Evidence map›Paper›PMID 32132512›Full record

ArticlePancreas2020

Use of Lactated Ringers Solution Compared With Normal Saline Is Associated With Shorter Length of Stay in Pediatric Acute Pancreatitis.

Peter R Farrell, Leslie M Farrell, Lindsey Hornung, Maisam Abu-El-Haija

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Pancreas, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05285371 (Intravenous Hydration After Surgery Using Boluses of Balanced Salt Solution), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT05285371 early_phase1completednot on this mapstarted 2022, after this paper: background citation

Intravenous Hydration After Surgery Using Boluses of Balanced Salt Solution

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2022 to 2024Enrolled70ConditionsDehydration in Children, Fluid TherapyArmsUrinalysis (UA), Complete Metabolic Panel (CMP), Glucose Stick Test (d-Stick), Medical Chart Review
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
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 2 institutions in 1 country.

Peter R FarrellFrom the Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center.
Leslie M Farrell
Lindsey HornungBiostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Maisam Abu-El-Haija
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
PEDIATRIC GASTROENTEROLOGY AND NUTRITION TRAINING GRANTT32DK007727 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Phillip P Minar · 1995 to 2026
$11.3M
NCATS NIH HHS UL1 TR001425NIDDK NIH HHS T32 DK007727
6 · The paper itself

Abstract

objectiveThe aim of the study was to evaluate lactated ringers (LR) versus normal saline (NS) in pediatric acute pancreatitis (AP).

methodsThis retrospective study used Pediatric Health Information System database of primary AP patients, 2013 to 2017.

resultsThe study included 1581 first time AP patients with exclusive use of a single fluid (111 LR, 1470 NS) for the first 48 hours. The LR cohort had a significantly shorter length of stay (P < 0.001) compared with NS. A multivariable logistic regression analysis suggests use of NS in the first 48 hours (after controlling for total parenteral nutrition, operation, and infection during the admission) had a significantly increased likelihood of requiring a hospitalization for 4 days or more compared with the LR group (odds ratio, 3.31; 95% confidence interval, 1.95-5.62). The overall cost was significantly less in the LR group. There was no statistical difference observed in risk factors for AP, intensive care transfer, organ dysfunction, or mortality.

conclusionsThis represents the first large data set analysis of LR versus NS in pediatric AP. The use of LR was associated with a shorter length of stay and reduced cost compared with NS. Future randomized trials will help determine the ideal fluid choice for pediatric AP.

Indexed as

Fluid TherapyLength of StayAdolescentAge FactorsChildCost-Benefit AnalysisCost SavingsDatabases, FactualFemaleHospital CostsHumansMalePancreatitisRetrospective StudiesRinger's LactateSaline SolutionRinger's LactateSaline Solution

Identifiers

PMID32132512
PMCPMC7100996
OpenAlexW3009397288

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.