Evidence map›Paper›PMID 30488761›Full record

ArticleThe Journal of international medical research2019

Bronchoalveolar pH and inflammatory biomarkers in patients with acute exacerbation of chronic obstructive pulmonary disease.

Emilija Lozo Vukovac, Kornelija Miše, Ivan Gudelj, Irena Perić, Darko Duplančić, Ivica Vuković, Zoran Vučinović, Mislav Lozo

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.7field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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 1 institution in 1 country.

Emilija Lozo Vukovac1 Department of Pulmonary Diseases, University Hospital Center Split, Split, Croatia.
Kornelija Miše1 Department of Pulmonary Diseases, University Hospital Center Split, Split, Croatia.
Ivan Gudelj1 Department of Pulmonary Diseases, University Hospital Center Split, Split, Croatia.
Irena Perić1 Department of Pulmonary Diseases, University Hospital Center Split, Split, Croatia.
Darko Duplančić2 University of Split School of Medicine, Split, Croatia.
Ivica Vuković2 University of Split School of Medicine, Split, Croatia.
Zoran Vučinović4 Department of Endocrinology, University Hospital Center Split, Split, Croatia.
Mislav Lozo3 Department of Cardiology, University Hospital Center Split, Split, Croatia.
University of Split · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to directly measure pH in the lungs, determine lactate dehydrogenase (LDH), C-reactive protein (CRP), and glucose levels in serum and bronchoalveolar aspirate, and identify bacterial pathogens from bronchoalveolar fluid during acute exacerbation of chronic obstructive pulmonary disease (AECOPD).

methodsWe performed an observational, analytical case-control study from February 2015 to March 2017. We included 84 patients with AECOPD and 42 with stable chronic obstructive pulmonary disease (COPD). All participants underwent detailed medical anamnesis, a clinical examination, chest radiography, spirometry, an arterial blood gas test, bronchoscopy, bacterial culture, and serum/bronchiolar aspirate laboratory testing.

resultsThe mean pH of bronchoalveolar fluid was significantly higher in patients with AECOPD than in patients with stable COPD. The mean lung pH value, bronchoalveolar and serum LDH levels, and serum CRP levels in patients with isolated bacteria were higher than those in patients without isolated bacteria in the AECOPD patient group. Lung pH values in patients with AECOPD were significantly correlated with bronchoalveolar LDH and glucose levels.

conclusionsAECOPD is associated with local cell and tissue injury in the lungs, especially in the presence of bacterial pathogens, which is accompanied by a low systemic inflammatory response.

Indexed as

Acute DiseaseBiomarkersBlood Gas AnalysisBronchoalveolar Lavage FluidBronchoscopyC-Reactive ProteinFemaleFollow-Up StudiesHumansHydrogen-Ion ConcentrationInflammationInflammation MediatorsLungMaleMiddle AgedPrognosisBiomarkersC-Reactive ProteinInflammation Mediatorsbronchoalveolar aspirateChronic obstructive pulmonary diseaseC-reactive proteindisease exacerbationglucoselactate dehydrogenase

Identifiers

PMID30488761
PMCPMC6381468
OpenAlexW2902702377

What OpenQuestion holds

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LicenceCC BY-NC
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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.