Evidence map›Paper›PMID 34328591›Full record

SynthesisDigestive diseases and sciences2022

Lactated Ringers Does Not Reduce SIRS in Acute Pancreatitis Compared to Normal Saline: An Updated Meta-Analysis.

Shyam Vedantam, Nadeem Tehami, Enrique de-Madaria, Jodie A Barkin, Sunil Amin

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  4. Article
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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 3 countries.

Shyam VedantamDepartment of Medicine, University of Miami, Miami, FL, USA.
Nadeem TehamiDepartment of Hepatology & HPB Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Enrique de-MadariaGastroenterology Department, Alicante University General Hospital, ISABIAL, Alicante, Spain.
Jodie A BarkinDivision of Digestive Health and Liver Diseases, Department of Medicine, University of Miami, 1120 NW 14th St, Clinical Research Building, Suite 11145 (D-49), Miami, FL, 33136, USA.
Sunil AminDivision of Digestive Health and Liver Diseases, Department of Medicine, University of Miami, 1120 NW 14th St, Clinical Research Building, Suite 11145 (D-49), Miami, FL, 33136, USA. sunil.amin@med.miami.edu.ORCID 0000-0002-3067-4730
University of Miami · USHospital General Universitario de Alicante Doctor Balmis · ESUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to compare outcomes according to a Lactated Ringers (LR) versus Normal Saline (NS)-based strategy for acute pancreatitis.

methodsA database search through November 2020 was done to identify studies comparing LR to NS for fluid rehydration in AP. The primary endpoint was systemic inflammatory response syndrome (SIRS) at 24 h. Mantel-Haenszel pooled odds ratios (OR) and 95% confidence intervals were constructed using a random effects model. Heterogeneity was assessed using the I

resultsSix studies were included totaling 549 patients. No difference in the odds of developing SIRS was noted at 24 h (pooled OR 0.59, 95% CI 0.22-1.62, P = 0.31) between LR and NS. I

conclusionsThis updated meta-analysis does not support the previously published finding that the use of LR (rather than NS) leads to a statistically significant decreased odds of SIRS in acute pancreatitis.

Indexed as

PancreatitisSaline SolutionAcute DiseaseHumansIsotonic SolutionsRinger's LactateSodium ChlorideSystemic Inflammatory Response SyndromeIsotonic SolutionsRinger's LactateSaline SolutionSodium ChlorideAcute pancreatitisLactated ringersNormal salineRinger’s lactate

Identifiers

PMID34328591
OpenAlexW3184351408

What OpenQuestion holds

Textmetadata
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.