Evidence map›Paper›PMID 30047077›Full record

Observational studyBiological trace element research2019

Serum Concentrations of Trace Elements Zinc, Copper, Selenium, and Manganese in Critically Ill Patients.

Yeon Hee Lee, Eun-Sook Bang, Ji-Hyun Lee, Jung-Dong Lee, Dae Ryong Kang, Jeong Hong, Jae-Myeong Lee

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Biological trace element research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Review
  5. Article
  6. Flame-Made Doped Iron Oxide Nanoparticles as Tracers for Magnetic Particle Imaging.Chemistry of materials : a publication of the American Chemical Society · 2025
    Article
  7. Study of plasma essential element concentrations to explore markers of acute myocardial infarction.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2025
    Article
  8. What do we know about micronutrients in critically ill patients? A narrative review.JPEN. Journal of parenteral and enteral nutrition · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. 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

7 authors at 3 institutions in 2 countries.

Yeon Hee LeeFood Service and Clinical Nutrition Team, Ajou University Hospital, Worldcup-ro 164, Yeongtong-gu, Suwon, 16499, South Korea.
Eun-Sook BangDepartment of Pharmacy, Ajou University Hospital, Worldcup-ro 164, Yeongtong-gu, Suwon, 16499, South Korea.
Ji-Hyun LeeFood Service and Clinical Nutrition Team, Ajou University Hospital, Worldcup-ro 164, Yeongtong-gu, Suwon, 16499, South Korea.
Jung-Dong LeeOffice of Biostatistics, Ajou University School of Medicine, Worldcup-ro 164, Yeongtong-gu, Suwon, 16499, South Korea.
Dae Ryong KangOffice of Biostatistics, Ajou University School of Medicine, Worldcup-ro 164, Yeongtong-gu, Suwon, 16499, South Korea.
Jeong HongDepartment of Surgery, Ajou University School of Medicine, Worldcup-ro 164, Yeongtong-gu, Suwon, 16499, South Korea.
Jae-Myeong LeeDepartment of Acute Care Surgery, Department of Surgery, Korea University Anam Hospital, Inchon-ro 73, Seongbuk-gu, Seoul, South Korea. ljm3225@hanmail.net.ORCID http://orcid.org/0000-0001-5494-0653
Ajou University Hospital · KRAjou University · KRKorea University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We measured serum concentrations of trace elements and evaluated their clinical significance in relation to treatment outcomes of critically ill patients. A total of 167 participants (105 men and 62 women; average age, 61.4 years; age range, 18-90 years) were enrolled. Arterial blood concentrations of the trace elements zinc, copper, selenium, and manganese were measured every 14 days. At the time of intensive care unit (ICU) admission, serum concentrations of zinc, selenium, copper, and manganese were lower than the normal values in 75.1, 1.8, 37.8, and 2.1% of patients, respectively. Serum trace element concentrations measured on day 14 of ICU stay were higher than those measured at the time of ICU admission for zinc (53.3 → 80.7 μg/L) and copper (87.1 → 102.3 μg/L). Increased serum zinc and copper concentrations during ICU care were associated with a significantly lower mortality compared to decreased concentrations of zinc (15.6 vs. 83.3%, p = 0.003) and copper (5.6 vs. 50.0%, p = 0.013). At the time of ICU admission, low serum levels of zinc and copper were observed. Patients with increased serum concentrations of zinc and copper had significantly lower mortality.

Indexed as

APACHECopperCritical CareCritical IllnessFemaleHumansIntensive Care UnitsLength of StayMaleManganeseMiddle AgedProspective StudiesRepublic of KoreaSeleniumTrace ElementsZincCopperManganeseSeleniumTrace ElementsZincCopperCritically ill patientManganeseSeleniumTrace elementZinc

Identifiers

PMID30047077
PMCPMC6424942
OpenAlexW2883254148

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.