Evidence map›Paper›PMID 31118076›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019

A prospective pilot study using metabolomics discloses specific fatty acid, catecholamine and tryptophan metabolic pathways as possible predictors for a negative outcome after severe trauma.

Luis Servià, Mariona Jové, Joaquim Sol, Reinald Pamplona, Mariona Badia, Neus Montserrat, Manuel Portero-Otin, Javier Trujillano

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 29% 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, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. [Early changes within the lymphocyte population are associated with the long term prognosis in severely injured patients].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Biomarkers in traumatic brain injury: new concepts.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Review
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 2 institutions in 1 country.

Luis ServiàCritical Care Unit, University Hospital Arnau de Vilanova, 25198, Lleida, Spain.
Mariona JovéDepartment of Experimental Medicine, University of Lleida-Lleida Biomedical Research Institute (IRBLleida), 25198, Lleida, Spain.
Joaquim SolDepartment of Experimental Medicine, University of Lleida-Lleida Biomedical Research Institute (IRBLleida), 25198, Lleida, Spain.
Reinald PamplonaDepartment of Experimental Medicine, University of Lleida-Lleida Biomedical Research Institute (IRBLleida), 25198, Lleida, Spain.
Mariona BadiaCritical Care Unit, University Hospital Arnau de Vilanova, 25198, Lleida, Spain.
Neus MontserratCritical Care Unit, University Hospital Arnau de Vilanova, 25198, Lleida, Spain.
Manuel Portero-OtinDepartment of Experimental Medicine, University of Lleida-Lleida Biomedical Research Institute (IRBLleida), 25198, Lleida, Spain. manuel.portero@mex.udl.cat.ORCID http://orcid.org/0000-0002-1823-0299
Javier TrujillanoCritical Care Unit, University Hospital Arnau de Vilanova, 25198, Lleida, Spain. jtruji@cmb.udl.cat.
Hospital Universitari Arnau de Vilanova · ESUniversitat de Lleida · ES

Funding

Generalitat de Catalunya Programa Serra HunterGeneralitat de Catalunya SGR 2017-SGR969ISCIII PI 17-134ISCIII Retics BiobancosRD09/0076/00059
6 · The paper itself

Abstract

backgroundWe wanted to define metabolomic patterns in plasma to predict a negative outcome in severe trauma patients.

methodsA prospective pilot study was designed to evaluate plasma metabolomic patterns, established by liquid chromatography coupled to mass spectrometry, in patients allocated to an intensive care unit (in the University Hospital Arnau de Vilanova, Lleida, Spain) in the first hours after a severe trauma (n = 48). Univariate and multivariate statistics were employed to establish potential predictors of mortality.

resultsPlasma of patients non surviving to trauma (n = 5) exhibited a discriminating metabolomic pattern, involving basically metabolites belonging to fatty acid and catecholamine synthesis as well as tryptophan degradation pathways. Thus, concentration of several metabolites exhibited an area under the receiver operating curve (ROC) higher than 0.84, including 3-indolelactic acid, hydroxyisovaleric acid, phenylethanolamine, cortisol, epinephrine and myristic acid. Multivariate binary regression logistic revealed that patients with higher myristic acid concentrations had a non-survival odds ratio of 2.1 (CI 95% 1.1-3.9).

conclusionsSpecific fatty acids, catecholamine synthesis and tryptophan degradation pathways could be implicated in a negative outcome after trauma. The metabolomic study of severe trauma patients could be helpful for biomarker proposal.

Indexed as

Metabolic Networks and PathwaysMetabolomicsTrauma Severity IndicesAdultAgedBiomarkersCatecholaminesChromatography, LiquidFatty AcidsFemaleHumansIntensive Care UnitsMaleMiddle AgedPilot ProjectsPlasmaBiomarkersCatecholaminesFatty AcidsTryptophanBiomarkerMetabolomeMortalityMultiple traumatismTraumatic brain injury

Identifiers

PMID31118076
PMCPMC6530007
OpenAlexW2947684389

What OpenQuestion holds

Textmetadata
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.