Evidence map›Paper›PMID 36294314›Full record

ArticleJournal of clinical medicine2022

Are Cirrhotic Patients Receiving Invasive Mechanical Ventilation at Risk of Abundant Microaspiration.

Clementine Levy, Alexandre Gaudet, Emmanuelle Jaillette, Jean Reignier, Guillaume Lassailly, Malika Balduyck, Emeline Cailliau, Anahita Rouze, Saad Nseir, On Behalf Of The Micro Cirrhosis Study Group

Open access · goldAbstract read
In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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.

Clementine LevyDepartment of Intensive Care Medicine, Critical Care Center, CHU Lille, 59000 Lille, France.ORCID 0000-0002-9205-0683
Alexandre GaudetDepartment of Intensive Care Medicine, Critical Care Center, CHU Lille, 59000 Lille, France.
Emmanuelle JailletteDepartment of Intensive Care Medicine, Critical Care Center, CHU Lille, 59000 Lille, France.
Jean ReignierDepartment of Intensive Care Medicine, CHU Nantes, 44000 Nantes, France.
Guillaume LassaillyDepartment of Hepatology & Gastroenterology, CHU Lille, 59000 Lille, France.
Malika BalduyckDepartment of Biochemistry, CHU Lille, 59000 Lille, France.
Emeline CailliauDepartment of Biostatistics, CHU Lille, 59000 Lille, France.ORCID 0000-0001-5343-6471
Anahita RouzeDepartment of Intensive Care Medicine, Critical Care Center, CHU Lille, 59000 Lille, France.
Saad NseirDepartment of Intensive Care Medicine, Critical Care Center, CHU Lille, 59000 Lille, France.ORCID 0000-0002-7618-0357
On Behalf Of The Micro Cirrhosis Study Group
Centre Hospitalier Universitaire de Lille · FRCentre National de la Recherche Scientifique · FRUniversité de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have identified cirrhosis as a risk factor for ventilator-associated pneumonia (VAP). The aim of our study was to determine the relationship between cirrhosis and abundant gastric-content microaspiration in intubated critically ill patients. We performed a matched cohort study using data from three randomized controlled trials on abundant microaspiration in patients under mechanical ventilation. Each cirrhotic patient was matched with three to four controls for gender, age ± 5 years and simplified acute physiology score II (SAPS II) ± 5 points. Abundant microaspiration was defined by significant levels of pepsin and alpha-amylase in >30% of tracheal aspirates. All tracheal aspirates were collected for the first 48 h of the study period. The percentage of patients with abundant gastric-content microaspiration was the primary outcome. The abundant microaspiration of oropharyngeal secretions, VAP incidence, the duration of mechanical ventilation, length of intensive care unit (ICU) stay and mortality were the secondary outcomes. A. total of 39 cirrhotic patients were matched to 138 controls. The percentage of patients with abundant gastric-content microaspiration did not differ between the two groups (relative risk: 0.91 (95% CI: 0.75 to 1.10)). There was no significant difference between the two groups in terms of the abundant microaspiration of oropharyngeal secretions, VAP, the duration of mechanical ventilation, the length of ICU stay and mortality. Our results suggest that cirrhosis is not associated with abundant gastric-content microaspiration.

Indexed as

cirrhosismicroaspirationventilator-associated pneumonia

Identifiers

PMID36294314
PMCPMC9604551
OpenAlexW4304587241

What OpenQuestion holds

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LicenceCC BY
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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.