Evidence map›Paper›PMID 31162191›Full record

Trial reportCritical care medicine2019

XueBiJing Injection Versus Placebo for Critically Ill Patients With Severe Community-Acquired Pneumonia: A Randomized Controlled Trial.

Yuanlin Song, Chen Yao, Yongming Yao, Hui Han, Xiaodong Zhao, Kaijiang Yu, Luyi Liu, Ying Xu, Zhongmin Liu, Qingshan Zhou and 28 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07069894 (Effect of Xuebijing InjecTion on Outcomes in Sepsis Patients Under Real-World Conditions), which is not on this map. Cited by 103 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 8 pooled it
15.5field-weighted citation impact, top 1% 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.

NCT07069894 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Xuebijing InjecTion on Outcomes in Sepsis Patients Under Real-World Conditions: A Patient Registry

Typeobservational_patient_registrySponsorSoutheast University, ChinaRan2025 to 2027Enrolled5,400ConditionsSepsis
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 8 syntheses or guidelines pooled it, 162 citations in OpenAlex.

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  7. The add-on effect of Chinese herbal medicine on COVID-19: A systematic review and meta-analysis.Phytomedicine : international journal of phytotherapy and phytopharmacology · 2021
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43 more citing papers are in PubMed but not listed here.

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

38 authors at 16 institutions in 1 country.

Yuanlin SongDepartment of Respiratory Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Chen YaoDepartment of Medical Statistics, Peking University First Hospital, Beijing, China.
Yongming YaoInstitute of Field Surgery, Chinese People's Liberation Army General Hospital, Beijing, China.
Hui HanDepartment of Emergency Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.
Xiaodong ZhaoDepartment of Emergency Medicine, First Affiliated Hospital of Chinese People's Liberation Army General Hospital, Beijing, China.
Kaijiang YuDepartment of Intensive Care Unit, Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Luyi LiuDepartment of Intensive Care Unit, Yuhuangding Hospital Affiliated to Qingdao University, Yantai, China.
Ying XuDepartment of Emergency Medicine, First People's Hospital of Yunnan Province, Kunming, China.
Zhongmin LiuDepartment of Intensive Care Unit, The First Hospital of Jilin University, Changchun, China.
Qingshan ZhouDepartment of Intensive Care Unit, Renmin Hospital of Wuhan University, Wuhan, China.
Ying WangDepartment of Respiratory Medicine, People's Liberation Army General Hospital of Rocket Forces, Beijing, China.
Zhuang MaDepartment of Respiratory Medicine, People's Liberation Army General Hospital of Shenyang Military Command, Shenyang, China.
Youguang ZhengDepartment of Respiratory Medicine, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang, China.
Dawei WuDepartment of Intensive Care Unit, Qilu Hospital of Shandong University, Jinan, China.
Zhongzhi TangDepartment of Emergency Medicine, Wuhan General Hospital of Guangzhou Military Command, Wuhan, China.
Minzhou ZhangDepartment of Intensive Care Unit, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, China.
Shuming PanDepartment of Emergency Medicine, Xin Hua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yanfen ChaiDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Yan SongDepartment of Intensive Care Unit, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China.
Jian ZhangDepartment of Respiratory Medicine, The First Affiliated Hospital of The Fourth Military Medical University, Xi'an, China.
Lei PanDepartment of Respiratory Medicine, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Yi LiuDepartment of Respiratory Medicine, People's Liberation Army Air Force General Hospital, Beijing, China.
He YuDepartment of Respiratory Medicine, West China Hospital of Sichuan University, Sichuan, China.
Xuezhong YuDepartment of Emergency Medicine, Beijing Union Medical College Hospital, Beijing, China.
Hong ZhangDepartment of Emergency Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Xiaoge WangDepartment of Respiratory Medicine, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
Zhaohui DuDepartment of Anesthesiology and Critical Care Medicine, Zhongnan Hospital, Wuhan University, Wuhan, China.
Xianyao WanDepartment of Intensive Care Unit, First Affiliated Hospital of Dalian Medical University, Dalian, China.
Yijun TangDepartment of Respiratory Medicine, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Yingping TianDepartment of Emergency Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yimin ZhuDepartment of Emergency, Hunan Provincial People's Hospital, Hunan, China.
Hongliang WangDepartment of Intensive Care Unit, Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Xiaoyan YanDepartment of Biostatistics, Peking University Clinical Research Institute, Beijing, China.
Zhi LiuEvidence Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Boli ZhangGeneral Office, China Academy of Chinese Medical Sciences, Beijing, China.
Nanshan ZhongState Key Laboratory of Respiratory Diseases, first Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Hongcai ShangKey Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Chunxue BaiDepartment of Respiratory Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Jilin University · CNPeking University · CNZhongshan Hospital · CNBeijing University of Chinese Medicine · CNCapital Medical University · CNChina Medical University · CNDalian Medical University · CNFirst Affiliated Hospital of Anhui Medical University · CNFudan University · CNGeneral Hospital of Guangzhou Military Command · CNHebei Medical University · CNQilu Hospital of Shandong University · CNRenmin Hospital of Wuhan University · CNTaihe Hospital · CNTianjin Medical University General Hospital · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate whether XueBiJing injection improves clinical outcomes in critically ill patients with severe community-acquired pneumonia.

designProspective, randomized, controlled study.

settingThirty-three hospitals in China. PATIENTS: A total of 710 adults 18-75 years old with severe community-acquired pneumonia.

interventionsParticipants in the XueBiJing group received XueBiJing, 100 mL, q12 hours, and the control group received a visually indistinguishable placebo. MEASUREMENTS AND MAIN

resultsThe primary outcome was 8-day improvement in the pneumonia severity index risk rating. Secondary outcomes were 28-day mortality rate, duration of mechanical ventilation and total duration of ICU stay. Improvement in the pneumonia severity index risk rating, from a previously defined endpoint, occurred in 203 (60.78%) participants receiving XueBiJing and in 158 (46.33%) participants receiving placebo (between-group difference [95% CI], 14.4% [6.9-21.8%]; p < 0.001). Fifty-three (15.87%) XueBiJing recipients and 84 (24.63%) placebo recipients (8.8% [2.4-15.2%]; p = 0.006) died within 28 days. XueBiJing administration also decreased the mechanical ventilation time and the total ICU stay duration. The median mechanical ventilation time was 11.0 versus 16.5 days for the XueBiJing and placebo groups, respectively (p = 0.012). The total duration of ICU stay was 12 days for XueBiJing recipients versus 16 days for placebo recipients (p = 0.004). A total of 256 patients experienced adverse events (119 [35.63%] vs 137 [40.18%] in the XueBiJing and placebo groups, respectively [p = 0.235]).

conclusionsIn critically ill patients with severe community-acquired pneumonia, XueBiJing injection led to a statistically significant improvement in the primary endpoint of the pneumonia severity index as well a significant improvement in the secondary clinical outcomes of mortality, duration of mechanical ventilation and duration of ICU stay.

Indexed as

AdolescentAdultAgedChinaCommunity-Acquired InfectionsDouble-Blind MethodDrugs, Chinese HerbalFemaleHumansIntensive Care UnitsKaplan-Meier EstimateLength of StayMaleMiddle AgedPneumoniaProspective StudiesDrugs, Chinese HerbalXuebijing

Identifiers

PMID31162191
PMCPMC6727951
OpenAlexW2948924403

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LicenceCC BY-NC-ND
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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.