Evidence map›Paper›PMID 26603772›Full record

ArticleScientific reports2015

Abnormal pancreatic enzymes and their prognostic role after acute paraquat poisoning.

Yi Li, Meng Wang, Yanxia Gao, Wen Yang, Qun Xu, Michael Eddleston, Li Li, Xuezhong Yu

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  11. Article
  12. Review
  13. Metabolic Profiling of Amino Acids Associated with Mortality in Patients with Acute Paraquat Poisoning.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
  14. Review
  15. Article
  16. Article
  17. Mumps caused by paraquat-induced poisoning: A case report.Experimental and therapeutic medicine · 2017
    Article
  18. Effect of soluble CD14 subtype on the prognosis evaluation of acute paraquat poisoning patients.International journal of clinical and experimental pathology · 2017
    Article
  19. Article
  20. Hyperamylasemia as an Early Predictor of Mortality in Patients with Acute Paraquat Poisoning.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Article
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

8 authors at 5 institutions in 2 countries.

Yi LiEmergency Department, Peking Union Medical College Hospital, Beijing 100730, China.
Meng WangDepartment of Science and Technology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
Yanxia GaoEmergency Department, The First Affiliated hospital of Zhengzhou University, Zhengzhou 450052, China.
Wen YangInstitute of Medical Information, Chinese Academy of Medical Sciences &Peking Union Medical College, Beijing 100020, China.
Qun XuDepartment of Epidemiology and Biostatistics, Institute of Basic Medical Sciences Chinese Academy of Medical Sciences, School of Basic Medicine Peking Union Medical College, Beijing 100005, China.
Michael EddlestonPharmacology, Toxicology and Therapeutics, University of Edinburgh, Edinburgh, UK.
Li LiEmergency Department, The First Affiliated hospital of Zhengzhou University, Zhengzhou 450052, China.
Xuezhong YuEmergency Department, Peking Union Medical College Hospital, Beijing 100730, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNFirst Affiliated Hospital of Zhengzhou University · CNCapital Medical University · CNPeking Union Medical College Hospital · CNUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ingestion of paraquat causes multi-organ failure. Prognosis is best estimated through measurement of blood paraquat concentrations but this facility is not available in most hospitals. We studied the prognostic significance of abnormal pancreatic enzymes for survival. Patients with acute paraquat poisoning were recruited. An extensive series of blood tests including serum amylase were serially checked. Patients were sorted according to their serum amylase activity (normal [<220 U/L], mildly elevated [220 to 660 U/L], elevated [>660 U/L]), and survival compared between groups. 177 patients were enrolled to the study, of whom 67 died and 110 survived. 122 (70.62%), 27 (15.25%) and 25 (14.13%) patients were in the normal, mildly elevated and elevated amylase activity groups, respectively. The case fatality in the elevated group was 100% compared to 17% in the normal group (P < 0.001). We found four independent factors for paraquat death prediction: amylase, PaCO2, leukocyte number, and neutrophil percentage. Models using pancreatic enzyme activity showed good prediction power. We have found that abnormal pancreatic enzymes are useful prognostic marker of death after acute paraquat poisoning. Including serum amylase activity into a prognostic model provides a good prognostication.

Indexed as

Acute DiseaseAdolescentAdultAgedAmylasesArea Under CurveChildChild, PreschoolFemaleHerbicidesHumansInfantLipaseLogistic ModelsMaleMiddle AgedAmylasesHerbicidesLipaseParaquat

Identifiers

PMID26603772
PMCPMC4658566
OpenAlexW2418837636

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.