Evidence map›Paper›PMID 34356830›Full record

ReviewBiomedicines2021

The Potential Role of Extracorporeal Cytokine Removal in Hemodynamic Stabilization in Hyperinflammatory Shock.

Fatime Hawchar, Cristina Rao, Ali Akil, Yatin Mehta, Christopher Rugg, Joerg Scheier, Harriet Adamson, Efthymios Deliargyris, Zsolt Molnar

Open access · goldAbstract readReview
In one paragraph

Review in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.3field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 37 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Retrospective evaluation of efficacy of CytoSorbWorld journal of critical care medicine · 2025
    Article
  5. The international, prospective CytOSorbJournal of intensive medicine · 2025
    Article
  6. Review
  7. Hemoadsorption in septic shock - PRO.Intensive care medicine · 2025
    Article
  8. Article
  9. CytoSorbBiomedicines · 2025
    Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Continuous renal replacement therapy with oXirisWorld journal of clinical cases · 2023
    Article
  19. Article
  20. 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

9 authors at 7 institutions in 6 countries.

Fatime HawcharDepartment of Anaesthesiology and Intensive Therapy, University of Szeged, 6 Semmelweis Str., H-6725 Szeged, Hungary.
Cristina RaoCytosorbents Europe GmbH, Müggelseedamm 131, 12587 Berlin, Germany.
Ali AkilDepartment of Thoracic Surgery and Lung Support, Klinikum Ibbenbueren, Grosse Strasse 41, 49477 Ibbenbueren, Germany.
Yatin MehtaInstitute of Critical Care and Anesthesiology, Medanta the Medicity, CH Baktawar Singh Rd, Gurugram 122001, Haryana, India.
Christopher RuggDepartment of Anesthesiology and Critical Care Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.ORCID 0000-0002-7150-7357
Joerg ScheierCytosorbents Europe GmbH, Müggelseedamm 131, 12587 Berlin, Germany.
Harriet AdamsonCytosorbents Europe GmbH, Müggelseedamm 131, 12587 Berlin, Germany.
Efthymios DeliargyrisCytosorbents Corporation, 7 Deer Park Drive Suite K, Monmouth Junction, NJ 08852, USA.
Zsolt MolnarDepartment of Anaesthesiology and Intensive Therapy, University of Szeged, 6 Semmelweis Str., H-6725 Szeged, Hungary.ORCID 0000-0002-1468-4058
CytoSorbents (Germany) · DECytoSorbents (United States) · USInnsbruck Medical University · ATKlinikum Bremerhaven-Reinkenheide · DEMedanta The Medicity · INSemmelweis University · HUUniversity of Szeged · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemodynamic instability due to dysregulated host response is a life-threatening condition requiring vasopressors and vital organ support. Hemoadsorption with Cytosorb has proven to be effective in reducing cytokines and possibly in attenuating the devastating effects of the cytokine storm originating from the immune over-response to the initial insult. We reviewed the PubMed database to assess evidence of the impact of Cytosorb on norepinephrine needs in the critically ill. We further analyzed those studies including data on control cohorts in a comparative pooled analysis, defining a treatment effect as the standardized mean differences in relative reductions in vasopressor dosage at 24 h. The literature search returned 33 eligible studies. We found evidence of a significant reduction in norepinephrine requirement after treatment: median before, 0.55 (IQR: 0.39-0.90); after, 0.09 (0.00-0.25) μg/kg/min,

Indexed as

cytosorb therapydecatecholaminizationhemoadsorptionhemodynamic stabilizationhypeinflammationshock

Identifiers

PMID34356830
PMCPMC8301410
OpenAlexW3182438150

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.