Evidence map›Paper›PMID 31781836›Full record

ArticleIntensive care medicine2020

'Intermittent' versus 'continuous' ScvO

Jhuma Sankar, Man Singh, Kiran Kumar, M Jeeva Sankar, Sushil Kumar Kabra, Rakesh Lodha

Abstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Comparison of Blood Pressure Measurements by Currently Available Multiparameter Monitors and Mercury Column Sphygmomanometer in Patients Admitted in Pediatric Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  3. Review
  4. Sometimes more is not always better: ScvOIntensive care medicine · 2020
    Article
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jhuma SankarDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. jhumaji@gmail.com.ORCID http://orcid.org/0000-0002-9807-6550
Man SinghDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Kiran KumarDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
M Jeeva SankarDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Sushil Kumar KabraDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Rakesh LodhaDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

Funding

All-India Institute of Medical Sciences 8-335/A-335/2-15/RS
6 · The paper itself

Abstract

purposeTo compare the effect of 'intermittent' central venous oxygen saturation (ScvO

methodsPrimary outcome was the achievement of therapeutic goals or shock resolution in the first 6 h. We randomly assigned children < 17 years' age with septic shock to 'intermittent ScvO

resultsWe enrolled 75 and 77 children [median (IQR) age: 6 (1.5-10) years] in the 'intermittent' and 'continuous' groups, respectively. Baseline characteristics were comparable between the groups. When compared to the 'continuous' group, fewer children in the 'intermittent' group achieved shock resolution within first 6 h [19% vs. 36%; relative risk (RR) 0.51; 95% CI 0.29-0.89; risk difference - 18.0%; 95% CI - 32.0 to - 4.0]. The lower bound of confidence interval, however, crossed the pre-specified non-inferiority margin. There was no difference in the proportion of children attaining shock resolution within 24 h (63% vs. 69%; RR 0.86; 95% CI 0.68-1.08) or risk of mortality between the groups (47% vs. 43%; RR 1.06; 95% CI 0.74-1.51).

conclusionsGiven that a greater proportion of children attained therapeutic end points in the first 6 h, continuous monitoring of ScvO

Indexed as

Blood Gas AnalysisChildChild, PreschoolFemaleHumansInfantIntensive Care Units, PediatricMaleMonitoring, PhysiologicOxygenProspective StudiesSeverity of Illness IndexShock, SepticTertiary Care CentersOxygenContinuous ScvO2 monitoringEGDTIntermittent ScvO2 monitoringScvO2

Identifiers

What OpenQuestion holds

Textmetadata
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.