Evidence map›Paper›PMID 28623891›Full record

ArticleBMC anesthesiology2017

Systolic blood pressure variability in patients with early severe sepsis or septic shock: a prospective cohort study.

Yi Tang, Jeff Sorenson, Michael Lanspa, Colin K Grissom, V J Mathews, Samuel M Brown

Abstract read
In one paragraph

Article in BMC anesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
–field-weighted citation impact
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.

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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

6 authors.

Yi TangElectrical and Computer Engineering, University of Utah, 50 Central Campus Dr #2110, Salt Lake City, UT, 84112, USA.
Jeff SorensonPulmonary and Critical Care, Intermountain Medical Center, 5121 Cottonwood St, Murray, UT, 84107, USA.
Michael LanspaPulmonary and Critical Care, Intermountain Medical Center, 5121 Cottonwood St, Murray, UT, 84107, USA.
Colin K GrissomPulmonary and Critical Care, Intermountain Medical Center, 5121 Cottonwood St, Murray, UT, 84107, USA.
V J MathewsElectrical and Computer Engineering, University of Utah, 50 Central Campus Dr #2110, Salt Lake City, UT, 84112, USA.
Samuel M BrownPulmonary and Critical Care, Intermountain Medical Center, 5121 Cottonwood St, Murray, UT, 84107, USA. Samuel.Brown@imail.org.

Funding

Cardiovascular Variability and Control in Early SepsisK23GM094465 · NIGMS · IHC HEALTH SERVICES, INC. · PI BROWN, SAMUEL MORRIS · 2010 to 2014
$637k
NIGMS NIH HHS K23 GM094465
6 · The paper itself

Abstract

backgroundSevere sepsis and septic shock are often lethal syndromes, in which the autonomic nervous system may fail to maintain adequate blood pressure. Heart rate variability has been associated with outcomes in sepsis. Whether systolic blood pressure (SBP) variability is associated with clinical outcomes in septic patients is unknown. The propose of this study is to determine whether variability in SBP correlates with vasopressor independence and mortality among septic patients.

methodsWe prospectively studied patients with severe sepsis or septic shock, admitted to an intensive care unit (ICU) with an arterial catheter. We analyzed SBP variability on the first 5-min window immediately following ICU admission. We performed principal component analysis of multidimensional complexity, and used the first principal component (PC

resultsWe studied 51 patients, 51% of whom achieved vasopressor independence at 24 h. Ten percent died at 28 days. PC

conclusionsEarly SBP variability appears to be associated with 28-day mortality in patients with severe sepsis and septic shock.

Indexed as

AgedAPACHEBlood PressureCohort StudiesFemaleHumansMaleMiddle AgedSepsisShock, SepticSystoleVasoconstrictor AgentsVasoconstrictor AgentsArterial blood pressurePhysiological variabilitySepsisShock

Identifiers

PMID28623891
PMCPMC5473993

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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.