Evidence map›Paper›PMID 34194241›Full record

ArticleInternational journal of general medicine2021

Bicarbonate Therapy in Renally Compromised Critically Ill Patients with Metabolic Acidosis: Study of Clinical Outcomes and Mortality Rate.

Zakia Rafique, Muhammad Haseeb Tariq, Arif-Ullah Khan, Muhammad Junaid Farrukh, Nida Khan, Ahmed Mujadid Burki, Khalid Mehmood

Open access · goldAbstract read
In one paragraph

Article in International journal of general 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
0.1field-weighted citation impact, top 51% 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, 2 citations in OpenAlex.

  1. Bicarbonate therapy: Resuscitating an old remedy with new evidence.Journal of the Intensive Care Society · 2025
    Article
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

7 authors at 5 institutions in 2 countries.

Zakia RafiqueRiphah Institute of Pharmaceutical Sciences, Riphah International University, Islamabad, Pakistan.
Muhammad Haseeb TariqDepartment of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Gelugor Penang, Malaysia.ORCID 0000-0002-6708-6166
Arif-Ullah KhanRiphah Institute of Pharmaceutical Sciences, Riphah International University, Islamabad, Pakistan.
Muhammad Junaid FarrukhFaculty of Pharmaceutical Sciences, UCSI University, Kuala Lumpur, Malaysia.ORCID 0000-0001-9251-4647
Nida KhanAdvanced Educational Institute & Research Center (AEIRC), Karachi, Pakistan.
Ahmed Mujadid BurkiCombined Military Hospital (CMH), Rawalpindi, Pakistan.
Khalid MehmoodPak Emirates Military Hospital (PEMH), Rawalpindi, Pakistan.
Riphah International University · PKCombined Military Hospital · PKPakistan Army · PKUCSI University · MYUniversiti Sains Malaysia · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic acidosis is the most frequent medical condition occurring in critically ill renally compromised patients. This study was aimed to determine clinical outcomes of bicarbonate therapy in renally compromised critically ill patients having metabolic acidosis.

methodsA prospective longitudinal cohort study was undertaken in three military hospitals in Rawalpindi, Pakistan. All patients fulfilling the inclusion criteria who were admitted to the ICU of any of the three study hospitals from July 2019 to March 2020 were studied for clinical outcomes of bicarbonate therapy using an evidence-based clinical checklist. Outcome measures include changes in blood pH, serum potassium, and sodium levels, blood pressure and weight, along with other clinically significant laboratory parameters.

resultsEighty-one patients fulfilling the inclusion criteria were evaluated. The mean age of the patients was 55.61±19.5 years, while the mean weight was 63.43±14.19 Kg. A mortality rate of 45.7% was observed. Disease-related complications including hypoxia, cardiac failure, multiple organ failure, elevated blood pressure, and ischemic heart disease (IHD) were found to be associated with a higher mortality rate (

conclusionBicarbonate therapy was not found to affect the mortality rate in critically ill renally compromised patients with metabolic acidosis.

Indexed as

bicarbonate therapychronic kidney diseaseclinical outcomesmetabolic acidosismortality rate

Identifiers

PMID34194241
PMCPMC8238540
OpenAlexW3175589007

What OpenQuestion holds

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LicenceCC BY-NC
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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.