Evidence map›Paper›PMID 31320703›Full record

Observational studyScientific reports2019

Bedside-measurement of serum cholinesterase activity predicts patient morbidity and length of the intensive care unit stay following major traumatic injury.

Aleksandar R Zivkovic, Karsten Schmidt, Thomas Stein, Matthias Münzberg, Thorsten Brenner, Markus A Weigand, Stefan Kleinschmidt, Stefan Hofer

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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  11. Different Pharmacokinetics of Tramadol,Frontiers in pharmacology · 2021
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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 3 institutions in 1 country.

Aleksandar R ZivkovicDepartment of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany. aleksandar.zivkovic@med.uni-heidelberg.de.
Karsten SchmidtDepartment of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.
Thomas SteinDepartment of Anaesthesia, Intensive Care Medicine and Pain Therapy, BG Trauma Center Ludwigshafen/Rhine, Ludwigshafen, Germany.
Matthias MünzbergDepartment of Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen/Rhine, Ludwigshafen, Germany.
Thorsten BrennerDepartment of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.
Markus A WeigandDepartment of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.
Stefan KleinschmidtDepartment of Anaesthesia, Intensive Care Medicine and Pain Therapy, BG Trauma Center Ludwigshafen/Rhine, Ludwigshafen, Germany.
Stefan HoferDepartment of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.
Heidelberg University · DEKlinikum Ludwigshafen · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major traumatic injury (MTI), a life-threatening condition requiring prompt medical intervention, is associated with an extensive inflammatory response often resulting in multiple organ dysfunction. Early stratification of trauma severity and the corresponding inflammation may help optimize resources at the intensive care unit (ICU). The cholinergic system counters inflammation by quickly modulating the immune response. Serum cholinesterase (butyrylcholinesterase, BChE) is an enzyme that hydrolyses acetylcholine. We tested whether a change in the BChE activity correlates with the morbidity and the length of ICU stay. Blood samples from 10 healthy volunteers and 44 patients with MTI were gathered at hospital admission, followed by measurements 12, 24 and 48 hours later. Point-of-care approach was used to determine the BChE activity. Disease severity was assessed by clinical scoring performed within 24 hours following hospital admission. BChE activity, measured at hospital admission, showed a significant and sustained reduction and correlated with disease severity scores obtained 24 hours following admission. BChE activity, obtained at hospital admission, correlated with the length of ICU stay. Bedside measurement of BChE activity, as a complementary addition to established procedures, might prove useful in the primary assessment of the disease severity and might therefore optimize therapy in the ICU.

Indexed as

AdultAgedBrain Injuries, TraumaticButyrylcholinesteraseCohort StudiesFemaleHospitalizationHumansIntensive Care UnitsLength of StayMaleMiddle AgedMorbidityButyrylcholinesterase

Identifiers

PMID31320703
PMCPMC6639389
OpenAlexW2959795586

What OpenQuestion holds

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LicenceCC BY
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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.