Evidence map›Paper›PMID 27446222›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2016

Effects of Shenfu Injection in the Treatment of Septic Shock Patients: A Multicenter, Controlled, Randomized, Open-Label Trial.

Yi Li, Xinchao Zhang, Peihong Lin, Haibo Qiu, Jie Wei, Yu Cao, Shuming Pan, Joseph Walline, Chuanyun Qian, Zhigang Shan and 1 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2016. 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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Shenfu Injection: A Famous Chinese Prescription That PromotesEvidence-based complementary and alternative medicine : eCAM · 2021
    Article
  11. Article
  12. Article
  13. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 10 institutions in 3 countries.

Yi LiEmergency Department, Peking Union Medical College Hospital, Beijing 100730, China.ORCID 0000-0002-9800-9120
Xinchao ZhangEmergency Department, Beijing Hospital of the Ministry of Health, Beijing 100005, China.
Peihong LinEmergency Department, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
Haibo QiuEmergency Department, Zhongda Hospital, Dongnan University, Nanjing 210009, China.ORCID 0000-0001-8589-4717
Jie WeiEmergency Department, Hubei Provincial Hospital, Wuhan 430000, China.
Yu CaoEmergency Department, The First Affiliated Hospital of Huaxi Medical College of Sichuan University, Chengdu 610044, China.
Shuming PanEmergency Department, Xinhua Hospital, Shanghai Jiao Tong University, Shanghai 200093, China.
Joseph WallineEmergency Department, Saint Louis University, Saint Louis, MO 63130, USA.
Chuanyun QianEmergency Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650034, China.
Zhigang ShanEmergency Department, PLA 263 Hospital, Beijing 101199, China.
XueZhong YuEmergency Department, Peking Union Medical College Hospital, Beijing 100730, China.ORCID 0000-0002-2540-7590
Chinese Academy of Medical Sciences & Peking Union Medical College · CNFujian Medical University · CNHubei Provincial Hospital of Traditional Chinese Medicine · CNKunming Medical University · CNMinistero della Salute · ITPLA 306 Hospital · CNSaint Louis University · USShanghai Jiao Tong University · CNSichuan University · CNZhongda Hospital Southeast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of Shenfu on biochemical parameters and survival during resuscitation in patients with septic shock was examined. This was a multicenter, controlled, randomized, open-label trial carried out in 210 patients with septic shock from seven medical centers in China. They were randomized to Shenfu or saline. The primary outcome was lactate clearance. The secondary outcomes were shock index normalization, dose of vasopressors, ICU stay, hospital stay, and mortality. A total of 199 patients completed the trial. Blood pressure, heart rate, and other routine lab tests showed no difference between the groups. Lactate levels and lactate clearance were similar between the two groups. Hospital and ICU stay were similar between the two groups. When considering all patients, the 7- and 28-day mortality were similar between the two groups, but when considering only patients with lactate levels ≥4.5 mmol/L, the Shenfu group showed a better 7-day survival than the control group (7 days: 83.3% versus 54.5%, P = 0.034; 28 days: 72.7% versus 47.6%, P = 0.092). Shenfu may improve the 7-day survival in patients with impaired lactate clearance (≥4.5 mmol/L), but the mechanism for this effect is unclear. Additional studies are necessary to characterize the hemodynamic changes after Shenfu infusion. This trial is registered with ChiCTR-TRC-11001369.

Identifiers

PMID27446222
PMCPMC4944053
OpenAlexW2467622094

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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.