Evidence map›Paper›PMID 35455767›Full record

ReviewJournal of personalized medicine2022

Association between Early Phase Serum Lactate Levels and Occurrence of Delayed Neuropsychiatric Sequelae in Adult Patients with Acute Carbon Monoxide Poisoning: A Systematic Review and Meta-Analysis.

Heekyung Lee, Jaehoon Oh, Hyunggoo Kang, Chiwon Ahn, Myeong Namgung, Chan Woong Kim, Wonhee Kim, Young Seo Kim, Hyungoo Shin, Tae Ho Lim

Open access · goldAbstract readReview
In one paragraph

Review in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 3 institutions in 1 country.

Heekyung LeeDepartment of Emergency Medicine, College of Medicine, Hanyang University, Seoul 04763, Korea.ORCID 0000-0001-5700-3331
Jaehoon OhDepartment of Emergency Medicine, College of Medicine, Hanyang University, Seoul 04763, Korea.ORCID 0000-0001-8055-1467
Hyunggoo KangDepartment of Emergency Medicine, College of Medicine, Hanyang University, Seoul 04763, Korea.ORCID 0000-0002-9522-2532
Chiwon AhnDepartment of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06974, Korea.ORCID 0000-0002-1813-1098
Myeong NamgungDepartment of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06974, Korea.ORCID 0000-0001-8541-0786
Chan Woong KimDepartment of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06974, Korea.
Wonhee KimDepartment of Emergency Medicine, Hallym University, Chuncheon 24252, Korea.ORCID 0000-0002-7055-2500
Young Seo KimDepartment of Neurology, College of Medicine, Hanyang University, Seoul 04763, Korea.
Hyungoo ShinDepartment of Emergency Medicine, College of Medicine, Hanyang University, Seoul 04763, Korea.ORCID 0000-0003-3203-1672
Tae Ho LimDepartment of Emergency Medicine, College of Medicine, Hanyang University, Seoul 04763, Korea.
Hanyang University · KRChung-Ang University · KRHallym University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The primary goal of treating carbon monoxide (CO) poisoning is preventing or minimizing the development of delayed neuropsychiatric sequelae (DNS). Therefore, screening patients with a high probability for the occurrence of DNS at the earliest is essential. However, prognostic tools for predicting DNS are insufficient, and the usefulness of the lactate level as a predictor is unclear. This systematic review and meta-analysis investigated the association between early phase serum lactate levels and the occurrence of DNS in adult patients with acute CO poisoning. Observational studies that included adult patients with CO poisoning and reported initial lactate concentrations were retrieved from the Embase, MEDLINE, Google Scholar and six domestic databases (KoreaMED, KMBASE, KISS, NDSL, KISTi and RISS) in January 2022. Lactate values were collected as continuous variables and analyzed using standardized mean differences (SMD) using a random-effect model. The risk of bias was evaluated using the Quality in Prognosis Studies (QUIPS) tool, and subgroup, sensitivity and meta regression analyses were performed. Eight studies involving a total of 1350 patients were included. The early phase serum lactate concentration was significantly higher in the DNS group than in the non-DNS group in adult patients with acute CO poisoning (8 studies; SMD, 0.31; 95% CI, 0.11−0.50; I2 = 44%; p = 0.002). The heterogeneity decreased to I2 = 8% in sensitivity analysis (omitting Han2021; 7 studies; SMD, 0.38; 95% CI, 0.23−0.53; I2 = 8%; p < 0.001). The risk of bias was assessed as high in five studies. The DNS group was associated with significantly higher lactate concentration than that in the non-DNS group.

Indexed as

biomarkercarbon monoxide poisoningdelayed neuropsychiatric sequelaelactatemeta-analysis

Identifiers

PMID35455767
PMCPMC9028543
OpenAlexW4224244126

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.