Evidence map›Paper›PMID 32590792›Full record

ArticleMedicine2020

Impact of oxidative stress on treatment outcomes in adult patients with sepsis: A prospective study.

Sheng-Yuan Hsiao, Chia-Te Kung, Chih-Min Su, Yun-Ru Lai, Chin-Cheng Huang, Nai-Wen Tsai, Hung-Chen Wang, Ben-Chung Cheng, Yu-Jih Su, Wei-Che Lin and 2 more

Abstract read
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Hyperbaric oxygen treatment impacts oxidative stress markers in patients with necrotizing soft-tissue infection.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2021
    Observational
  11. Observational
  12. 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

12 authors.

Sheng-Yuan HsiaoDepartment of Emergency Medicine.ORCID 0000-0003-2960-824
Chia-Te KungDepartment of Emergency Medicine.
Chih-Min SuDepartment of Emergency Medicine.
Yun-Ru LaiDepartment of Neurology.
Chin-Cheng HuangDepartment of Neurology.
Nai-Wen TsaiDepartment of Neurology.
Hung-Chen WangDepartment of Neurosurgery.
Ben-Chung ChengDepartment of Internal Medicine.
Yu-Jih SuDepartment of Internal Medicine.
Wei-Che LinDepartment of Radiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine.
Yi-Fang ChiangDepartment of Neurology.
Cheng-Hsien LuDepartment of Neurology.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOxidative stress has been shown to reflect on the development of sepsis and disease severity. In the present study, we evaluated the effects of increased levels of oxidative stress and decreased antioxidant coactivity in patients with sepsis, and the importance of oxidative stress on treatment outcomes.

methodsBiomarkers of oxidative stress (thiobarbituric acid-reactive substances [TBARS]) and antioxidant capacity (glutathione peroxidase [GPx] and glutathione content [thiol]) were prospectively evaluated along with biochemical and clinical data in 100 patients with sepsis on days 1, 4, and 7 after admission.

resultsThe TBARS level of the non-survivor group was significantly higher than that of the survivor group on day 1 and day 4 and negatively correlated with thiol upon admission. However, thiol was positively correlated with lactate concentration. The TBARS and lactate levels upon admission were independent predictors of fatality.

conclusionsWe conclude that a TBARS cut-off value of 18.30 μM can be used to predict fatality, and an increase in the TBARS concentration by 1 μM will increase the fatality rate by 0.94%. In the panel of biomarkers, the TBARS assay can be considered as a prognostic biomarker for the treatment of patients with sepsis.

Indexed as

AdultAgedAnalysis of VarianceAPACHEArea Under CurveBiomarkersFemaleGlutathione PeroxidaseHumansMaleMiddle AgedOxidative StressProspective StudiesROC CurveSulfhydryl CompoundsSurvivorsBiomarkersGlutathione PeroxidaseSulfhydryl CompoundsThiobarbituric Acid Reactive Substances

Identifiers

PMID32590792
PMCPMC7328964

What OpenQuestion holds

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Registered trials

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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.