Evidence map›Paper›PMID 34916749›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2021

Thyroid Function, Reverse Triiodothyronine, and Mortality in Critically Ill Clinical Patients.

Carlos Dg da Silveira, Flávio Pj de Vasconcelos, Edmilson B Moura, Bruno Tg da Silveira, Flávio Fp Amorim, Lumie S Shintaku, Rosália B de Santana, Pedro Lp Argotte, Sheila F da Silva, Marcelo de Oliveira Maia and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Endocrine Disorders in Critically Ill Patients - The Smooth Criminal?Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024
    Article
  5. Article
  6. Observational
  7. 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

11 authors at 2 institutions in 1 country.

Carlos Dg da SilveiraPrograma de Pós-Graduação em Ciências da Saúde, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0001-8504-6283
Flávio Pj de VasconcelosEscola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0001-5055-7067
Edmilson B MouraSchool of Medicine, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0003-3344-8453
Bruno Tg da SilveiraSchool of Medicine, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0003-3314-8549
Flávio Fp AmorimSchool of Medicine, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0003-2580-5545
Lumie S ShintakuSchool of Medicine, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0001-7410-3027
Rosália B de SantanaSchool of Medicine, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0002-7220-2774
Pedro Lp ArgotteSchool of Medicine, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0002-1326-0536
Sheila F da SilvaAdult Intensive Care Unit, Hospital Santa Luzia - Rede D'Or São Luiz, Brasilia, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0002-1924-6583
Marcelo de Oliveira MaiaPrograma de Pós-Graduação em Ciências da Saúde, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0002-7220-2774
Fabio F AmorimPrograma de Pós-Graduação em Ciências da Saúde, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID https://orcid.org/0000-0003-0929-5733
Escola Superior de Ciências da Saúde · BRHospital Santa Luzia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the association of thyroid hormones changes, including increased reverse triiodothyronine (rT3) level, with critically ill clinical patients´ mortality. PATIENTS AND

methodsThis study analyzed the observational data prospectively collected over 8 months (2018) in an adult intensive care unit (ICU) in Brasilia, Brazil. All consecutive ICU-admitted clinical patients were included. Thyroxine (T4), free thyroxine (fT4), triiodothyronine (T3), free triiodothyronine (fT3), rT3, and thyroid-stimulating hormone (TSH) were collected within 48 hours of ICU admission. Patients with hypothyroidism or hyperthyroidism who were previously diagnosed were excluded.

resultsOf 353 included patients, age was 68.5 ± 19.0 years, sequential organ failure assessment (SOFA) score was 3.3 ± 2.9, and Acute Physiology and Chronic Health Evaluation II (APACHE II) was 17.1 ± 7.9. ICU mortality was 17.6% (

conclusionIncreased rT3 was independently associated with increased ICU mortality. In contrast, other thyroid hormone alterations did not show an association with mortality. Determining rT3 levels may be a helpful test to identify an increased risk for ICU mortality in clinical patients. HOW TO CITE THIS ARTICLE: da Silveira CDG, de Vasconcelos FPJ, Moura EB, da Silveira BTG, Amorim FFP, Shintaku LS,

Indexed as

Intensive care unitsMortalityReverseThyroid glandThyroid hormonesTriiodothyronine

Identifiers

PMID34916749
PMCPMC8645806
OpenAlexW3203478333

What OpenQuestion holds

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LicenceCC BY-NC
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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.