Evidence map›Paper›PMID 26938452›Full record

ArticlePloS one2016

Plasma Glutamine Concentrations in Liver Failure.

Gunnel Helling, Staffan Wahlin, Marie Smedberg, Linn Pettersson, Inga Tjäder, Åke Norberg, Olav Rooyackers, Jan Wernerman

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Article
  5. Glutaminolysis of CD4Journal of inflammation research · 2024
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Effects ofOncoTargets and therapy · 2017
    Article
  16. Is the glutamine story over?Critical care (London, England) · 2016
    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

8 authors at 2 institutions in 1 country.

Gunnel HellingDepartment of Anesthesia & Intensive Care, Karolinska University Hospital Huddinge and Karolinska Institutet, Stockholm, Sweden.
Staffan WahlinDepartment of gastroenterology and hepatology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Marie SmedbergDepartment of Anesthesia & Intensive Care, Karolinska University Hospital Huddinge and Karolinska Institutet, Stockholm, Sweden.
Linn PetterssonDepartment of Anesthesia & Intensive Care, Karolinska University Hospital Huddinge and Karolinska Institutet, Stockholm, Sweden.
Inga TjäderDepartment of Anesthesia & Intensive Care, Karolinska University Hospital Huddinge and Karolinska Institutet, Stockholm, Sweden.
Åke NorbergDepartment of Anesthesia & Intensive Care, Karolinska University Hospital Huddinge and Karolinska Institutet, Stockholm, Sweden.
Olav RooyackersDepartment of Anesthesia & Intensive Care, Karolinska University Hospital Huddinge and Karolinska Institutet, Stockholm, Sweden.
Jan WernermanDepartment of Anesthesia & Intensive Care, Karolinska University Hospital Huddinge and Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigher than normal plasma glutamine concentration at admission to an intensive care unit is associated with an unfavorable outcome. Very high plasma glutamine levels are sometimes seen in both acute and chronic liver failure. We aimed to systematically explore the relation between different types of liver failure and plasma glutamine concentrations.

methodsFour different groups of patients were studies; chronic liver failure (n = 40), acute on chronic liver failure (n = 20), acute fulminant liver failure (n = 20), and post-hepatectomy liver failure (n = 20). Child-Pugh and Model for End-stage Liver Disease (MELD) scores were assessed as indices of liver function. All groups except the chronic liver failure group were followed longitudinally during hospitalisation. Outcomes were recorded up to 48 months after study inclusion.

resultsAll groups had individuals with very high plasma glutamine concentrations. In the total group of patients (n = 100), severity of liver failure correlated significantly with plasma glutamine concentration, but the correlation was not strong.

conclusionLiver failure, regardless of severity and course of illness, may be associated with a high plasma glutamine concentration. Further studies are needed to understand whether high glutamine levels should be regarded as a biomarker or as a contributor to symptomatology in liver failure.

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkersEnd Stage Liver DiseaseFemaleGlutamineHepatectomyHospitalizationHumansIntensive Care UnitsLiver Failure, AcuteLongitudinal StudiesMaleMiddle AgedBiomarkersGlutamine

Identifiers

PMID26938452
PMCPMC4777432
OpenAlexW2290447899

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.