Evidence map›Paper›PMID 35508860›Full record

Trial reportChinese journal of integrative medicine2023

Electroacupuncture in Treatment of Acute Gastrointestinal Injury in Patients with Severe Traumatic Brain Injury: A Multicenter Randomized Controlled Trial.

Xi Xing, Rong-Lin Jiang, Shu Lei, Yi-Hui Zhi, Mei-Fei Zhu, Li-Quan Huang, Ma-Hong Hu, Jun Lu, Kun Fang, Qiu-Yan Wang

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
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  7. Review
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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 4 institutions in 1 country.

Xi XingDepartment of ICU, The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310000, China.
Rong-Lin JiangDepartment of ICU, The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310000, China. jiangronglin@126.com.
Shu LeiDepartment of ICU, The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310000, China.
Yi-Hui ZhiDepartment of ICU, The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310000, China.
Mei-Fei ZhuDepartment of ICU, The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310000, China.
Li-Quan HuangDepartment of ICU, The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310000, China.
Ma-Hong HuDepartment of ICU, Tongde Hospital of Zhejiang, Tongde, Zhejiang Province, 310000, China.
Jun LuDepartment of ICU, Xinhua Hospital of Zhejiang, Hangzhou, 310000, China.
Kun FangDepartment of ICU, Zhejiang Integrated Traditional Chinese, and Western Medicine Hospital, Hangzhou, 310000, China.
Qiu-Yan WangDepartment of ICU, Hangzhou Hospital of Traditional Chinese Medical, Hangzhou, 310000, China.
Zhejiang University · CNHangzhou Hospital of Traditional Chinese Medicine · CNIntegrated Chinese Medicine (China) · CNTongde Hospital of Zhejiang Province · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether electroacupuncture (EA) would improve gastrointestinal function and clinical prognosis in patients with severe traumatic brain injury (TBI) complicocted by acute gastrointestinal injury (AGI).

methodsThis multicenter, single-blind trial included patients with TBI and AGI admitted to 5 Chinese hospitals from September 2018 to December 2019. A total of 500 patients were randomized to the control or acupuncture groups using a random number table, 250 cases in each group. Patients in the control group received conventional treatment, including mannitol, nutritional support, epilepsy and infection prevention, and maintenance of water, electrolytes, and acid-base balance. While patients in the acupuncture group received EA intervention at bilateral Zusanli (ST 36), Shangjuxu (ST 37), Xiajuxu (ST 39), Tianshu (ST 25), and Zhongwan (RN 12) acupoints in addition to the conventional treatment, 30 min per time, twice daily, for 7 d. The primary endpoint was 28-d mortality. The secondary endpoints were serum levels of D-lactic acid (D-lac), diamine oxidase (DAO), lipopolysaccharide (LPS), motilin (MTL) and gastrin (GAS), intra-abdominal pressure (IAP), bowel sounds, abdominal circumference, AGI grade, scores of gastrointestinal failure (GIF), Glasgow Coma Scale (GCS), Acute Physiology and Chronic Health Evaluation (APACHE II), Sequential Organ Failure Assessment (SOFA), and Multiple Organ Dysfunction Syndrome (MODS), mechanical ventilation time, intense care unit (ICU) stay, and the incidence of hospital-acquired pneumonia.

resultsThe 28-d mortality in the acupuncture group was lower than that in the control group (22.80% vs. 33.20%, P<0.05). Compared with the control group, the acupuncture group at 7 d showed lower GIF, APACHE II, SOFA, MODS scores, D-lac, DAO, LPS, IAP, and abdominal circumference and higher GCS score, MTL, GAS, and bowel sound frequency (all P<0.05). In addition, the above indices showed simillar changes at 7 d compared with days 1 and 3 (all P<0.05) in the EA group.

conclusionEarly EA can improve gastrointestinal function and clinical prognosis in patients with severe TBI complicated by AGI. (Registration No. ChiCTR2000032276).

Indexed as

Acupuncture TherapyBrain Injuries, TraumaticElectroacupunctureHumansLipopolysaccharidesSingle-Blind MethodLipopolysaccharidesacute gastrointestinal injuryelectroacupuncturemulticenterrandomized controlled trialtraumatic brain injury

Identifiers

PMID35508860
OpenAlexW4229056676

What OpenQuestion holds

Textmetadata
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.