Evidence map›Paper›PMID 28589286›Full record

Trial reportJournal of artificial organs : the official journal of the Japanese Society for Artificial Organs2017

Extracorporeal cytokine elimination as rescue therapy in refractory septic shock: a prospective single-center study.

Sigrun Friesecke, Stephanie-Susanne Stecher, Stefan Gross, Stephan B Felix, Axel Nierhaus

5 registry-linked trialsAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 95 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 2 pooled it
11.6field-weighted citation impact, top 1% 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.

NCT03977688 completednot on this mapstarted 2019, after this paper: background citation

Evaluating a CytoSorb Score in Septic Shock - a Retrospective Multicenter Data Analysis

TypeobservationalSponsorKlinikum EmdenRan2019 to 2019Enrolled500ConditionsSevere Sepsis With Septic ShockArmsCytokin Adsorption
NCT04013269 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Effect of the CytoSorb Adsorber on Hemodynamic, Immunological and Pharmacokinetic Parameters in Refractory Septic Shock

TypeinterventionalSponsorUniversitätsklinikum Hamburg-EppendorfRan2020 to 2023Enrolled32ConditionsSeptic ShockArmsCytoSorb-Therapy
NCT04424992 recruitingnot on this mapstarted 2020, after this paper: background citation

Observational Cohort Study on the Natural History of Hospitalized SARS-COV-2 Patients: the STORM Trial

TypeobservationalSponsorUniversity of Milano BicoccaRan2020 to 2025Enrolled1,433ConditionsSars-CoV2ArmsObservational cohort study on the natural history of hospitalized SARS-COV-2 patients.
NCT04742764 phase3suspendednot on this mapstarted 2024, after this paper: background citation

Dosing of Extracorporeal Cytokine Removal In Septic Shock (DECRISS): a Prospective, Randomized, Multicenter Clinical Trial

TypeinterventionalSponsorUniversity of PecsRan2024 to 2027Enrolled135ConditionsSeptic ShockArmsStandard medical therapy, Standard medical therapy plus cytokine removal treatment using Cytosorb, with the adsorber changed in every 12 hours, Standard medical therapy plus cytokine removal treatment using Cytosorb, with the adsorber changed in every 24 hours
NCT07033910 completednot on this mapstarted 2023, after this paper: background citation

The Effect of Extracorporeal Sepsis Adsorption Column Use on Plasma Syndecan-1 Level and Mortality in Sepsis Patients

TypeobservationalSponsorOral MENTEŞRan2023 to 2024Enrolled91ConditionsSepsis, Syndecan 1, Extracorporeal Sepsis Adsorption ColumnArmssepsis adsorption column
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 2 syntheses or guidelines pooled it, 188 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Retrospective evaluation of efficacy of CytoSorbWorld journal of critical care medicine · 2025
    Article
  13. The international, prospective CytOSorbJournal of intensive medicine · 2025
    Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

35 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Sigrun FrieseckeDepartment of Internal Medicine B (Cardiology, Pneumology, Medical Intensive Care Medicine), University Medical Center Greifswald, Ferdinand Sauerbruch Straße, 17475, Greifswald, Germany. sigrun.friesecke@uni-greifswald.de.
Stephanie-Susanne StecherDepartment of Internal Medicine B (Cardiology, Pneumology, Medical Intensive Care Medicine), University Medical Center Greifswald, Ferdinand Sauerbruch Straße, 17475, Greifswald, Germany.
Stefan GrossDZHK-German Centre for Cardiovascular Research, Partner Site Greifswald, Greifswald, Germany.
Stephan B FelixDepartment of Internal Medicine B (Cardiology, Pneumology, Medical Intensive Care Medicine), University Medical Center Greifswald, Ferdinand Sauerbruch Straße, 17475, Greifswald, Germany.
Axel NierhausDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Universitätsmedizin Greifswald · DEGerman Centre for Cardiovascular Research · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is the most common cause of death in medical intensive care units (ICU). If sepsis progresses to refractory septic shock, mortality may reach 90-100% despite optimum current therapy. Extracorporeal cytokine adsorption in addition to regular therapy was studied prospectively in refractory septic shock patients on a medical ICU. Refractory shock was defined as increasing vasopressor dose required to maintain mean arterial blood pressure above 65 mmHg or increasing lactate levels despite protocol-guided shock therapy for 6 h. We analysed noradrenaline requirements after 6 and 12 h (primary endpoint), lactate clearance after 6 and 12 h, SOFA-scores in the first days and achievement of shock reversal (i.e., normalization of lactate concentrations and sustained discontinuation of vasopressors; secondary endpoints). Twenty consecutive patients with refractory septic shock were included; CytoSorb

Indexed as

CytokinesFemaleHemodynamicsHemoperfusionHumansMaleMiddle AgedProspective StudiesShock, SepticCytokinesBlood purificationCytoSorb®Interleukin 6Refractory septic shockSeptic shock therapy

Identifiers

PMID28589286
OpenAlexW2624207474

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.