Evidence map›Paper›PMID 35147477›Full record

ArticleClinical toxicology (Philadelphia, Pa.)2022

Lung injury caused by aspiration of organophosphorus insecticide and gastric contents in pigs.

Elspeth J Hulse, Richard E Clutton, Gordon Drummond, Adrian P Thompson, Edwin J R van Beek, Sionagh H Smith, Michael Eddleston

Open access · hybridAbstract read
In one paragraph

Article in Clinical toxicology (Philadelphia, Pa.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

7 authors at 4 institutions in 1 country.

Elspeth J HulsePharmacology, Toxicology, and Therapeutics Department, University/BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Richard E CluttonWellcome Trust Critical Care Laboratory for Large Animals, University of Edinburgh, Edinburgh, UK.
Gordon DrummondAnaesthesia, Critical Care and Pain Medicine department, Division of Health Sciences, University of Edinburgh, Edinburgh, UK.
Adrian P ThompsonPharmacology, Toxicology, and Therapeutics Department, University/BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Edwin J R van BeekEdinburgh Imaging, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Sionagh H SmithEaster Bush Pathology, Royal (Dick) School of Veterinary Studies and Roslin Institute, University of Edinburgh, Edinburgh, UK.
Michael EddlestonPharmacology, Toxicology, and Therapeutics Department, University/BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-6857-3441
University of Edinburgh · GBRoslin Institute · GBThe Queen's Medical Research Institute · GBWellcome Centre for Cell Biology · GB

Funding

Medical Research Council G0701127
6 · The paper itself

Abstract

introductionPatients who require mechanical ventilation after self-poisoning with ingested organophosphorus (OP) insecticides often die. Aspiration of stomach contents may contribute to lung injury and lethality. This study was designed to assess the severity of direct and indirect pulmonary injury created by pulmonary instillation of mixtures of OP insecticide, solvent (Solv) and porcine gastric juice (GJ) compared to controls.

methodsTerminally anaesthetised minipigs (groups

resultsOP + GJ created a direct lung injury consisting of neutrophil infiltration, oedema and haemorrhage, as well as indirect injury to the other lung. OP + GJ directly-injured lung parenchyma had increased concentrations of BALF protein, albumin, IL-6, IL-8 and C-reactive protein (CRP) at 24 h (

conclusionPulmonary instillation of OP + GJ created more lung damage than controls or Solv + GJ. In patients with severe OP insecticide poisoning and reduced consciousness, early airway protection is likely to reduce pulmonary damage.

Indexed as

InsecticidesLung InjuryOrganophosphate PoisoningAlbuminsAnimalsBronchoalveolar Lavage FluidGastrointestinal ContentsHumansLungOrganophosphorus CompoundsSwineSwine, MiniatureAlbuminsInsecticidesOrganophosphorus Compoundsaspirationlung injuryOrganophosphorus insecticidepigself-poisoning

Identifiers

PMID35147477
PMCPMC9162497
OpenAlexW4211243483

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.