Evidence map›Paper›PMID 34649405›Full record

ArticleClinical and experimental emergency medicine2021

Comparison of body water status and its distribution in patients with non-septic infection, patients with sepsis, and healthy controls.

Jieun Shin, Inwon Park, Jae Hyuk Lee, Jong Soo Han, Byunghyun Kim, Dong-Hyun Jang, Sang-Min Lee, Che Uk Lee, You Hwan Jo

Open access · diamondAbstract read
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Article in Clinical and experimental emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Jieun ShinDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Inwon ParkDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Jae Hyuk LeeDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Jong Soo HanHealth Promotion Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Byunghyun KimDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Dong-Hyun JangDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Sang-Min LeeDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Che Uk LeeDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
You Hwan JoDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Seoul National University Bundang Hospital · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough fluid resuscitation is the cornerstone of treatment for sepsis, the role of body water status in sepsis is poorly understood. This study aimed to understand how body water and its distribution are modified in patients with sepsis and those with non-septic infection compared to healthy individuals.

methodsTwo groups of adults presumed to have non-septic infection (n=87) and sepsis (n=54) were enrolled in this prospective study in a single emergency department, and they were compared to sex-, age-, and height-matched (1:3 ratio) healthy controls (n=11,190) from retrospective data in a health promotion center. Total body water (TBW), intracellular water (ICW), and extracellular water (ECW), determined using direct segmental multi-frequent bioelectrical impedance analysis (InBody S10) were expressed as indices for normalization by body weight (BW). The ratio of ECW to TBW (ECW/TBW) was evaluated to determine body water distribution.

resultsTBW/BW, ICW/BW, and ECW/BW were significantly higher in the non-septic infection group than in the healthy group (P<0.001), but ECW/TBW was not significantly different (P=0.690). There were no differences in TBW/BW and ICW/BW between the sepsis and healthy groups (P=0.083 and P=0.963). However, ECW/BW and ECW/TBW were significantly higher in the sepsis group than in the healthy group (P<0.001).

conclusionCompared to the healthy group, the ratio of body water to BW was significantly increased in the non-septic infection group, while ECW/BW and ECW/TBW were significantly increased in the sepsis group. These indices could be utilized as diagnostic variables of body water deficit in septic patients.

Indexed as

Body fluid compartmentsElectric impedanceExtracellular fluidIntracellular fluidSepsis

Identifiers

PMID34649405
PMCPMC8517463
OpenAlexW3202085143

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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.