Evidence map›Paper›PMID 33882828›Full record

ArticleInternational journal of emergency medicine2021

The pathophysiology of "happy" hypoglycemia.

Thomas Loeb, Anna Ozguler, Geraldine Baer, Michel Baer

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-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

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Observational
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

4 authors at 2 institutions in 2 countries.

Thomas LoebSAMU des Hauts-de-Seine, Assistance Publique - Hôpitaux de Paris, Raymond Poincaré Hospital, University of Paris-Saclay, 104 boulevard Raymond Poincaré, 92 380, Garches, France.
Anna OzgulerSAMU des Hauts-de-Seine, Assistance Publique - Hôpitaux de Paris, Raymond Poincaré Hospital, University of Paris-Saclay, 104 boulevard Raymond Poincaré, 92 380, Garches, France. anna.ozguler@aphp.fr.ORCID http://orcid.org/0000-0002-9277-610X
Geraldine BaerDepartment of Emergency Medicine, Corporal Michael J. Crescenz VA Medical Center, University of Pennsylvania Medical Center, Philadelphia, PA, USA.
Michel BaerSAMU des Hauts-de-Seine, Assistance Publique - Hôpitaux de Paris, Raymond Poincaré Hospital, University of Paris-Saclay, 104 boulevard Raymond Poincaré, 92 380, Garches, France.
Université Paris-Saclay · FRPhiladelphia VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypoglycemia usually includes various neurological symptoms, which are the consequence of neuroglycopenia. When it is severe, it is associated with altered mental status, even coma. CASE PRESENTATION: We report the case of a patient with severe hypoglycemia, completely asymptomatic, due to the increase of lactate production in response to tissue hypoperfusion following a hemorrhagic shock. This illustrates that lactate can substitute glucose as an energy substrate for the brain. It is also a reminder that this metabolite, despite its bad reputation maintained by its role as a marker of severity in critical care patients, has a fundamental role in our metabolism.

conclusionsFollowing the example of the "happy hypoxemia" recently reported in the literature describing asymptomatic hypoxemia in COVID-19 patients, we describe a case of "happy hypoglycemia."

Indexed as

AsymptomaticEmergency medical serviceHypoglycemiaLactate

Identifiers

PMID33882828
PMCPMC8058752
OpenAlexW3152912497

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.