Evidence map›Paper›PMID 29497534›Full record

ArticleJournal of intensive care2018

Intravenous immunoglobulin fails to improve ARDS in patients undergoing ECMO therapy.

Stefanie Prohaska, Andrea Schirner, Albina Bashota, Andreas Körner, Gunnar Blumenstock, Helene A Haeberle

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of intensive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02961166 (Intravenous Immunoglobulin Therapy in ARDS Patients With Extracorporeal Membrane Oxygenation), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 26% 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.

NCT02961166 completednot on this map

Intravenous Immunoglobulin Therapy in ARDS Patients With Extracorporeal Membrane Oxygenation (ECMO) Therapy

TypeobservationalSponsorUniversity Hospital TuebingenRan2012 to 2016Enrolled57ConditionsRespiratory Distress Syndrome, Adult, Septic ShockArmsIgM enriched Immunoglobulins
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Potential therapeutic approach of intravenous immunoglobulin against COVID-19.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2021
    Review
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 at 1 institution in 1 country.

Stefanie ProhaskaDepartment of Anesthesiology and Intensive Care Medicine, Medical Faculty, University Hospital Tübingen, Eberhard-Karls University, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany.
Andrea SchirnerDepartment of Anesthesiology and Intensive Care Medicine, Medical Faculty, University Hospital Tübingen, Eberhard-Karls University, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany.
Albina BashotaDepartment of Anesthesiology and Intensive Care Medicine, Medical Faculty, University Hospital Tübingen, Eberhard-Karls University, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany.
Andreas KörnerDepartment of Anesthesiology and Intensive Care Medicine, Medical Faculty, University Hospital Tübingen, Eberhard-Karls University, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany.
Gunnar Blumenstock2Institute for Clinical Epidemiology and Applied Biometry, Medical Faculty, Eberhard-Karls University, Silcherstraße 5, 72076 Tübingen, Germany.
Helene A HaeberleDepartment of Anesthesiology and Intensive Care Medicine, Medical Faculty, University Hospital Tübingen, Eberhard-Karls University, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany.
University of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute respiratory distress syndrome (ARDS) is associated with high mortality rates. ARDS patients suffer from severe hypoxemia, and extracorporeal membrane oxygenation (ECMO) therapy may be necessary to ensure oxygenation. ARDS has various etiologies, including trauma, ischemia-reperfusion injury or infections of various origins, and the associated immunological responses may vary. To support the immunological response in this patient collective, we used intravenous IgM immunoglobulin therapy to enhance the likelihood of pulmonary recovery.

methodsARDS patients admitted to the intensive care unit (ICU) who were placed on ECMO and treated with (IVIG group;

resultsThe baseline characteristics did not differ between the groups, although the IVIG group showed a significantly reduced oxygenation index compared to the control group. We found no differences in the length of ICU stay or ventilation parameters. We did not find a significant difference between the groups for the extent of inflammation or for overall survival.

conclusionWe conclude that administration of IgM-enriched immunoglobulins as an additional therapy did not have a beneficial effect in patients with severe ARDS requiring ECMO support.

trial registrationClinical Trials: NCT02961166; retrospectively registered.

Indexed as

ARDSECMOInflammationIntravenous immunoglobulin

Identifiers

PMID29497534
PMCPMC5827994
OpenAlexW2799960401

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.