Evidence map›Paper›PMID 31602826›Full record

ArticleJournal of Korean medical science2019

Early Intravenous Colistin Therapy as a Favorable Prognostic Factor for 28-day Mortality in Patients with CRAB Bacteremia: a Multicenter Propensity Score-Matching Analysis.

Tark Kim, Ki Ho Park, Shi Nae Yu, Seong Yeon Park, Se Yoon Park, Yu Mi Lee, Min Hyok Jeon, Eun Ju Choo, Tae Hyong Kim, Mi Suk Lee and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of Korean medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 39% 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, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Optimizing Treatment for Carbapenem-ResistantInfection & chemotherapy · 2024
    Review
  6. Observational
  7. Article
  8. Article
  9. Colistin, Hot Potato for the Therapy of Carbapenem-resistantJournal of Korean medical science · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Tark KimDepartment of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.ORCID https://orcid.org/0000-0002-8829-4183
Ki Ho ParkDepartment of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-0000-9016
Shi Nae YuDepartment of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.ORCID https://orcid.org/0000-0001-7061-0347
Seong Yeon ParkDepartment of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0001-8762-7006
Se Yoon ParkDepartment of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-4538-7371
Yu Mi LeeDepartment of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0486-6608
Min Hyok JeonDepartment of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.ORCID https://orcid.org/0000-0002-9452-4379
Eun Ju ChooDepartment of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.ORCID https://orcid.org/0000-0003-2842-7041
Tae Hyong KimDepartment of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2920-9038
Mi Suk LeeDepartment of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8951-5032
EunJung LeeDepartment of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea. shegets@schmc.ac.kr.ORCID https://orcid.org/0000-0002-7724-8288
Soonchunhyang University · KRKyung Hee University · KRSoonchunhyang University Hospital Seoul · KRDongguk University Ilsan Hospital · KR

Funding

Soonchunhyang University
6 · The paper itself

Abstract

backgroundCarbapenem-resistant

methodsThis retrospective multicenter propensity score-matching analysis was conducted in the Korea by reviewing the medical records of adult patients with CRAB bacteremia between January 2012 and March 2015. Early colistin therapy was defined as intravenous colistin administration for > 48 hours within five days after the blood culture collection. To identify the risk factors associated with the 28-day mortality in CRAB bacteremia, the clinical variables of the surviving patients were compared to those of the deceased patients.

resultsOf 303 enrolled patients, seventy-six (25.1%) patients received early colistin therapy. The 28-day mortality was 61.4% (186/303). Fatal or rapidly-fatal McCabe classifications, intensive care unit admission, Sequential Organ Failure Assessment scores ≥ 8, vasopressor use, and acute kidney injury were statistically independent poor prognostic factors. Catheter-related infection and early colistin therapy (adjusted odds ratio [aOR], 0.45; 95% confidence interval [CI], 0.21-0.94) were independent favorable prognostic factors associated with 28-day mortality in patients with CRAB bacteremia. Early colistin therapy was still significantly associated with lower 28-day mortality in the propensity score-matching analysis (aOR, 0.31; 95% CI, 0.11-0.88).

conclusionThis study suggests that early colistin therapy might help reduce the mortality of patients with CRAB bacteremia.

Indexed as

Acinetobacter baumanniiAdministration, IntravenousAgedAnti-Bacterial AgentsBacteremiaBlood CultureColistinDrug Resistance, BacterialDrug Therapy, CombinationFemaleHumansIntensive Care UnitsKaplan-Meier EstimateMaleMiddle AgedOdds RatioAnti-Bacterial AgentsColistinAcinetobacterBacteremiaColistinEarlyMortality

Identifiers

PMID31602826
PMCPMC6786961
OpenAlexW2975630877

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.