Evidence map›Paper›PMID 22517980›Full record

ArticleBMJ open2012

Inhaled hypertonic saline in adults hospitalised for exacerbation of cystic fibrosis lung disease: a retrospective study.

Alejandro A Pezzulo, David A Stoltz, Douglas B Hornick, Lakshmi Durairaj

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Efficacy of hypertonic saline versus isotonic saline among children with cystic fibrosis: A systematic review and meta-analysis.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2023
    Review
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

4 authors at 1 institution in 1 country.

Alejandro A PezzuloDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
David A Stoltz
Douglas B Hornick
Lakshmi Durairaj
University of Iowa · US

Funding

Iowa Phase II Clinical Trials of Novel Therapies for Lung Diseases (U01U01HL102288 · NHLBI · UNIVERSITY OF IOWA · PI ZABNER, JOSEPH · 2010 to 2012
$5.3M
Aerosolized xylitol for ventilator-associated pneumoniaK23HL075402 · NHLBI · UNIVERSITY OF IOWA · PI DURAIRAJ, LAKSHMI · 2005 to 2009
$625k
Paraoxonase-2 S311C Polymorphism Alters Glycosylation and Lactonase ActivityK08AI076671 · NIAID · UNIVERSITY OF IOWA · PI STOLTZ, DAVID A · 2008 to 2011
$605k
NHLBI NIH HHS K23 HL075402NHLBI NIH HHS U01 HL102288NIAID NIH HHS K08 AI076671
6 · The paper itself

Abstract

backgroundInhaled hypertonic saline (HTS) improves quality of life and reduces pulmonary exacerbations when given long term in patients with cystic fibrosis (CF). While increasingly being offered for acute pulmonary exacerbations, little is known about the efficacy in this setting.

objectivesThe authors examined the tolerability and efficacy of HTS use among adult subjects hospitalised with a CF pulmonary exacerbation and hypothesised that use of HTS would improve pulmonary function during the admission.

designPilot retrospective non-randomised study.

settingSingle tertiary care centre.

participants45 subjects admitted to the inpatient service for acute CF pulmonary exacerbation in 2006-2007. A subset of 18 subjects who were also admitted in 2005 when HTS was not available was included in the comparative study. PRIMARY OUTCOME: Change in forced expiratory volume in one second from admission to discharge. SECONDARY OUTCOMES: Change in weight from admission to discharge and time to next exacerbation.

resultsMean age was 32.5 years, and mean length of stay was 11.5 days. HTS was offered to 33 subjects and was well tolerated for a total use of 336 days out of 364 days of hospital stay. Baseline demographics, lung function and sputum culture results were comparable in first and second visits. Use of HTS was not associated with an improvement in forced expiratory volume in one second (p=0.1), weight gain (p=0.24) or in the time to next admission (p=0.08).

conclusionsThese pilot data suggest that HTS is well tolerated during CF pulmonary exacerbation but offers no clear outcome benefits. It is possible that HTS may not have much advantage above and beyond intensive rehabilitation and intravenous antibiotics and may add to hospital costs and treatment burden.

Identifiers

PMID22517980
PMCPMC3332252
OpenAlexW2141718759

What OpenQuestion holds

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LicenceCC BY-NC
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.