Evidence map›Paper›PMID 25254206›Full record

SynthesisBioMed research international2014

Vasopressin in hemorrhagic shock: a systematic review and meta-analysis of randomized animal trials.

Andrea Pasquale Cossu, Paolo Mura, Lorenzo Matteo De Giudici, Daniela Puddu, Laura Pasin, Maurizio Evangelista, Theodoros Xanthos, Mario Musu, Gabriele Finco

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.1field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Role of vasopressin in current anesthetic practice.Korean journal of anesthesiology · 2017
    Review
  10. Article
  11. Review
  12. Article
  13. What's new in vasopressin?Intensive care medicine · 2015
    Review
  14. Article
  15. Vasopressors: Do they have any role in hemorrhagic shock?Journal of anaesthesiology, clinical pharmacology
    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

9 authors at 3 institutions in 2 countries.

Andrea Pasquale CossuDepartment of Medical Sciences "M. Aresu", University of Cagliari, SS.554 Bivio per Sestu, 09042 Monserrato, Italy.
Paolo MuraDepartment of Medical Sciences "M. Aresu", University of Cagliari, SS.554 Bivio per Sestu, 09042 Monserrato, Italy.
Lorenzo Matteo De GiudiciDepartment of Medical Sciences "M. Aresu", University of Cagliari, SS.554 Bivio per Sestu, 09042 Monserrato, Italy.
Daniela PudduDepartment of Medical Sciences "M. Aresu", University of Cagliari, SS.554 Bivio per Sestu, 09042 Monserrato, Italy.
Laura PasinDepartment of Anesthesia and Intensive Care, Vita-Salute San Raffaele University, Via Olgettina 60, 20132 Milano, Italy.
Maurizio EvangelistaDepartment of Anesthesia and Intensive Care, Catholic University, Via Giuseppe Moscati 31, 00198 Roma, Italy.
Theodoros XanthosMSc Program "Cardiopulmonary Resuscitation", University of Athens, Medical School, Hellenic Society of Cardiopulmonary Resuscitation, 75 Mikras Asias Street, 11527 Athens, Greece.
Mario MusuDepartment of Medical Sciences "M. Aresu", University of Cagliari, SS.554 Bivio per Sestu, 09042 Monserrato, Italy.
Gabriele FincoDepartment of Medical Sciences "M. Aresu", University of Cagliari, SS.554 Bivio per Sestu, 09042 Monserrato, Italy.
University of Cagliari · ITHellenic Cardiological Society · GRVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe latest European guidelines for the management of hemorrhagic shock suggest the use of vasopressors (norepinephrine) in order to restore an adequate mean arterial pressure when fluid resuscitation therapy fails to restore blood pressure. The administration of arginine vasopressin (AVP), or its analogue terlipressin, has been proposed as an alternative treatment in the early stages of hypovolemic shock.

designA meta-analysis of randomized controlled animal trials.

participantsA total of 433 animals from 15 studies were included.

interventionsThe ability of AVP and terlipressin to reduce mortality when compared with fluid resuscitation therapy, other vasopressors (norepinephrine or epinephrine), or placebo was investigated. MEASUREMENTS AND MAIN

resultsPooled estimates showed that AVP and terlipressin consistently and significantly improve survival in hemorrhagic shock (mortality: 26/174 (15%) in the AVP group versus 164/259 (63%) in the control arms; OR=0.09; 95% CI 0.05 to 0.15; P for effect<0.001; P for heterogeneity=0.30; I2=14%).

conclusionsResults suggest that AVP and terlipressin improve survival in the early phases of animal models of hemorrhagic shock. Vasopressin seems to be more effective than all other treatments, including other vasopressor drugs. These results need to be confirmed by human clinical trials.

Indexed as

AnimalsArginine VasopressinBlood PressureHumansLypressinNorepinephrineRandomized Controlled Trials as TopicShockShock, HemorrhagicTerlipressinVasoconstrictor AgentsArginine VasopressinLypressinNorepinephrineTerlipressinVasoconstrictor Agents

Identifiers

PMID25254206
PMCPMC4165559
OpenAlexW2109737956

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.