Observational studyIntensive care medicine2015
Outcome of acute mesenteric ischemia in the intensive care unit: a retrospective, multicenter study of 780 cases.
Observational study in Intensive care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 68 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
68 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Vasoactive agents in acute mesenteric ischaemia in critical care. A systematic review.F1000Research · 2021Pooled it
- Diagnostic accuracy of novel serological biomarkers to detect acute mesenteric ischemia: a systematic review and meta-analysis.Internal and emergency medicine · 2017Pooled it
- Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines.Intensive care medicine · 2017Guideline
- The use of platelet indices, plateletcrit, mean platelet volume and platelet distribution width in emergency non-traumatic abdominal surgery: a systematic review.Biochemia medica · 2016Pooled it
- Factors associated with acute mesenteric ischemia among critically ill ventilated patients with shock: a post hoc analysis of the NUTRIREA2 trial.Intensive care medicine · 2022Trial
- Septic shock with no diagnosis at 24 hours: a pragmatic multicenter prospective cohort study.Critical care (London, England) · 2016Trial
- Malnutrition and Cachexia in Inpatients With Acute Cardiac Conditions: A Scientific Statement From the American Heart Association.Circulation · 2026Review
- The challenging diagnosis of ICU-related Mesenteric Ischaemia: a prospective, observational, multicentre cohort.Annals of intensive care · 2026Article
- A retrospective study on the predictive value of D-dimer for mortality in patients with acute arterial occlusive mesenteric ischemia.BMC gastroenterology · 2025Article
- Comparison between endovascular and surgical treatment of acute arterial occlusive mesenteric ischemia.World journal of emergency surgery : WJES · 2025Observational
- Anticoagulation management and outcomes in critically ill patients with acute mesenteric ischemia: an international study.Intensive care medicine · 2025Article
- Treatment outcomes in non-occlusive mesenteric ischemia and post-treatment return to social activities.Surgery today · 2025Article
- Percutaneous mechanical thrombectomy versus catheter-directed thrombolysis for the treatment of arterial acute mesenteric ischemia and risk factors for 30-day mortality.Frontiers in cardiovascular medicine · 2025Article
- Effective new predictors of prognosis and comparison of multidisciplinary treatment options in acute mesenteric ischemia.Northern clinics of Istanbul · 2025Article
- When Is Laparotomy for Mesenteric Ischemia After Aortic Dissection Futile?The Annals of thoracic surgery · 2024Article
- Acute mesenteric ischemia: A case report.Radiology case reports · 2024Article
- Impact of stress hyperglycemia ratio on mortality in patients with critical acute myocardial infarction: insight from american MIMIC-IV and the chinese CIN-II study.Cardiovascular diabetology · 2023Article
- Acute mesenteric ischemia: which predictive factors of delayed diagnosis at emergency unit?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Prognostic factors after acute mesenteric ischemia: which patients require specific management?International journal of colorectal disease · 2023Article
- The Global Burden of Vascular Intestinal Disorders in 204 Countries and Territories From 1990 to 2019: Global Burden of Diseases Study.International journal of public health · 2023Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
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- Erratum issued
Authors and funding
40 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the intensive care unit (ICU), the outcomes of patients with acute mesenteric ischemia (AMI) are poorly documented. This study aimed to determine the risk factors for death in ICU patients with AMI.
methodsA retrospective, observational, non-interventional, multicenter study was conducted in 43 ICUs of 38 public institutions in France. From January 2008 to December 2013, all adult patients with a diagnosis of AMI during their hospitalization in ICU were included in a database. The diagnosis was confirmed by at least one of three procedures (computed tomography scan, gastrointestinal endoscopy, or upon surgery). To determine factors associated with ICU death, we established a logistic regression model. Recursive partitioning analysis was applied to construct a decision tree regarding risk factors and their interactions most critical to determining outcomes.
resultsThe death rate of the 780 included patients was 58 %. Being older, having a higher sequential organ failure assessment (SOFA) severity score at diagnosis, and a plasma lactate concentration over 2.7 mmol/l at diagnosis were independent risk factors of ICU mortality. In contrast, having a prior history of peripheral vascular disease or an initial surgical treatment were independent protective factors against ICU mortality. Using age and SOFA severity score, we established an ICU mortality score at diagnosis based on the cutoffs provided by recursive partitioning analysis. Probability of survival was statistically different (p < 0.001) between patients with a score from 0 to 2 and those with a score of 3 and 4.
conclusionAcute mesenteric ischemia in ICU patients was associated with a 58 % ICU death rate. Age and SOFA severity score at diagnosis were risk factors for mortality. Plasma lactate concentration over 2.7 mmol/l was also an independent risk factor, but values in the normal range did not exclude the diagnosis of AMI.
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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.