Evidence map›Paper›PMID 33103146›Full record

ArticleTurkish journal of anaesthesiology and reanimation2020

Effect of Triiodothyronine Administration on the Kidney During Haemorrhagic Shock and Resuscitation.

Iosifina Karmaniolou, Konstantinos Lamprou, Chryssoula Staikou, Evangelos Giamarellos-Bourboulis, Kassiani Theodoraki, Apostolos Papalois, Anastasios Mylonas, Nikolaos Orfanos, Vassilios Smyrniotis, Nikolaos Arkadopoulos

Open access · diamondAbstract read
In one paragraph

Article in Turkish journal of anaesthesiology and reanimation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 99% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 2 institutions in 1 country.

Iosifina KarmaniolouDepartment of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-2492-6396
Konstantinos LamprouDepartment of Obstetrics and Gynaecology, Bradford Royal Infirmary, Bradford, UK.ORCID https://orcid.org/0000-0001-5970-3067
Chryssoula Staikou1 Department of Anaesthesia, Aretaieion Hospital, University of Athens Medical School, Athens, Greece.ORCID https://orcid.org/0000-0001-7336-0443
Evangelos Giamarellos-Bourboulis4 Department of Internal Medicine, Attikon Hospital, Medical School, University of Athens, Chaidari, Greece.ORCID https://orcid.org/0000-0003-4713-3911
Kassiani Theodoraki1 Department of Anaesthesia, Aretaieion Hospital, University of Athens Medical School, Athens, Greece.ORCID https://orcid.org/0000-0003-4890-4642
Apostolos PapaloisExperimental-Research Center ELPEN Pharmaceuticals, Pikermi, Greece.ORCID https://orcid.org/0000-0001-8339-7426
Anastasios Mylonas4 Department of Surgery, Attikon Hospital, Medical School, University of Athens, Chaidari, Greece.ORCID https://orcid.org/0000-0002-4881-5714
Nikolaos Orfanos4 Department of Surgery, Attikon Hospital, Medical School, University of Athens, Chaidari, Greece.ORCID https://orcid.org/0000-0003-0402-378X
Vassilios Smyrniotis4 Department of Surgery, Attikon Hospital, Medical School, University of Athens, Chaidari, Greece.ORCID https://orcid.org/0000-0002-9273-6634
Nikolaos Arkadopoulos4 Department of Surgery, Attikon Hospital, Medical School, University of Athens, Chaidari, Greece.ORCID https://orcid.org/0000-0002-0355-0417
Bradford Royal Infirmary · GBGuy's and St Thomas' NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveApoptosis, measured via caspase activity, can be used to assess renal tissue damage in haemorrhagic shock. We investigated whether Triiodothyronine could attenuate apoptosis and protect against haemorrhagic shock-induced renal injury.

methodsHaemorrhagic shock was induced in swine until the mean arterial pressure (MAP) was 35-40 mmHg for 40 minutes. Animals were randomly assigned to a control group (n=5), Group-F (Fluid resuscitation, n=6), and Group-T3 (Fluid plus Triiodothyronine, n=6). The swine were resuscitated for 1 hour aiming to MAP restoration (±10% from baseline) and were followed up for another 360 minutes. Haemodynamic parameters, fluids, acid-base status, plasma urea nitrogen, creatinine levels and caspase activity in the kidney were measured.

resultsHaemodynamic parameters did not differ significantly amongst the three groups. Group-T3 required less normal saline (Group-T3: 1083±204 mL versus F: 2500±547 mL, p=0.001) and hydroxyethyl starch (Group-T3: 558±102 mL versus F: 916±204 mL, p=0.004) during resuscitation. Additionally, Group-T3 swine experienced less acidosis following haemorrhage/resuscitation with a pH of 7.39 versus a pH of 7.26 in Group-F (p=0.004) at 360 minutes. Urea remained within normal limits in all groups, but creatinine levels were elevated at 6 hours in Group-F as compared to Group-T3 (p=0.019). Apoptosis, assessed by renal caspase-3 activity, was increased in Group-T3 (132±174 pmol minute

conclusionAdministration of Triiodothyronine in a swine model of haemorrhagic shock seems to interfere with renal cell apoptosis. The exact mechanism needs to be further investigated in future research.

Indexed as

Apoptosishaemorrhagic shockkidneyresuscitationtriiodothyronine

Identifiers

PMID33103146
PMCPMC7556640
OpenAlexW3005300740

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LicenceCC BY-NC-ND
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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.