

conclusionsWe recommend not to use HES with molecular weight ≥ 200 kDa and/or degree of substitution >0.4 in patients with severe sepsis or risk of acute kidney injury and suggest not to use 6% HES 130/0.4 or gelatin in these populations. We recommend not to use colloids in patients with head injury and not to administer gelatins and HES in organ donors. We suggest not to use hyperoncotic solutions for fluid resuscitation. We conclude and recommend that any new colloid should be introduced into clinical practice only after its patient-important safety parameters are established.

Indexed as

Evidence-Based MedicineClinical Trials as TopicColloidsContraindicationsCritical IllnessFluid TherapyHumansMeta-Analysis as TopicReview Literature as TopicRisk AssessmentSurvival AnalysisTreatment OutcomeColloids

Identifiers

PMID22323076
OpenAlexW2075880115

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.