Evidence map›Paper›PMID 34187840›Full record

Trial reportDiabetes care2021

Effects of Fluid Rehydration Strategy on Correction of Acidosis and Electrolyte Abnormalities in Children With Diabetic Ketoacidosis.

Arleta Rewers, Nathan Kuppermann, Michael J Stoner, Aris Garro, Jonathan E Bennett, Kimberly S Quayle, Jeffrey E Schunk, Sage R Myers, Julie K McManemy, Lise E Nigrovic and 9 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07205562 (Serum Electrolyte Abnormalities as Prognostic Factor for Outcome in Critically Ill Children), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT07205562 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Serum Electrolyte Abnormalities as Prognostic Factor for Outcome in Critically Ill Children

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled200ConditionsElectrolytes Abnormalities, Children, Prognostic Factors
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
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  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

19 authors at 13 institutions in 1 country.

Arleta RewersDivision of Emergency Medicine, Department of Pediatrics, Colorado Children's Hospital, University of Colorado-Denver School of Medicine, Aurora arleta.rewers@childrenscolorado.org.ORCID 0000-0002-2992-9273
Nathan KuppermannDepartment of Emergency Medicine, University of California Davis Health, University of California, Davis, School of Medicine, Sacramento.
Michael J StonerDepartment of Pediatrics, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, OH.
Aris GarroDepartments of Emergency Medicine and Pediatrics, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI.
Jonathan E BennettDivision of Emergency Medicine, Nemours/Alfred I. duPont Hospital for Children, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Kimberly S QuayleDivision of Emergency Medicine, Department of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine in St. Louis, St. Louis, MO.
Jeffrey E SchunkDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
Sage R MyersDivision of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Julie K McManemyDivision of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.
Lise E NigrovicDivision of Emergency Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Jennifer L TrainorDivision of Emergency Medicine, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL.
Leah TzimenatosDepartment of Emergency Medicine, University of California Davis Health, University of California, Davis, School of Medicine, Sacramento.
Maria Y KwokDivision of Emergency Medicine, Department of Pediatrics, New York Presbyterian Morgan Stanley Children's Hospital, Columbia University College of Physicians and Surgeons, New York, NY.
Kathleen M BrownDivision of Emergency Medicine, Department of Pediatrics, Children's National Medical Center, George Washington School of Medicine and Health Sciences, Washington, DC.
Cody S OlsenDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
T Charles CasperDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
Simona GhettiDepartment of Psychology and the Center for Mind and Brain, University of California, Davis, Davis, CA.ORCID 0000-0001-8282-0616
Nicole S GlaserDepartment of Pediatrics, University of California Davis Health, University of California, Davis, School of Medicine, Sacramento.ORCID 0000-0003-1278-0801
Pediatric Emergency Care Applied Research Network (PECARN) FLUID Study Group
University of California, Davis · USUniversity of Utah · USAlfred I. duPont Hospital for Children · USBaylor College of Medicine · USBoston Children's Hospital · USBrown University · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USChildren's National · USMorgan Stanley Children's Hospital · USNationwide Children's Hospital · USNorthwestern University · USSt. Louis Children's Hospital · US

Funding

Fluid Therapy and Cerebral Injury in Pediatric Diabetic KetoacidosisU01HD062417 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI GLASER, NICOLE S, KUPPERMANN, NATHAN · 2012 to 2014
$1.7M
NICHD NIH HHS U01 HD062417
6 · The paper itself

Abstract

objectiveFluid replacement to correct dehydration, acidosis, and electrolyte abnormalities is the cornerstone of treatment for diabetic ketoacidosis (DKA), but little is known about optimal fluid infusion rates and electrolyte content. The objective of this study was to evaluate whether different fluid protocols affect the rate of normalization of biochemical derangements during DKA treatment. RESEARCH DESIGN AND

methodsThe current analysis involved moderate or severe DKA episodes (

resultsThe rate of change of pH did not differ by treatment arm, but Pco

conclusionsIn children treated for DKA, faster fluid administration rates led to a more rapid normalization of anion gap and Pco

Indexed as

AcidosisDiabetic KetoacidosisAdolescentChildElectrolytesFluid TherapyHumansSodiumElectrolytesSodium

Identifiers

PMID34187840
PMCPMC8740930
OpenAlexW3176261033

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.