Evidence map›Paper›PMID 30428930›Full record

ArticleTrials2018

Low-chloride versus high-chloride hypertonic solution for the treatment of subarachnoid hemorrhage-related complications (The ACETatE trial): study protocol for a pilot randomized controlled trial.

Ofer Sadan, Owen Samuels, William H Asbury, John J Hanfelt, Kai Singbartl

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03204955 (Low-chloride Versus High-chloride Containing Hypertonic Solution for the Treatment of Subarachnoid Hemorrhage-Related Complications), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-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.

NCT03204955 phase1completednot on this map

Low-chloride Versus High-chloride Containing Hypertonic Solution for the Treatment of Subarachnoid Hemorrhage-Related Complications

TypeinterventionalSponsorEmory UniversityRan2017 to 2018Enrolled59ConditionsSubarachnoid Hemorrhage, Acute Kidney InjuryArmsSodium chloride /sodium acetate (16.4%), Sodium chloride (23.4%), PlasmaLyte
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
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.

Ofer SadanDepartment of Neurology and Neurosurgery, Division of Neurocritical Care, Emory University Hospital and Emory School of Medicine, 1364 Clifton Road NE, Atlanta, GA, 30322, USA. ofer.sadan@gmail.com.ORCID http://orcid.org/0000-0002-0050-3025
Owen SamuelsDepartment of Neurology and Neurosurgery, Division of Neurocritical Care, Emory University Hospital and Emory School of Medicine, 1364 Clifton Road NE, Atlanta, GA, 30322, USA.
William H AsburyDepartment of Pharmacy, Emory University Hospital, 1364 Clifton Road NE, Atlanta, GA, 30322, USA.
John J HanfeltDepartment of Biostatistics and Bioinformatics, Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.
Kai SingbartlDepartment of Critical Care Medicine, Mayo Clinic, Phoenix, AZ, 85054, USA. ks.ms@posteo.de.
Emory University Hospital · USEmory University · USMayo Clinic in Arizona · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Clinical and Translational Science Award program, National Institutes of Health, and the National Center for Advancing Translational Sciences UL1TR000454NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundAneurysmal subarachnoid hemorrhage (aSAH) is a life-threatening condition that results from a ruptured cerebral vessel. Cerebral edema and vasospasm are common complications and frequently require treatment with hypertonic solutions, in particular hypertonic sodium chloride (NaCl). We have previously shown that hyperchloremia in patients with aSAH given hypertonic NaCl is associated with the development of acute kidney injury (AKI), which leads to higher morbidity and mortality. Our current trial aims to study the effect of two hypertonic solutions with different chloride content on serum chloride concentrations in patients with aSAH who are at risk for AKI.

methodsA low ChloridE hyperTonic solution for brain Edema (ACETatE) is a single center, double-blinded, double-dummy pilot trial comparing bolus doses of 23.4% NaCl and 16.4% NaCl/Na-Acetate for the treatment of cerebral edema in patients with aSAH. All patients will be enrolled within 36 h following admission. Randomization will occur once patients who receive hypertonic treatment for cerebral edema develop hyperchloremia (serum Cl DISCUSSION: In patients with aSAH, hyperchloremia is a known risk factor for subsequent development of AKI. The primary goal of this pilot study is to determine the effect of two hypertonic solutions with different Cl

trial registrationClinicaltrials.gov, NCT03204955 . Registered on 28 June 2017.

Indexed as

Brain EdemaDouble-Blind MethodGeorgiaHumansPilot ProjectsRandomized Controlled Trials as TopicSaline Solution, HypertonicSodium AcetateSubarachnoid HemorrhageTime FactorsTreatment OutcomeSaline Solution, HypertonicSodium AcetateAcute kidney injuryHyperchloremiaHypertonic NaClOsmotherapySubarachnoid hemorrhage

Identifiers

PMID30428930
PMCPMC6236880
OpenAlexW2900734344

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.