Evidence map›Paper›PMID 35887706›Full record

ReviewJournal of clinical medicine2022

Pathophysiology and Therapy of High-Altitude Sickness: Practical Approach in Emergency and Critical Care.

Gabriele Savioli, Iride Francesca Ceresa, Giulia Gori, Federica Fumoso, Nicole Gri, Valentina Floris, Angelica Varesi, Ermelinda Martuscelli, Sara Marchisio, Yaroslava Longhitano and 5 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Altitude hypoxia and hypoxemia: pathogenesis and management.Signal transduction and targeted therapy · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Adjustment Criteria for Air-Quality Standards by Altitude: A Scoping Review with Regulatory Overview.International journal of environmental research and public health · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review
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

15 authors.

Gabriele SavioliDepartment of Emergency Medicine and Surgery, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435
Iride Francesca CeresaDepartment of Emergency, Ospedale Civile, 27029 Vigevano, Italy.ORCID 0000-0001-5460-4625
Giulia GoriDepartment of Internal Medicine, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-8090-8945
Federica FumosoDepartment of Internal Medicine, University of Pavia, 27100 Pavia, Italy.
Nicole GriSchool of Medicine, University of Pavia, 27100 Pavia, Italy.
Valentina FlorisSchool of Medicine, University of Pavia, 27100 Pavia, Italy.
Angelica VaresiSchool of Medicine, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-1246-2320
Ermelinda MartuscelliDepartment of Emergency Medicine (ASL AL), San Giacomo Hospital, 15067 Novi Ligure, Italy.
Sara MarchisioDepartment of Emergency Medicine (ASL AL), San Giacomo Hospital, 15067 Novi Ligure, Italy.
Yaroslava LonghitanoDepartment of Emergency Medicine (ASL AL), San Giacomo Hospital, 15067 Novi Ligure, Italy.ORCID 0000-0001-8831-1361
Giovanni RicevutiDepartment of Drug Science, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0003-3422-2747
Ciro EspositoNephrology and Dialysis Unit, ICS Maugeri, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-7906-1097
Guido CaironiRegistered Nurse Supporting Prehospital Emergency Service ASST 118, 22100 Como, Italy.
Guido GiardiniNeurology and Stroke Unit, Ospedale Regionale "U.Parini", 11100 Aosta, Italy.
Christian ZanzaDepartment of Emergency Medicine (ASL AL), San Giacomo Hospital, 15067 Novi Ligure, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High altitude can be a hostile environment and a paradigm of how environmental factors can determine illness when human biological adaptability is exceeded. This paper aims to provide a comprehensive review of high-altitude sickness, including its epidemiology, pathophysiology, and treatments. The first section of our work defines high altitude and considers the mechanisms of adaptation to it and the associated risk factors for low adaptability. The second section discusses the main high-altitude diseases, highlighting how environmental factors can lead to the loss of homeostasis, compromising important vital functions. Early recognition of clinical symptoms is important for the establishment of the correct therapy. The third section focuses on high-altitude pulmonary edema, which is one of the main high-altitude diseases. With a deeper understanding of the pathogenesis of high-altitude diseases, as well as a reasoned approach to environmental or physical factors, we examine the main high-altitude diseases. Such an approach is critical for the effective treatment of patients in a hostile environment, or treatment in the emergency room after exposure to extreme physical or environmental factors.

Indexed as

acclimatizationacute mountain sicknessemergency medicinehigh-altitude cerebral edemahigh-altitude pulmonary edemahigh mountainhostile environmental medicine

Identifiers

PMID35887706
PMCPMC9325098

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.