Evidence map›Paper›PMID 35387313›Full record

ArticleHealth science reports2022

Prehospital administration of broad-spectrum antibiotics for sepsis patients: A systematic review and meta-analysis.

Joseph Varney, Karam R Motawea, Omneya A Kandil, Hashim T Hashim, Kimberly Murry, Jaffer Shah, Ahmed Shaheen, Joy Akwari, Ahmed K Awad, Amanda Rivera and 3 more

Abstract read
In one paragraph

Article in Health science reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Septic shock in the prehospital setting: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    Article
  12. Article
  13. Article
  14. 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

13 authors.

Joseph VarneySchool of Medicine American University of the Caribbean Cupecoy Sint Maarten.
Karam R MotaweaFaculty of Medicine Alexandria University Alexandria Egypt.ORCID https://orcid.org/0000-0002-9861-5980
Omneya A KandilFaculty of Medicine Alexandria University Alexandria Egypt.ORCID https://orcid.org/0000-0002-5874-6812
Hashim T HashimCollege of Medicine University of Baghdad Nassiryah Dhi Qar Iraq.ORCID 0000-0001-6155-7302
Kimberly MurryBarry University Miami Shores Florida USA.
Jaffer ShahMedical Research Center Kateb Univeristy Kabul Afghanistan.ORCID 0000-0002-8961-218X
Ahmed ShaheenFaculty of Medicine Alexandria University Alexandria Egypt.ORCID https://orcid.org/0000-0001-9731-5065
Joy AkwariSchool of Medicine American University of the Caribbean Cupecoy Sint Maarten.
Ahmed K AwadFaculty of Medicine Ain-Shams University Cairo Egypt.ORCID https://orcid.org/0000-0001-6647-1866
Amanda RiveraSchool of Medicine American University of the Caribbean Cupecoy Sint Maarten.
Mostafa R MostafaRochester Regional Health/Unity Hospital Rochester New York USA.
Sarya SwedFaculty of Medicine Aleppo university Aleppo Syria.ORCID 0000-0002-9983-2020
Dina M AwadFaculty of Medicine Alexandria University Alexandria Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Some studies have suggested that earlier initiation of antibiotics has shown positive outcomes in sepsis patients. We aimed to do a systematic review and meta-analysis to evaluate the effect of prehospital administration of antibiotics on 28 days mortality and length of stay in hospital and intensive care unit for sepsis patients. Methods: We formulated a search strategy and used it on search databases PubMed, Scopus, Web of Science, and Embase. We then screened the records for eligibility and included controlled studies, either clinical trials or cohort studies reporting prehospital antibiotic administration for sepsis patients. We excluded duplicates, books, conferences' abstracts, case reports, editorials, letters, author responses, not English studies, and studies with nonavailable full text. Animal and lab studies were also excluded. Results: The total number of studies identified is 1811, 19 were eligible for systematic review and 4 for meta-analysis (three cohort and one clinical trial). The total number of sepsis patients in the four included studies in the 28 days mortality outcome was 3523 (1779 took prehospital antibiotics and 1744 did not take prehospital antibiotics). Of 1779 who took the antibiotics, 190 died, and of 1744 who did not take antibiotics, 292 died (95% confidence interval 0.68-0.97, Conclusion: This meta-analysis reveals that receiving prehospital antibiotics can significantly lower mortality in sepsis patients compared to patients who do not receive prehospital antibiotics. However, more clinical trials and multicenter prospective studies with high sample sizes are needed to get strong evidence supporting our findings.

Indexed as

emergency medicineprehospital antibioticsprehospital caresepsis

Identifiers

PMID35387313
PMCPMC8973268

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Registered trials

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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.