Evidence map›Paper›PMID 33216237›Full record

Observational studyJournal of clinical monitoring and computing2021

Prognostic value and time course evolution left ventricular global longitudinal strain in septic shock: an exploratory prospective study.

Florian Bazalgette, Claire Roger, Benjamin Louart, Aurélien Daurat, Xavier Bobbia, Jean-Yves Lefrant, Laurent Muller

Registry-linked trialOpen access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of clinical monitoring and computing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03663192 (Strain Echocardiography During Septic Shock), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% 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.

NCT03663192 completednot on this map

Strain Echocardiography During Septic Shock : an Observational Pilot Study

TypeobservationalSponsorCentre Hospitalier Universitaire de NīmesRan2016 to 2018Enrolled50ConditionsShock, Septic, EchocardiographyArmsstrain echocardiography
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 1 institution in 1 country.

Florian BazalgetteDepartment of Anaesthesiology, Intensive Care, Pain and Emergency Medicine, Nîmes University Hospital, Place du Professeur Robert Debré, 30 029 cedex 9, Nîmes, France. florian.bazalgette@chu-nimes.fr.ORCID http://orcid.org/0000-0001-7339-6331
Claire RogerDepartment of Anaesthesiology, Intensive Care, Pain and Emergency Medicine, Nîmes University Hospital, Place du Professeur Robert Debré, 30 029 cedex 9, Nîmes, France.
Benjamin LouartDepartment of Anaesthesiology, Intensive Care, Pain and Emergency Medicine, Nîmes University Hospital, Place du Professeur Robert Debré, 30 029 cedex 9, Nîmes, France.
Aurélien DauratDepartment of Anaesthesiology, Intensive Care, Pain and Emergency Medicine, Nîmes University Hospital, Place du Professeur Robert Debré, 30 029 cedex 9, Nîmes, France.
Xavier BobbiaDepartment of Anaesthesiology, Intensive Care, Pain and Emergency Medicine, Nîmes University Hospital, Place du Professeur Robert Debré, 30 029 cedex 9, Nîmes, France.
Jean-Yves LefrantDepartment of Anaesthesiology, Intensive Care, Pain and Emergency Medicine, Nîmes University Hospital, Place du Professeur Robert Debré, 30 029 cedex 9, Nîmes, France.
Laurent MullerDepartment of Anaesthesiology, Intensive Care, Pain and Emergency Medicine, Nîmes University Hospital, Place du Professeur Robert Debré, 30 029 cedex 9, Nîmes, France.
Centre Hospitalier Universitaire de Nîmes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our main objective was to describe the course of GLS during the first days of septic shock and to assess the agreement between GLS values and longitudinal strain measured in apical four chambers. A prospective observational single centre study was conducted at the Nimes University Hospital's ICU. All patients admitted for a diagnosis of septic shock without pre-existing heart disease were eligible. Echocardiography (LVEF and GLS) was performed on the first day, and repeated once between day 3 and day 5 then once between day 6 and day 8. We enrolled 40 consecutive patients. Four patients were excluded. In overall population, GLS at T1 was impaired (- 11.0%, IQR(interquartile range) [- 15; - 10]). On T2 exams, a significant improvement of the GLS (- 11% vs - 16% p = 0.02) was observed whereas LVEF remained stable over time. A good agreement between GLS and longitudinal strain measured on a four chambers view was found. Based on the Bland and Altman method, the mean of differences for T1 exams was 0.1 (95% CI [- 0.6; 0.8]) with limits of agreement ranging from - 4 to 4. Myocardial strain is depressed at the early phase of septic shock and improves over time. A single measurement of LS4C view appears sufficient at bedside.

Indexed as

Shock, SepticVentricular Dysfunction, LeftEchocardiographyHeartHumansPrognosisProspective StudiesStroke VolumeVentricular Function, LeftEchocardiographySeptic cardiomyopathySeptic shockSpeckle-trackingStrainSystolic

Identifiers

PMID33216237
OpenAlexW3100531802

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.