Evidence map›Paper›PMID 30018829›Full record

ArticleCase reports in critical care2018

Effect of Hemoadsorption for Cytokine Removal in Pneumococcal and Meningococcal Sepsis.

Francesca Leonardis, Viviana De Angelis, Francesca Frisardi, Chiara Pietrafitta, Ivano Riva, Tino Martino Valetti, Valentina Broletti, Gianmariano Marchesi, Lorenza Menato, Roberto Nani and 11 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in critical care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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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

21 authors at 6 institutions in 1 country.

Francesca LeonardisIntensive Care Unit, Fondazione Policlinico Tor Vergata, Viale Oxford 81, 00133 Roma RM, Italy.ORCID 0000-0003-2523-5706
Viviana De AngelisIntensive Care Unit, Fondazione Policlinico Tor Vergata, Viale Oxford 81, 00133 Roma RM, Italy.
Francesca FrisardiIntensive Care Unit, Fondazione Policlinico Tor Vergata, Viale Oxford 81, 00133 Roma RM, Italy.
Chiara PietrafittaIntensive Care Unit, Fondazione Policlinico Tor Vergata, Viale Oxford 81, 00133 Roma RM, Italy.
Ivano RivaIntensive Care Unit 3, Department of Anesthesia and Intensive Care, ASST Papa Giovanni XXIII, Piazza OMS 1, 24127 Bergamo BG, Italy.
Tino Martino ValettiIntensive Care Unit 3, Department of Anesthesia and Intensive Care, ASST Papa Giovanni XXIII, Piazza OMS 1, 24127 Bergamo BG, Italy.
Valentina BrolettiIntensive Care Unit 3, Department of Anesthesia and Intensive Care, ASST Papa Giovanni XXIII, Piazza OMS 1, 24127 Bergamo BG, Italy.
Gianmariano MarchesiIntensive Care Unit 3, Department of Anesthesia and Intensive Care, ASST Papa Giovanni XXIII, Piazza OMS 1, 24127 Bergamo BG, Italy.
Lorenza MenatoIntensive Care Unit, Azienda ULSS 2 Marca Trevigiana, Presidio Ospedaliero di Treviso, Piazzale dell'Ospedale 1, 31100 Treviso TV, Italy.
Roberto NaniIntensive Care Unit, Azienda ULSS 2 Marca Trevigiana, Presidio Ospedaliero di Treviso, Piazzale dell'Ospedale 1, 31100 Treviso TV, Italy.
Franco MarsonIntensive Care Unit, Azienda ULSS 2 Marca Trevigiana, Presidio Ospedaliero di Treviso, Piazzale dell'Ospedale 1, 31100 Treviso TV, Italy.
Mirca FabbrisIntensive Care Unit, Azienda ULSS 2 Marca Trevigiana, Presidio Ospedaliero di Treviso, Piazzale dell'Ospedale 1, 31100 Treviso TV, Italy.
Luca CabriniAnesthesia and Intensive Care Unit, IRCSS San Raffaele, Via Olgettina 60, 20132 Milano MI, Italy.
Sergio ColomboAnesthesia and Intensive Care Unit, IRCSS San Raffaele, Via Olgettina 60, 20132 Milano MI, Italy.
Alberto ZangrilloAnesthesia and Intensive Care Unit, IRCSS San Raffaele, Via Olgettina 60, 20132 Milano MI, Italy.
Carlo ConiglioResuscitation and Territorial Emergency Unit, Maggiore Hospital, Largo Nigrisoli 2, 40133 Bologna BO, Italy.
Giovanni GordiniResuscitation and Territorial Emergency Unit, Maggiore Hospital, Largo Nigrisoli 2, 40133 Bologna BO, Italy.
Lucia StalteriNephrology, Dialysis and Transplantation Unit, Azienda Ospedaliera-Universitaria di Bologna, Via Massarenti 9, 40138 Bologna BO, Italy.
Giovanni GiulianiNephrology, Dialysis and Transplantation Unit, Azienda Ospedaliera-Universitaria di Bologna, Via Massarenti 9, 40138 Bologna BO, Italy.
Vittorio DalmastriNephrology, Dialysis and Transplantation Unit, Azienda Ospedaliera-Universitaria di Bologna, Via Massarenti 9, 40138 Bologna BO, Italy.
Gaetano La MannaNephrology, Dialysis and Transplantation Unit, Azienda Ospedaliera-Universitaria di Bologna, Via Massarenti 9, 40138 Bologna BO, Italy.ORCID 0000-0001-5473-8551
AULSS 2 Marca Trevigiana · ITAzienda USL di Bologna · ITOspedale Papa Giovanni XXIII · ITPoliclinico Tor Vergata · ITVita-Salute San Raffaele University · ITOspedale Maggiore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacterial meningitis and septicemia are invasive bacterial diseases, representing a significant cause of morbidity and mortality worldwide. Both conditions are characterized by an impressive inflammatory response, resulting rapidly in cerebral edema, infarction, hydrocephalus, and septic shock with multiple organ failure. Despite advances in critical care, outcome and prognosis remain critical. Available adjunctive treatments to control the inflammatory response have shown encouraging results in the evolution of patients with sepsis and systemic inflammation, but meningococcal or pneumococcal infection has not been investigated. We herein report five patients with similar critical pathological conditions, characterized by pneumococcal or meningococcal sepsis and treated with hemoadsorption for cytokine removal. All patients showed a progressive stabilization in hemodynamics along with a rapid and marked reduction of catecholamine dosages, a stabilization in metabolic disorders, and less-than-expected loss of extremities. Therapy proved to be safe and well tolerated. From this first experience, extracorporeal cytokine removal seems to be a valid and safe therapy in the management of meningococcal and pneumococcal diseases and may contribute to the patient stabilization and prevention of severe sequelae. Further studies are required to confirm efficacy in a larger context.

Identifiers

PMID30018829
PMCPMC6029461
OpenAlexW2809115827

What OpenQuestion holds

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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.