Evidence map›Paper›PMID 36215232›Full record

Observational studyPloS one2022

Absorption rate of subcutaneously infused fluid in ill multimorbid older patients.

Mathias Brix Danielsen, Lars Jødal, Johannes Riis, Jesper Scott Karmisholt, Óskar Valdórsson, Martin Gronbech Jørgensen, Stig Andersen

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04536324 (The Absorption Rate of Subcutaneous Infused Fluid in Both Acutely Ill and Healthy Older Adults), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 39% 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.

NCT04536324 completednot on this map

The Absorption Rate of Subcutaneous Infused Fluid in Both Acutely Ill and Healthy Older Adults

TypeobservationalSponsorAalborg University HospitalRan2020 to 2020Enrolled6ConditionsAged, 75 and Over, Aged, Hypodermoclysis, Fluid TherapyArmsSubcutaneous parenteral hydration
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. 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 1 institution in 1 country.

Mathias Brix DanielsenDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0001-7431-5257
Lars JødalDepartment of Nuclear Medicine, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0002-6811-0172
Johannes RiisDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.
Jesper Scott KarmisholtDepartment of Clinical Medicine, Aalborg University Hospital, Aalborg, Denmark.
Óskar ValdórssonDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.
Martin Gronbech JørgensenDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.
Stig AndersenDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.
Aalborg University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubcutaneous (SC) hydration is a valuable method for treating dehydration in the very old patients. Data are absent on the absorption rate, and the availability of SC infused fluid in the circulation in this group of patients where SC hydration is particularly relevant.

methodsWe performed an explorative study on ill very old (range 78-84 years old) geriatric patients with comorbidities who received an SC infusion of 235 ml isotonic saline containing a technetium-99m pertechnetate tracer. The activity over the infusion site was measured using a gamma detector to assess the absorption rate from the SC space. The activity was measured initially every 5 minutes, with intervals extended gradually to 15 minutes. Activity in blood samples and the thyroid gland was measured to determine the rate of availability in the circulation.

resultsSix patients were included. The mean age was 81 years (SD 2.1), the number of comorbidities was 4.6 (SD 1.3), and the Tilburg frailty indicator was 3.8 (SD 2.4). When the infusion was completed after 60 minutes, 53% (95% CI 50-56%) of the infused fluid was absorbed from the SC space, with 88% (95% CI 86-90%) absorbed one hour later. The absorption rate from the SC space right after the completion of the infusion was 127 ml/h (95% CI 90-164 ml/h). The appearance of the fluid into the blood and the thyroid gland verified the transfer from SC to circulation.

conclusionThis first explorative study of absorption of SC infused fluid in the very old found an acceptable amount of fluid absorbed from the SC space into the circulation one hour after infusion had ended. Results are uniform but should be interpreted cautiously due to the low sample size.

trial registrationClinicalTrials.gov Identifier: NCT04536324.

Indexed as

Sodium Pertechnetate Tc 99mTechnetiumAgedAged, 80 and overHumansHypodermoclysisInfusions, ParenteralSodium Pertechnetate Tc 99mTechnetium

Identifiers

PMID36215232
PMCPMC9550057
OpenAlexW4304092604

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.