Evidence map›Paper›PMID 34907071›Full record

SynthesisBMJ open2021

Impact of carbapenem resistance on mortality in patients infected with

Ruyin Zhou, Xiangming Fang, Jinjin Zhang, Xiaodong Zheng, Shuangyue Shangguan, Shibo Chen, Yingbo Shen, Zhihai Liu, Juan Li, Rong Zhang and 3 more

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
4.0field-weighted citation impact, top 4% 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.

NCT06419296 completednot on this mapstarted 2024, after this paper: background citation

Mortality of MBL-producing Enterobacteriaceae Bacteremias with the Combined Use of Ceftazidime-avibactam and Aztreonam Vs. Other Active Antibiotics. a Multicenter Target Trial Emulation.

TypeobservationalSponsorHospital Italiano de Buenos AiresRan2024 to 2024Enrolled265ConditionsBacteremia
NCT07167173 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Predictive Model for Multidrug Resistance in Patients Admitted to the Emergency Department With Sepsis

TypeobservationalSponsorHospital Italiano de Buenos AiresRan2025 to 2025Enrolled10,000ConditionsSepsis, Septic Shock
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 89 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. JAC-antimicrobial resistance · 2026
    Article
  5. Article
  6. Multicenter Point-Prevalence Study of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Emergence of ST383 carbapenem-resistantJAC-antimicrobial resistance · 2026
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

14 more citing papers are in PubMed but not listed here.

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 8 institutions in 3 countries.

Ruyin ZhouDepartment of Economics and Trade, College of Economics and Management, China Agricultural University, Beijing, China.ORCID 0000-0002-5731-5746
Xiangming FangDepartment of Economics and Trade, College of Economics and Management, China Agricultural University, Beijing, China xmfang@cau.edu.cn.
Jinjin ZhangDepartment of Economics and Trade, College of Economics and Management, China Agricultural University, Beijing, China.
Xiaodong ZhengDepartment of Economics, School of Economics, Zhejiang Gongshang University, Hangzhou, China.
Shuangyue ShangguanDepartment of Economics and Trade, College of Economics and Management, China Agricultural University, Beijing, China.
Shibo ChenDepartment of Basic Veterinary Medicine, College of Veterinary Medicine, China Agricultural University, Beijing, China.
Yingbo ShenCAS Key Laboratory of Pathogenic Microbiology and Immunology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, China.
Zhihai LiuAgricultural Bio-pharmaceutical Laboratory, College of Chemistry and Pharmaceutical Sciences, Qingdao Agricultural University, Qingdao, China.
Juan LiState Key Laboratory for Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, Beijing, China.
Rong ZhangClinical Laboratory Medicine, The Second Affiliated Hospital of Zhejiang University, Zhejiang University, Hangzhou, China.
Jianzhong ShenBeijing Key Laboratory of Detection Technology for Animal-Derived Food Safety, College of Veterinary Medicine, China Agricultural University, Beijing, China.
Timothy R WalshDepartment of Zoology, University of Oxford, Oxford, UK.
Yang WangBeijing Key Laboratory of Detection Technology for Animal-Derived Food Safety, College of Veterinary Medicine, China Agricultural University, Beijing, China.
China Agricultural University · CNChinese Academy of Sciences · CNChinese Center For Disease Control and Prevention · CNGeorgia State University · USQingdao Agricultural University · CNSecond Affiliated Hospital of Zhejiang University · CNUniversity of Oxford · GBZhejiang Gongshang University · CN

Funding

Medical Research Council MR/N028317/1Medical Research Council MR/P007295/1Medical Research Council MR/S013768/1Medical Research Council MR/S013768/2
6 · The paper itself

Abstract

objectivesTo provide a comprehensive assessment of the impact of carbapenem resistance on mortality among patients infected with

designThis systematic review was conducted following the guidelines of Cochrane Guidance and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. DATA SOURCES: We conducted a systematic literature search of the PubMed, Embase, Web of Science and Cochrane Library databases to identify relevant studies published between 1 January 1994 and 30 August 2020. ELIGIBILITY CRITERIA: We included primary observational studies published in English that reported the mortality outcomes for hospitalised patients with confirmed infections due to carbapenem-resistant DATA EXTRACTION AND SYNTHESIS: Data extraction and assessment of risk bias were conducted independently by two reviewers. The pooled relative risk and risk difference were calculated as effect measures with 95% CIs using a random effects model. The heterogeneity across studies was assessed by Q-statistic and I

resultsOf 10 304 studies initially identified, 50 studies were included in the meta-analyses. The results of the meta-analyses showed that carbapenem resistance has a significant positive effect on the probability of death for patients infected with

conclusionsOur results suggested that patients with CRE infection still face a greater risk of death than patients with CSE infection do, and an urgent need to develop new antibiotics and appropriate treatments to reduce the risk of death. PROSPERO REGISTRATION NUMBER: CRD42020176808.

Indexed as

Carbapenem-Resistant EnterobacteriaceaeEnterobacteriaceae InfectionsAnti-Bacterial AgentsCarbapenemsEnterobacteriaceaeHumansAnti-Bacterial AgentsCarbapenemsepidemiologyhealth policypublic health

Identifiers

PMID34907071
PMCPMC8672018
OpenAlexW4200314528

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.