Evidence map›Paper›PMID 30593287›Full record

ArticleSystematic reviews2018

Outcomes after toxic alcohol poisoning: a systematic review protocol.

Carol Wang, Daniel Samaha, Swapnil Hiremath, Lindsey Sikora, Manish M Sood, Salmaan Kanji, Edward G Clark

Abstract read
In one paragraph

Article in Systematic reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Carol WangDepartment of Medicine, University of Ottawa, 162 Parkdale Avenue, Ottawa, Ontario, K1Y 1J8, Canada.
Daniel SamahaThe Ottawa Hospital - Riverside Campus, 1967 Riverside Drive, Ottawa, Ontario, K1H 7W9, Canada.
Swapnil HiremathThe Ottawa Hospital - Riverside Campus, 1967 Riverside Drive, Ottawa, Ontario, K1H 7W9, Canada.
Lindsey SikoraHealth Sciences Library, University of Ottawa, 451 Smyth Road, Ottawa, K1H 8M5, Ontario, Canada.
Manish M SoodThe Ottawa Hospital - Riverside Campus, 1967 Riverside Drive, Ottawa, Ontario, K1H 7W9, Canada.
Salmaan KanjiThe Ottawa Hospital Research Institute, University of Ottawa, 501 Smyth Road, Ottawa, Ontario, K1H 8L6, Canada.
Edward G ClarkThe Ottawa Hospital - Riverside Campus, 1967 Riverside Drive, Ottawa, Ontario, K1H 7W9, Canada. edclark@toh.ca.ORCID 0000-0002-6767-1197

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToxic alcohols have been implicated in accidental ingestions and intentional exposures. Recognition of toxic alcohol poisoning is challenging. The main treatment modalities include antidotes with alcohol dehydrogenase inhibitors and dialysis. Current guidelines exist for both methanol and ethylene glycol intoxication. However, treatment consensus related to other toxic alcohols is limited. Furthermore, uncertainties regarding thresholds for when to initiate antidotes and dialysis persist. As a consequence, variations exist in the interventions utilized for management of all toxic alcohol poisonings. To our knowledge, no prior systematic review of clinical outcomes of toxic alcohols exists. The objective of this study is to summarize existing evidence on short- and long-term outcomes of patients following toxic alcohol poisonings, including methanol, ethylene glycol, isopropanol, propylene glycol, and diethylene glycol.

methodsA literature search in PubMed, MEDLINE, and EMBASE will be performed based on pre-determined criteria. There will be no restrictions on publication dates or languages. The search will be supplemented by manual scan of bibliographies of eligible studies and gray literature assessment. Observational studies and clinical trials will be included in this review. Once eligible studies have been selected based on pre-specified criteria, two investigators will extract relevant data independently and perform quality assessment per validated tools. A pooled analysis of mortality and short- and long-term secondary outcomes will be performed. Pre-specified subgroup analyses will be performed according to the type of toxic alcohol intoxication, mode of renal replacement therapy, and medical interventions received. A meta-analysis will be performed if three or more studies with similar populations, type of toxic alcohol poisoning, and outcome measures, as well as adequate quality, are identified. This review will be reported according to the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) Statement. DISCUSSION: This systematic review aims to synthesize current evidence in the short- and long-term outcomes of post-toxic alcohol poisoning. The results will enhance the understanding of patient morbidity and mortality after toxic alcohol poisoning, help inform uniform concrete management guideline development, identify gaps in the current state of knowledge, and provide evidence to help implement post-treatment follow-up. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018101955.

Indexed as

Ethylene GlycolMethanolTreatment OutcomeAntidotesClinical ProtocolsHumansRenal DialysisSystematic Reviews as TopicAntidotesEthylene GlycolMethanolAntidotesDialysisExtracorporeal treatmentIntoxicationPoisoningSystematic reviewToxic alcohol

Identifiers

PMID30593287
PMCPMC6309090

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.