Evidence map›Paper›PMID 34884300›Full record

ArticleJournal of clinical medicine2021

Pulmonary Edema in COVID-19 Treated with Furosemide and Negative Fluid Balance (NEGBAL): A Different and Promising Approach.

Jose L Francisco Santos, Patricio Zanardi, Veronica Alo, Marcelo Rodriguez, Federico Magdaleno, Virginia De Langhe, Vanina Dos Santos, Giuliana Murialdo, Andrea Villoldo, Micaela Coria and 3 more

Registry-linked trialOpen 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. It is linked to trial NCT05304702 (Lung Injury), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-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.

NCT05304702 completednot on this map

Lung Injury (Pulmonary Edema) in COVID-19: Treatment With Furosemide and Negative Fluid Balance (NEGBAL): a Case-Control Study

TypeobservationalSponsorClinica ColonRan2021 to 2022Enrolled120ConditionsCOVID-19
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Impact of Negative Fluid Balance on Mortality and Outcome of Patients with Confirmed COVID-19.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Article
  9. Review
  10. Article
  11. Observational
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

13 authors at 2 institutions in 1 country.

Jose L Francisco SantosIntensive Care Unit, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.ORCID 0000-0001-6739-5156
Patricio ZanardiIntensive Care Unit, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Veronica AloIntensive Care Unit, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Marcelo RodriguezCardiology Service, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Federico MagdalenoDiagnostic Imaging Service, Hospital Privado del Sur. Bahía Blanca, Buenos Aires 8000, Argentina.
Virginia De LangheDiagnostic Imaging Service, Hospital Privado del Sur. Bahía Blanca, Buenos Aires 8000, Argentina.
Vanina Dos SantosIntensive Care Unit, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Giuliana MurialdoIntensive Care Unit, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Andrea VilloldoIntensive Care Unit, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Micaela CoriaIntensive Care Unit, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Diego QuirosDiagnostic Imaging Service, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Claudio MilicchioDiagnostic Imaging Service, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Eduardo Garcia SaizDiagnostic Imaging Service, Clinica Colon, Mar del Plata, Buenos Aires 7600, Argentina.
Centro Científico Tecnológico Mar del Plata · ARHospital Privado · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In COVID-19, pulmonary edema has been attributed to "cytokine storm". However, it is known that SARS-CoV2 promotes angiotensin-converting enzyme 2 deficit, increases angiotensin II, and this triggers volume overload. Our report is based on COVID-19 patients with tomographic evidence of pulmonary edema and volume overload to whom established a standard treatment with diuretic (furosemide) guided by objectives: Negative Fluid Balance (NEGBAL approach). Retrospective observational study. We reviewed data from medical records: demographic, clinical, laboratory, blood gas, and chest tomography (CT) before and while undergoing NEGBAL, from 20 critically ill patients. Once the NEGBAL strategy was started, no patient required mechanical ventilation. All cases reverted to respiratory failure with NEGBAL, but subsequently two patients died from sepsis and acute myocardial infarction (AMI). The regressive analysis between PaO2/FiO2BAL and NEGBAL demonstrated correlation (

Indexed as

COVID-19diureticedemafurosemideNEGBALvolume overload

Identifiers

PMID34884300
PMCPMC8658626
OpenAlexW3216259688

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.