Evidence map›Paper›PMID 33747664›Full record

ArticleCureus2021

Assessment of the Clinical Interpreter of Death in Life-Threatening Infective Cases Admitted in the Intensive Care Unit of a North-Eastern State of India.

Pollov Borah, Dilip K Saloi, Amarendra Deka, Rajib Hazarika, Ranjumoni Konwar, Putul Mahanta, Deepjyoti Kalita, Chiranjita Phukan, Kahua Das

Abstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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

9 authors.

Pollov BorahAnaesthesiology, Jorhat Medical College and Hospital, Jorhat, IND.
Dilip K SaloiAnaesthesiology, Jorhat Medical College and Hospital, Jorhat, IND.
Amarendra DekaAnaesthesiology, Assam Medical College and Hospital, Dibrugarh, IND.
Rajib HazarikaAnaesthesiology, Jorhat Medical College and Hospital, Jorhat, IND.
Ranjumoni KonwarRadiology, Fakhruddin Ali Ahmed Medical College (FAAMC) and Hospital, Barpeta, IND.
Putul MahantaForensic Medicine and Toxicology, Assam Medical College and Hospital, Dibrugarh, IND.
Deepjyoti KalitaMicrobiology, All India Institute of Medical Sciences, Rishikesh, IND.
Chiranjita PhukanInternal Medicine, Tezpur Medical College and Hospital, Tezpur, IND.
Kahua DasPhysiology, Tezpur Medical College and Hospital, Tezpur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives The clinical factors affecting a patient's condition monitored over time could be useful not only to decide on an intervention that may increase the patients' possibilities of survival but also to predict the treatment outcome. Therefore, this study evaluates the clinical factors as predictors of mortality among severe sepsis patients admitted in the intensive care unit (ICU) of a tertiary care center. Method We did a prospective study on over 50 life-threatening infective cases with different causes admitted in the ICU. Clinical and biochemical parameters like temperature, heart rate, blood pressure, bicarbonate levels, blood lactate levels, and pH were monitored at admission, after 24 hours, and after 72 hours. The statistical analysis was done using Microsoft Excel (Microsoft Corporation, Redmond, WA) and the Statistical Package for the Social Studies (SPSS) version 22 (IBM Corp., Armonk, NY). We have obtained ethical clearance from the ethics committee (human) of Assam Medical College and Hospital, Dibrugarh. Before the collection of the data, we also took informed consent from the participants. Results The mean age of non-survivors was 44.35±11.64 years and that of survivors was 36.60±9.28 years, and the difference was statistically significant (p-value <0.003). An analysis of values of the various vital signs indicated substantial differences in the mean at different time intervals among survivors and non-survivors (p-value <0.05). Among non-survivors, mean temperature, pulse, and rate of respiration were observed to increase over time while blood pressure and oxygen saturation levels were significantly decreasing. Compared to survivors, the mean lactate levels of non-survivors at different time intervals were statistically significant (p-value <0.05). It is also observed that the pH of non-survivors was lower than survivors, and the mean pH value significantly different at different time intervals among the two groups (p-value <0.05). Conclusion The temperature, pulse, rate of respiration, blood pressure, and oxygen saturation levels are essential determinants of patient mortality in those suffering from a severe infection, besides serial lactate levels, bi-carbonate levels, and pH levels.

Indexed as

critical care centremortalitysepsissevere sepsisvital signs

Identifiers

PMID33747664
PMCPMC7962036

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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.