Evidence map›Paper›PMID 33068615›Full record

ArticleChest2021

Right Ventricular Dysfunction in Early Sepsis and Septic Shock.

Michael J Lanspa, Meghan M Cirulis, Brandon M Wiley, Troy D Olsen, Emily L Wilson, Sarah J Beesley, Samuel M Brown, Eliotte L Hirshberg, Colin K Grissom

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Chest, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06887140 (Prognostic Value of Right Ventricular-pulmonary Arterial Coupling Assessed by Echocardiography in Septic Patients), which is not on this map. Cited by 102 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 3 pooled it
12.1field-weighted citation impact, top 1% 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.

NCT06887140 recruitingnot on this mapstarted 2025, after this paper: background citation

Prognostic Value of Right Ventricular-pulmonary Arterial Coupling Assessed by Echocardiography in Septic Patients: A Prospective Observational Study

TypeobservationalSponsorUniversity Medical Center Ho Chi Minh City (UMC)Ran2025 to 2027Enrolled215ConditionsSepsisArmsEchocardiography
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 3 syntheses or guidelines pooled it, 180 citations in OpenAlex.

  1. Pooled it
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  5. Trial
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  7. Article
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  13. mRedox biology · 2026
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  18. Effect of premorbid beta-blockers on cardiac function and clinical outcomes in septic patients: a retrospective study.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Article
  19. Article
  20. Review

42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Michael J LanspaCritical Care Echocardiography Service, Intermountain Medical Center, St, Murray, UT; Division of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT. Electronic address: Michael.Lanspa@imail.org.
Meghan M CirulisDivision of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT.
Brandon M WileyMinneapolis Heart Institute Foundation, Minneapolis, MN.
Troy D OlsenCritical Care Echocardiography Service, Intermountain Medical Center, St, Murray, UT.
Emily L WilsonCritical Care Echocardiography Service, Intermountain Medical Center, St, Murray, UT.
Sarah J BeesleyCritical Care Echocardiography Service, Intermountain Medical Center, St, Murray, UT; Division of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT.
Samuel M BrownCritical Care Echocardiography Service, Intermountain Medical Center, St, Murray, UT; Division of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT.
Eliotte L HirshbergCritical Care Echocardiography Service, Intermountain Medical Center, St, Murray, UT; Division of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT; Division of Pediatric Critical Care, Department of Pediatrics, University of Utah, Salt Lake City, UT.
Colin K GrissomCritical Care Echocardiography Service, Intermountain Medical Center, St, Murray, UT; Division of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT.
Intermountain Medical Center · USUniversity of Utah · USMinneapolis Heart Institute Foundation · US

Funding

Study of Treatment's Echocardiographic Mechanisms (CLOVERS-STEM)R01HL144624 · NHLBI · IHC HEALTH SERVICES, INC. · PI BROWN, SAMUEL MORRIS · 2019 to 2022
$1.8M
NHLBI NIH HHS R01 HL144624
6 · The paper itself

Abstract

backgroundSepsis is a frequently lethal state, commonly associated with left ventricular (LV) dysfunction. Right ventricular (RV) dysfunction in sepsis is less well understood. RESEARCH QUESTION: In septic patients, how common is RV dysfunction, and is it associated with worse outcomes? STUDY DESIGN AND

methodsWe measured echocardiographic parameters on critically ill patients with severe sepsis or septic shock within the first 24 hours of ICU admission. We defined RV dysfunction as fractional area change (FAC) less than 35% or tricuspid annulus systolic plane excursion (TAPSE) less than 1.6 cm. We defined LV systolic dysfunction as ejection fraction (EF) less than 45% or longitudinal strain greater than -19%. Using logistic regression, we assessed the relationship between 28-day mortality and presence of RV dysfunction and LV systolic dysfunction, controlling for receipt of vasopressors, receipt of fluid, mechanical ventilation, and the acute physiology and chronic health evaluation (APACHE II) score.

resultsWe studied 393 patients. RV and LV dysfunction were common (48% and 63%, respectively). Mean echocardiographic values were: RV end-diastolic area, 22.4 ± 7.0 cm

Indexed as

CardiomyopathiesSepsisShock, SepticVentricular Dysfunction, RightAPACHEEchocardiographyFemaleFluid TherapyHumansIntensive Care UnitsMaleMiddle AgedMortalityRespiration, ArtificialStroke VolumeUnited StatesVasoconstrictor Agentsechocardiographypreloadright ventricleseptic cardiomyopathy

Identifiers

PMID33068615
PMCPMC7965651
OpenAlexW3092965159

What OpenQuestion holds

Textmetadata
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.