Evidence map›Paper›PMID 31948983›Full record

ArticleBMJ case reports2020

Terlipressin-induced ischaemic skin necrosis.

Anand V Kulkarni, Pramod Kumar, Nagaraj P Rao, Nageshwar Reddy

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

  1. Point-of-care Ultrasonography in Patients with Hepatorenal Syndrome: A Single Center Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  2. Article
  3. Article
  4. Acute Kidney Injury in Liver Cirrhosis.Diagnostics (Basel, Switzerland) · 2023
    Review
  5. Review
  6. Article
  7. Terlipressin-induced skin necrosis.BMJ case reports · 2021
    Article
  8. Review
  9. Management of Portal Hypertension.Journal of clinical and experimental hepatology
    Review
  10. Article
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

4 authors at 1 institution in 1 country.

Anand V KulkarniHepatology and Liver Transplantation, Asian Institute of Gastroenterology, Hyderabad, Telangana, India anandvk90@gmail.com.ORCID http://orcid.org/0000-0002-1240-1675
Pramod KumarHepatology and Liver Transplantation, Asian Institute of Gastroenterology, Hyderabad, Telangana, India.
Nagaraj P RaoHepatology and Liver Transplantation, Asian Institute of Gastroenterology, Hyderabad, Telangana, India.
Nageshwar ReddyGastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India.
Asian Institute of Gastroenterology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Terlipressin is a commonly used drug in hepatology practice for the two most serious complications of cirrhosis, that is, acute oesophageal variceal bleed and hepatorenal syndrome. Acute-on-chronic liver failure (ACLF) is a medical emergency and is frequently associated with acute kidney injury (AKI). Two male patients with alcohol-induced ACLF with high MELD (Model for End-Stage Liver Disease) score presented with AKI. Both were treated with terlipressin infusion. There was no response to terlipressin in these sick patients, and further both patients developed ischaemic skin necrosis and succumbed to multiorgan failure. Continuous infusion of terlipressin is superior to bolus dosing, but we noted that continuous infusion might as well be associated with severe adverse effects in patients with a high MELD score. More extensive prospective studies, including patients with high MELD score, are required to ascertain the safety of terlipressin.

Indexed as

Acute Kidney InjuryAcute-On-Chronic Liver FailureDiagnosis, DifferentialHumansIschemiaMaleMiddle AgedNecrosisSkin DiseasesTerlipressinTerlipressinacute renal failurealcoholic liver diseasedermatologicalunwanted effects/adverse reactions

Identifiers

PMID31948983
PMCPMC7035834
OpenAlexW2999922512

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.