Evidence map›Paper›PMID 31417678›Full record

ArticleJournal of intensive care2019

Association between fluid overload and SOFA score kinetics in septic shock patients: a retrospective multicenter study.

Xavier Chapalain, Véronique Vermeersch, Pierre-Yves Egreteau, Gwenael Prat, Zarrin Alavi, Eric Vicaut, Olivier Huet

Open access · goldAbstract read
In one paragraph

Article in Journal of intensive care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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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

7 authors at 5 institutions in 2 countries.

Xavier Chapalain1Department of anesthesiology and intensive care unit, CHRU de Brest Hopital La cavale Blanche, Boulevard Tanguy Prigent, Brest, France.ORCID 0000-0002-3701-4161
Véronique Vermeersch1Department of anesthesiology and intensive care unit, CHRU de Brest Hopital La cavale Blanche, Boulevard Tanguy Prigent, Brest, France.
Pierre-Yves EgreteauDepartment of Intensive Care Medicine, CH de Morlaix, Rue de Kersaint Gilly, Morlaix, France.
Gwenael Prat3Department of Medical ICU, CHRU de Brest, Boulevard Tanguy Prigent, Paris, France.
Zarrin Alavi5INSERM CIC 1412, CHRU de Brest, Hopital de la Cavale Blanche, Boulevard Tanguy Prigent, Paris, France.
Eric Vicaut2APHP, Unité de recherche clinique, Hôpital Fernand Widal, Université Paris Diderot, Paris, France.
Olivier Huet1Department of anesthesiology and intensive care unit, CHRU de Brest Hopital La cavale Blanche, Boulevard Tanguy Prigent, Brest, France.
Twitter (United States) · USCentre Hospitalier des Pays de Morlaix · FRCentre Hospitalier Régional Universitaire de Brest · FRInserm · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFluid infusion represents one of the cornerstones of resuscitation therapies in order to increase oxygen delivery during septic shock. Fluid overload as a consequence of excessive fluid administration seems to be linked to worse long-term outcome. However, its immediate effect on patient's clinical state is poorly described. The goal of this study was to assess the impact of FO on SOFA score kinetics as a surrogate marker of organ dysfunction from day 0 to day 5. MATERIAL AND

methodsRetrospective, multicenter, investigator-initiated study. All adult patients (> 18 years old) admitted from January 2012 to April 2017 in one of the three ICUs for septic shock, secondary to peritonitis or pulmonary infection and mechanically ventilated, were included. Univariate analysis was performed with Student's

resultsOne hundred twenty-nine patients met the inclusion criteria and were assigned into FO and no FO groups. FO occurred in 39% of the patients. The difference between SOFA score at day 0 and day 5 was more than twofold higher in the no FO group than in the FO group with a difference of 2.37 between the two groups (4.52 vs. 2.15;

conclusionsFO patients had a more prolonged multi-organ failure according to SOFA score kinetics during septic shock from resuscitation phase to day 5.

Indexed as

Fluid therapyIntensive care unitSepsisSeptic shockWater-electrolyte balance

Identifiers

PMID31417678
PMCPMC6688320
OpenAlexW2969006835

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.