Evidence map›Paper›PMID 28891973›Full record

ReviewInternational journal of molecular sciences2017

Transfusion of Red Blood Cells to Patients with Sepsis.

Yi-Ling Chan, Shih-Tsung Han, Chih-Huang Li, Chin-Chieh Wu, Kuan-Fu Chen

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 23% 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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. 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

5 authors at 3 institutions in 1 country.

Yi-Ling ChanDepartment of Emergency Medicine, Chang Gung Memorial Hospital Linkou, Taoyuan 330, Taiwan. ylchan@cgmh.org.tw.
Shih-Tsung HanDepartment of Emergency Medicine, Chang Gung Memorial Hospital Linkou, Taoyuan 330, Taiwan. adrianhst@gmail.com.
Chih-Huang LiDepartment of Emergency Medicine, Chang Gung Memorial Hospital Linkou, Taoyuan 330, Taiwan. chhli2002@gmail.com.ORCID 0000-0002-2235-8914
Chin-Chieh WuDepartment of Emergency Medicine, Chang Gung Memorial Hospital Keelung, Keelung 204, Taiwan. wujinja@cgmh.org.tw.
Kuan-Fu ChenDepartment of Emergency Medicine, Chang Gung Memorial Hospital Linkou, Taoyuan 330, Taiwan. kfchen@cgmh.org.tw.ORCID 0000-0001-7287-9497
Chang Gung Memorial Hospital · TWChang Gung University · TWKeelung Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is one of the major causes of death worldwide, and is the host response to infection which renders our organs malfunctioning. Insufficient tissue perfusion and oxygen delivery have been implicated in the pathogenesis of sepsis-related organ dysfunction, making transfusion of packed red blood cells (pRBCs) a reasonable treatment modality. However, clinical trials have generated controversial results. Even the notion that transfused pRBCs increase the oxygen-carrying capacity of blood has been challenged. Meanwhile, during sepsis, the ability of our tissues to utilize oxygen may also be reduced, and the increased blood concentrations of lactate may be the results of strong inflammation and excessive catecholamine release, rather than impaired cell respiration. Leukodepleted pRBCs more consistently demonstrated improvement in microcirculation, and the increase in blood viscosity brought about by pRBC transfusion helps maintain functional capillary density. A restrictive strategy of pRBC transfusion is recommended in treating septic patients.

Indexed as

Clinical Trials as TopicErythrocytesErythrocyte TransfusionHumansOxygenSepsisOxygenred blood cellssepsistransfusion

Identifiers

PMID28891973
PMCPMC5618595
OpenAlexW2752157657

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.