Evidence map›Paper›PMID 24392848›Full record

Trial reportAmerican journal of respiratory and critical care medicine2014

The beta agonist lung injury trial prevention. A randomized controlled trial.

Gavin D Perkins, Simon Gates, Daniel Park, Fang Gao, Chris Knox, Ben Holloway, Daniel F McAuley, James Ryan, Joseph Marzouk, Matthew W Cooke and 3 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of respiratory and critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
9.5field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. QOLEC2: a randomized controlled trial on nutritional and respiratory counseling after esophagectomy for cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 3 countries.

Gavin D Perkins1 Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham, United Kingdom.
Simon Gates
Daniel Park
Fang Gao
Chris Knox
Ben Holloway
Daniel F McAuley
James Ryan
Joseph Marzouk
Matthew W Cooke
Sarah E Lamb
David R Thickett
BALTI-Prevention Collaborators
Heart of England NHS Foundation Trust · GBUniversity of Warwick · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBJames Cook University Hospital · GBRoyal Victoria Eye and Ear Hospital · IEUniversity Hospital Coventry · GB

Funding

Department of Health DHCS/06/06/010Department of Health DHCS/06/06/101Medical Research Council G0700478Medical Research Council G1100196Medical Research Council MR/L002736/1
6 · The paper itself

Abstract

rationaleExperimental studies suggest that pretreatment with β-agonists might prevent acute lung injury (ALI).

objectivesTo determine if in adult patients undergoing elective esophagectomy, perioperative treatment with inhaled β-agonists effects the development of early ALI.

methodsWe conducted a randomized placebo-controlled trial in 12 UK centers (2008-2011). Adult patients undergoing elective esophagectomy were allocated to prerandomized, sequentially numbered treatment packs containing inhaled salmeterol (100 μg twice daily) or a matching placebo. Patients, clinicians, and researchers were masked to treatment allocation. The primary outcome was development of ALI within 72 hours of surgery. Secondary outcomes were ALI within 28 days, organ failure, adverse events, survival, and health-related quality of life. An exploratory substudy measured biomarkers of alveolar-capillary inflammation and injury. MEASUREMENTS AND MAIN

resultsA total of 179 patients were randomized to salmeterol and 183 to placebo. Baseline characteristics were similar. Treatment with salmeterol did not prevent early lung injury (32 [19.2%] of 168 vs. 27 [16.0%] of 170; odds ratio [OR], 1.25; 95% confidence interval [CI], 0.71-2.22). There was no difference in organ failure, survival, or health-related quality of life. Adverse events were less frequent in the salmeterol group (55 vs. 70; OR, 0.63; 95% CI, 0.39-0.99), predominantly because of a lower number of pneumonia (7 vs. 17; OR, 0.39; 95% CI, 0.16-0.96). Salmeterol reduced some biomarkers of alveolar inflammation and epithelial injury.

conclusionPerioperative treatment with inhaled salmeterol was well tolerated but did not prevent ALI. Clinical trial registered with International Standard Randomized Controlled Trial Register (ISRCTN47481946) and European Union database of randomized Controlled Trials (EudraCT 2007-004096-19).

Indexed as

Acute Lung InjuryAdministration, InhalationAdrenergic beta-2 Receptor AgonistsAdultAgedAlbuterolDrug Administration ScheduleElective Surgical ProceduresEsophagectomyFemaleHumansIntention to Treat AnalysisLogistic ModelsMaleMiddle AgedPerioperative CareAdrenergic beta-2 Receptor AgonistsAlbuterolSalmeterol Xinafoate

Identifiers

PMID24392848
PMCPMC3983838
OpenAlexW2114404607

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.