Evidence map›Paper›PMID 29268409›Full record

ArticleJournal of thoracic disease2017

Early identification of patients at risk for acute respiratory distress syndrome among severe pneumonia: a retrospective cohort study.

Jian Luo, He Yu, Yue-Hong Hu, Dan Liu, Yi-Wei Wang, Mao-Yun Wang, Bin-Miao Liang, Zong-An Liang

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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  9. Can Serum Fibrinogen Predict ARDS?Infectious diseases · 2020
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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

8 authors at 2 institutions in 1 country.

Jian LuoDepartment of Respiratory Diseases, West China School of Medicine and West China Hospital, Sichuan University, Chengdu 610041, China.
He YuDepartment of Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu 610041, China.
Yue-Hong HuDepartment of Respiratory Diseases, West China School of Medicine and West China Hospital, Sichuan University, Chengdu 610041, China.
Dan LiuDepartment of Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu 610041, China.
Yi-Wei WangDepartment of Respiratory Diseases, West China School of Medicine and West China Hospital, Sichuan University, Chengdu 610041, China.
Mao-Yun WangDepartment of Respiratory Diseases, West China School of Medicine and West China Hospital, Sichuan University, Chengdu 610041, China.
Bin-Miao LiangDepartment of Respiratory Diseases, West China School of Medicine and West China Hospital, Sichuan University, Chengdu 610041, China.
Zong-An LiangDepartment of Respiratory Diseases, West China School of Medicine and West China Hospital, Sichuan University, Chengdu 610041, China.
Sichuan University · CNWest China Hospital of Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere pneumonia is the predominant cause for acute respiratory distress syndrome (ARDS). Identification of ARDS from patients with severe pneumonia remains a significant clinical problem due to the overlap of clinical presentations and symptoms. Early recognition of risks for ARDS from severe pneumonia is of great clinical value.

methodsFrom April 2014 to December 2015, patients with severe pneumonia at admission were retrieved from the hospital database, of which ARDS developed within 7 days were further identified. We compared the demographic and clinical characteristics at admission between severe pneumonia patients with and without ARDS development, followed by analysis of potential predictors for ARDS development and mortality. Multivariate logistic regression and receiver operating characteristic (ROC) curves were performed to screen independent risk factors and identify their sensitivity in predicting ARDS development and prognosis.

resultsCompared with severe pneumonia without ARDS development, patients with ARDS development had shorter disease duration before admission, higher lung injury score (LIS), serum fibrinogen (FiB), and positive end-expiratory pressure (PEEP), lower Marshall score, sequential organ failure assessment score and proportion of cardiovascular and gastrointestinal diseases, but similar mortality. Serum FiB >5.15 g/L [adjusted odds ratio (OR) 1.893, 95% confidence interval (CI): 1.141-3.142, P=0.014] and PEEP >6.5 cmH

conclusionsARDS development risk could be early recognized by PEEP >6.5 cmH

Indexed as

Acute respiratory distress syndrome (ARDS)fibrinogen (FiB)pHpositive end-expiratory pressure (PEEP)risk factorssevere pneumonia

Identifiers

PMID29268409
PMCPMC5723858
OpenAlexW2763072060

What OpenQuestion holds

Textmetadata
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.