Evidence map›Paper›PMID 34039399›Full record

ArticleItalian journal of pediatrics2021

Continuous renal replacement therapy rescued life-threatening capillary leak syndrome in an extremely-low-birth-weight premature: a case report.

Li-Fen Yang, Jia-Chang Ding, Ling-Ping Zhu, Li-Xia Li, Meng-Qi Duan, Zhuang-Gui Chen, Xin-Yi Tang, Ya-Ting Li

Open access · goldAbstract readCase Reports
In one paragraph

Article in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  4. 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

8 authors at 1 institution in 1 country.

Li-Fen Yang *Pediatric Intensive Care Unit, Department of Pediatrics, Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, P.R. China.
Jia-Chang Ding *Pediatric Intensive Care Unit, Department of Pediatrics, Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, P.R. China.
Ling-Ping Zhu *Pediatric Intensive Care Unit, Department of Pediatrics, Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, P.R. China.
Li-Xia LiPediatric Intensive Care Unit, Department of Pediatrics, Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, P.R. China.
Meng-Qi DuanPediatric Intensive Care Unit, Department of Pediatrics, Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, P.R. China.
Zhuang-Gui ChenPediatric Intensive Care Unit, Department of Pediatrics, Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, P.R. China.
Xin-Yi TangPediatric Intensive Care Unit, Department of Pediatrics, Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, P.R. China. tangxiny@mail.sysu.edu.cn.
Ya-Ting LiPediatric Intensive Care Unit, Department of Pediatrics, Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, P.R. China. liyat2@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0001-6109-9946
Sun Yat-sen University · CN

Funding

Guangdong Medical Research Foundation A2020232Guangzhou Science, Technology and Innovation Commission 201704020179National Natural Science Foundation of China 81470219
6 · The paper itself

Abstract

backgroundCapillary leak syndrome (CLS) is a rare disease characterized by profound vascular leakage and presents as a classic triad of hypotension, hypoalbuminemia and hemoconcentration. Severe CLS is mostly induced by sepsis and generally life-threatening in newborns, especially in premature infants. Continuous renal replacement therapy (CRRT) plays an important role of supportive treatment for severe CLS. Unfortunately, CRRT in preterm infants has rarely been well defined. CASE PRESENTATION: We report the case of a 11-day-old girl with CLS caused by sepsis, who was delivered by spontaneous vaginal delivery (SVD) at gestational age of 25 weeks and 4 days, and a birth weight of 0.89 Kilograms(kg). The infant received powerful management consisting of united antibiotics, mechanical ventilation, intravenous albumin and hydroxyethyl starch infusion, vasoactive agents, small doses of glucocorticoids and other supportive treatments. However, the condition rapidly worsened with systemic edema, hypotension, pulmonary exudation, hypoxemia and anuria in about 40 h. Finally, we made great efforts to perform CRRT for her. Fortunately, the condition improved after 82 h' CRRT, and the newborn was rescued and gradually recovered.

conclusionCRRT is an effective rescue therapeutic option for severe CLS and can be successfully applied even in extremely-low-birth-weight premature.

Indexed as

Continuous Renal Replacement TherapyInfant, Extremely Low Birth WeightInfant, PrematureCapillary Leak SyndromeFemaleHumansInfant, NewbornSepsisCapillary leak syndromeCase reportContinuous renal replacement therapyPrematureSepsis

Identifiers

PMID34039399
PMCPMC8157435
OpenAlexW3165741911

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.