Evidence map›Paper›PMID 33811332›Full record

ArticleJournal of clinical pharmacology2021

Population Pharmacokinetic Modeling and Simulations of Imipenem in Burn Patients With and Without Continuous Venovenous Hemofiltration in the Military Health System.

Elaine D Por, Kevin S Akers, Kevin K Chung, Jeffrey R Livezey, Daniel J Selig

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  4. Observational
  5. Article
  6. Review
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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

5 authors at 3 institutions in 1 country.

Elaine D PorWalter Reed Army Institute of Research, Experimental Therapeutics, Silver Spring, Maryland, USA.
Kevin S AkersUnited States Army Institute of Surgical Research, Clinical Research Support Division, San Antonio, Texas, USA.
Kevin K ChungUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Jeffrey R LivezeyUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Daniel J SeligWalter Reed Army Institute of Research, Experimental Therapeutics, Silver Spring, Maryland, USA.
Uniformed Services University of the Health Sciences · USWalter Reed Army Institute of Research · USUnited States Army Institute of Surgical Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Continuous venovenous hemofiltration (CVVH) is a life-sustaining procedure in patients with severe burns and acute kidney injury. Physiologic changes from burn injury and use of CVVH may alter imipenem pharmacokinetics (PK). We aimed to compare imipenem clearance (CL) in burn patients with and without CVVH, determine the effect of burn on imipenem volume of distribution (CVVH, n = 12; no CVVH, n = 11), in combination with previously published models. Model qualification was performed with standard diagnostics and comparing predicted PK parameters/time-concentration profiles with those in the existing literature. Monte Carlo simulations were conducted to evaluate the probability of target attainment. A 2-compartment model best described the data. Utilizing albumin as a covariate on volume parameters and leveraging the clearance model from prior literature, our model predicted imipenem central volume and CL within a 10% margin of error across healthy, renally impaired, and burn populations. We provide direct comparison of imipenem CL in burn patients with and without CVVH. Notably, there was no significant difference. Large imipenem V

Indexed as

Acute Kidney InjuryAdultAnti-Bacterial AgentsBurnsFemaleHemofiltrationHumansImipenemMaleMetabolic Clearance RateMiddle AgedMilitary Health ServicesMonte Carlo MethodSerum AlbuminAnti-Bacterial AgentsImipenemSerum AlbuminantibioticburnMonte Carlo simulationspharmacokinetics

Identifiers

PMID33811332
PMCPMC8453752
OpenAlexW3143931138

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.