Evidence map›Paper›PMID 33476310›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2021

Norepinephrine, Dopamine, and Vasopressin in Patients with Sepsis and Preexisting or Acute Heart Failure: A Retrospective Cohort Study.

Dandan Zhou, Baohua Zhu, Jie Jiang, Guangquan Zhou, Suming Zhou

Open access · hybridAbstract read
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
0.6field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Temperature alters the inotropic and chronotropic effect of DNaunyn-Schmiedeberg's archives of pharmacology · 2025
    Article
  4. Article
  5. Observational
  6. Dopamine, Immunity, and Disease.Pharmacological reviews · 2023
    Review
  7. 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

5 authors at 3 institutions in 1 country.

Dandan ZhouDepartment of Critical Care Medicine, Jiangsu Province Hospital of Integration of Chinese and Western Medicine, Nanjing Medical University, Nanjing, Jiangsu, China (mainland).
Baohua ZhuDepartment of Critical Care Medicine, Nanjing Central Hospital (Nanjing Municipal Government Hospital), Nanjing Medical University, Nanjing, Jiangsu, China (mainland).
Jie JiangDepartment of Critical Care Medicine, Nanjing Central Hospital (Nanjing Municipal Government Hospital), Nanjing Medical University, Nanjing, Jiangsu, China (mainland).
Guangquan ZhouSchool of Biological Sciences and Medical Engineering, Southeast University, Nanjing, Jiangsu, China (mainland).
Suming ZhouDepartment of Geriatric Intensive Care Unit (ICU), The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China (mainland).
Nanjing Medical University · CNJiangsu Province Hospital · CNSoutheast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND The aim of this study was to assess the impact of norepinephrine (NE), norepinephrine plus vasopressin (NE+VAS) and dopamine in patients with sepsis and heart failure. MATERIAL AND METHODS Data were extracted from the Medical Information Mart for Intensive Care III database, v1.4. Adults aged >18 years in an Intensive Care Unit (ICU) who had heart failure and took vasopressors were included. The patients were divided into 3 groups: NE, NE+VAS, and dopamine. Differences in survival, treatment time, and organ function among the 3 groups were compared. Propensity score matching (PSM) was used to screen for possible prognostic differences, and regression analysis was used to further analyze and predict prognoses. RESULTS A total of 1864 patients were included. There were significant differences among the 3 groups in 7-, 28-, and 90-day mortality after PSM. The 5-year survival rates among the 3 groups also were significantly different (P<0.001). After Cox regression analysis, NE+VAS was an independent risk factor affecting 5-year survival (P<0.001). After multiple linear regression, dopamine was the factor related to ICU and hospital lengths of stay. CONCLUSIONS Compared with NE or dopamine alone, NE+VAS can reduce survival in patients with sepsis and heart failure who need vasopressors. Compared with the other 2 treatment options, dopamine can shorten ICU and hospital stays for these patients.

Indexed as

Acute DiseaseAgedCardiotonic AgentsCohort StudiesCritical IllnessDopamineFemaleHeart FailureHumansLength of StayMaleNorepinephrineRetrospective StudiesSepsisSurvival RateVasoconstrictor AgentsCardiotonic AgentsDopamineNorepinephrineVasoconstrictor AgentsVasopressins

Identifiers

PMID33476310
PMCPMC7836321
OpenAlexW3107293536

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.