Evidence map›Paper›PMID 36558947›Full record

ReviewPharmaceuticals (Basel, Switzerland)2022

Lactic Acidosis Related to Pharmacotherapy and Human Diseases.

Christian Zanza, Valentina Facelli, Tastiana Romenskaya, Maria Bottinelli, Giorgia Caputo, Andrea Piccioni, Francesco Franceschi, Angela Saviano, Veronica Ojetti, Gabriele Savioli and 1 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06121908 (Role of Blood Lactate Level in Prediction of Outcome of Cirrhotic Patients at The Intensive Care Unit), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.8field-weighted citation impact, top 3% 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.

NCT06121908 unknown statusnot on this mapstarted 2023, after this paper: background citation

Role of Blood Lactate Level in Prediction of Outcome of Cirrhotic Patients at The Intensive Care Unit

TypeobservationalSponsorAssiut UniversityRan2023 to 2024Enrolled50ConditionsLiver Cirrhosis
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
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  17. Predictive Value of Normalized Lactate Load for Patients with Acute Type A Aortic Dissection: Based on the MIMIC-IV Database.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2025
    Article
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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

11 authors at 4 institutions in 1 country.

Christian ZanzaFoundation "Ospedale Alba-Bra Onlus," Department of Emergency Medicine, Anesthesia and Critical Care Medicine, Michele and Pietro Ferrero Hospital,12060 Verduno, Italy.
Valentina FacelliDepartment of Anesthesia and Critical Care Medicine, Azienda Ospedaliera "SS Antonio e Biagio e C. Arrigo", 15121 Alessandria, Italy.
Tastiana RomenskayaDepartment of Physiology and Pharmacology, Sapienza University of Rome, 00185 Rome, Italy.
Maria BottinelliDepartment of Anesthesia and Critical Care Medicine, Azienda Ospedaliera "SS Antonio e Biagio e C. Arrigo", 15121 Alessandria, Italy.
Giorgia CaputoDepartment of Anesthesia and Critical Care Medicine, Azienda Ospedaliera "SS Antonio e Biagio e C. Arrigo", 15121 Alessandria, Italy.
Andrea PiccioniDepartment of Emergency Medicine, Policlinico Agostino Gemelli, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0001-5703-8737
Francesco FranceschiDepartment of Emergency Medicine, Policlinico Agostino Gemelli, Catholic University of Sacred Heart, 00168 Rome, Italy.
Angela SavianoDepartment of Emergency Medicine, Policlinico Agostino Gemelli, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0002-2820-7180
Veronica OjettiDepartment of Emergency Medicine, Policlinico Agostino Gemelli, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0002-8953-0707
Gabriele SavioliEmergency Department, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435
Yaroslava LonghitanoFoundation "Ospedale Alba-Bra Onlus," Department of Emergency Medicine, Anesthesia and Critical Care Medicine, Michele and Pietro Ferrero Hospital,12060 Verduno, Italy.ORCID 0000-0001-8831-1361
Agostino Gemelli University Polyclinic · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITSapienza University of Rome · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lactic acidosis represents one of the most common conditions that can compromise the health of intensive care unit (ICU) patients, increasing the mortality of patients with high levels of Lactate who do not receive a proper treatment within the first 6 h of hospitalization. There are two enantiomers of lactic acid: L-lactic acid (when the concentration increases, it can lead to a state of severe acidemia risking cardiovascular collapse, causing an increase in mortality in ICU patients) and D lactic acid (produced in the human organism by microbiota and its production increases during some pathological status). Generally, increased levels of serum lactic acid could be due to numerous factors, including hypoxia (caused for example by septic/cardiogenic/hypovolemic or obstructive shock), specific pathologies (e.g., liver disease), use of some drugs (e.g., metformin), presence of toxins, and trauma. Since the underlying cause could be fatal for the ICU patient, it is important to understand the root of this clinical status with a view to correct it and prevent the risk of a poor clinical outcome. Prevention and early treatment are the keys to control the negative clinical consequences. The aim of this review is to revise the scientific literature for further confirmation about the importance of early identification of acidotic statuses and to underline how an early diagnosis can prevent the worst clinical outcome, especially for ICU patients who are more fragile compared to the general population.

Indexed as

acid-base and liver pathologyacid-base equilibriumdiseased-lactic acid metabolitedrugshyperlactatemiaillnesslactic acidosisl-lactic acidosisl-lactic acidosis and diseasel-lactic acidosis and medicationsmedications

Identifiers

PMID36558947
PMCPMC9787936
OpenAlexW4311005651

What OpenQuestion holds

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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.