Evidence map›Paper›PMID 34768702›Full record

ArticleJournal of clinical medicine2021

Hemoadsorption in 'Liver Indication'-Analysis of 109 Patients' Data from the CytoSorb International Registry.

Klementina Ocskay, Dana Tomescu, Andreas Faltlhauser, David Jacob, Sigrun Friesecke, Manu Malbrain, Klaus Kogelmann, Ralph Bogdanski, Friedhelm Bach, Harald Fritz and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Review
  3. Feasibility and Safety of Cytosorb Application in Patients With Acute Liver Failure.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  4. The international, prospective CytOSorbJournal of intensive medicine · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Extracorporeal liver support techniques: a comparison.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024
    Article
  10. Observational
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Hemoperfusion in the intensive care unit.Intensive care medicine · 2022
    Review
  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

19 authors at 15 institutions in 6 countries.

Klementina OcskayInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Dana TomescuAnesthesiology and Intensive Care, Fundeni Clinical Institute, 022328 Bucharest, Romania.ORCID 0000-0001-9673-5754
Andreas FaltlhauserMedizinische Klinik I, Kliniken Nordoberpfalz AG, Klinikum Weiden, 92637 Weiden, Germany.
David JacobKlinik für Anaesthesiologie und Intensivtherapie, Universitätsklinikum Magdeburg, 39120 Magdeburg, Germany.
Sigrun FrieseckeKlinik und Poliklinik für Innere Medizin B, Universitätsmedizin Greifswald, 17475 Greifswald, Germany.
Manu MalbrainIntensive Care Chief Medical Officer, AZ Jan Palfijn, 9000 Gent, Belgium.ORCID 0000-0002-1816-5255
Klaus KogelmannHans-Susemihl-Krankenhaus GmbH, Klinik für Anästhesiologie und Intensivmedizin, 26721 Emden, Germany.ORCID 0000-0003-4308-9319
Ralph BogdanskiKlinikum Rechts der Isar der TU München, Klinik für Anästhesiologie, 81675 München, Germany.
Friedhelm BachEvangelisches Krankenhaus Bielefeld, Klinik für Anästhesiologie, Intensiv-, Notfallmedizin, Transfusionsmedizin und Schmerztherapie, Kantensiek 11, 33617 Bielefeld, Germany.
Harald FritzKrankenhaus Martha Maria Halle, Klinik für Anaesthesiologie und Intensivmedizin, Röntgenstr. 1, 06120 Halle, Germany.
Andreas HartjesKrankenhaus der Barmherzigen Schwestern Ried, Anästhesie, Intensiv- und Palliativmedizin, Schlossberg 1, 4933 Ried im Innkreis, Austria.ORCID 0000-0002-2293-5056
Andreas KortgenKlinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, 07747 Jena, Germany.
Jens SoukupCarl-Thiem-Klinikum Cottbus, Klinik für Anästhesiologie, Intensivtherapie und Palliativmedizin, Thiemstr. 111, 03048 Cottbus, Germany.
Stefan UtzolinoAbteilung Allgemein- und Viszeralchirurgie, Universitätsklinikum Freiburg, 79106 Freiburg, Germany.
Martijn van TellingenIntensive Care, Ziekenhuis de Tjongerschans, 8441 PW Heerenveen, The Netherlands.
Karl TrägerKardioanasthesiologie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany.
Ulrike SchumacherZentrum für Klinische Studien, Universitätsklinikum Jena, 07747 Jena, Germany.
Frank M BrunkhorstZentrum für Klinische Studien, Klinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Jena, Am Klinikum 1, 07747 Jena, Germany.
Zsolt MolnarDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Poznan University for Medical Sciences, 60355 Poznan, Poland.ORCID 0000-0002-1468-4058
Jena University Hospital · DECarl-Thiem-Klinikum Cottbus · DEEvangelisches Krankenhaus Bielefeld · DEInstitutul Clinic Fundeni · ROKlinikum Magdeburg · DEKlinikum Weiden · DEMartha-Maria Hospital · DEMedical University of Lublin · PLOrdensklinikum Linz Barmherzige Schwestern · ATSemmelweis University · HUTUM Klinikum · DEUniversitätsmedizin Greifswald · DEUniversity Hospital Ulm · DEUniversity Medical Center Freiburg · DEUniversity of Pecs · HU

Funding

CytoSorbents Europe GmbH unrestrictedEuropean Union EFOP 3.6.2-16-2017-00006 - LIVE LONGEREuropean Union "GINOP-2.3.2-15-2016-00048 - STAY ALIVE"Hungarian National Research, Development and Innovation Office K 138816
6 · The paper itself

Abstract

backgroundOur aim is to report the results of the 'liver indication' subset of patients in the CytoSorb International Registry.

methodsStructured data were recorded. Treatment characteristics and changes from T1 (start of hemoadsorption) to T2 (termination) were evaluated with a special focus on bilirubin, C-reactive protein, procalcitonin, interleukin-6, platelet levels, SOFA scores, mortality, and subjective assessment by the attending physicians.

resultsUntil January 2021, from the total 1434 patients, 109 (age: 49.2 ± 17.1 years, 57.8% males) received treatment for hyperbilirubinemia. APACHE II-predicted mortality was 49.6 ± 26.8%. In the study, 91% of patients were alive at the termination of hemoadsorption and improvement was observed by the physicians in 75 cases. Overall, 65 (59.6%) patients died in the hospital, and 60 (55.0%) died in the ICU. Patients received a median of two treatments for a median of 43 h (interquartile range: 24-72 h) in total. Serum bilirubin levels reduced significantly to -4.6 (95% CI: -6.329 to -2.8) mg/dL. Thrombocytopenia was reported in four patients as an adverse event.

conclusionsWe report the largest case series on hemoadsorption for 'liver indication' from the CytoSorb International Registry. The finding of significant bilirubin removal observed in our study could have substantial impact in designing and executing further studies on the effects of hemoadsorption in liver dysfunction, which are certainly warranted.

Indexed as

bilirubinblood purificationcytokine adsorptionCytoSorbhemoadsorptionliver failureliver support

Identifiers

PMID34768702
PMCPMC8584981
OpenAlexW3212541647

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.