Evidence map›Paper›PMID 36562487›Full record

ArticleJournal of veterinary internal medicine2023

Sepsis and survival in critically ill calves: Risk factors and antimicrobial use.

Mathilde L Pas, Jade Bokma, Thomas Lowie, Filip Boyen, Bart Pardon

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

5 authors at 1 institution in 1 country.

Mathilde L PasDepartment of Internal Medicine, Reproduction and Population Medicine, Ghent University, Merelbeke, Belgium.ORCID https://orcid.org/0000-0003-3546-1328
Jade BokmaDepartment of Internal Medicine, Reproduction and Population Medicine, Ghent University, Merelbeke, Belgium.
Thomas LowieDepartment of Internal Medicine, Reproduction and Population Medicine, Ghent University, Merelbeke, Belgium.
Filip BoyenDepartment of Pathobiology, Pharmacology and Zoological Medicine, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Bart PardonDepartment of Internal Medicine, Reproduction and Population Medicine, Ghent University, Merelbeke, Belgium.ORCID https://orcid.org/0000-0003-1026-8433
Ghent University · BE

Funding

Federale Overheidsdienst Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu; RATIOSEP RF 21/6351Fonds Wetenschappelijk Onderzoek, AUGE/15/05 G0H2516N
6 · The paper itself

Abstract

backgroundSepsis is a life-threatening disease for which critically important antimicrobials (CIA) frequently are used. Diagnostic and therapeutic guidelines for sepsis and critically ill calves are largely lacking.

objectivesIdentify factors associated with mortality in critically ill calves and describe bacteria obtained from blood cultures of critically ill calves with sepsis and their antimicrobial resistance. ANIMALS: Two-hundred thirty critically ill calves, mainly Belgian Blue beef cattle.

methodsRetrospective cohort study. Logistic regression, survival analysis, and decision tree analysis were used to determine factors associated with mortality.

resultsOf the critically ill calves, 34.3% had sepsis and 61.3% died. The final survival model indicated that calves with sepsis (hazard risk [HR]: 1.6; 95% confidence interval [CI]: 1.0-2.5; P = .05), abnormal behavior (HR: 2.3; 95% CI: 1.3-4.0; P = .005), and hypothermia (HR: 0.82; 95% CI: 0.72-0.95; P = .01) had a significantly higher mortality risk. In a second survival model, hypothermia (HR: 0.87; 95% CI: 0.78-0.96; P = .004) and hypoglycemia (HR: 2.2; 95% CI: 1.5-3.3; P < .001) were risk factors for mortality. Decision tree analysis emphasized the importance of behavior, hypochloremia, hypoglycemia, hyperkalemia, and lung ultrasonography for mortality risk. Escherichia coli (30.6%) was most frequently isolated from blood cultures, of which 90.9% were multidrug resistant. Inappropriate use of antimicrobials was frequent for penicillin, amoxicillin, and sulfamethoxazole/trimethoprim, but less for CIA. CONCLUSIONS AND CLINICAL IMPORTANCE: Many critically ill calves have sepsis, which increases mortality risk. Bacteria involved are often resistant to first-intention antimicrobials but less resistant to CIA. The other identified risk factors for mortality can support therapeutic decision-making.

Indexed as

Anti-Infective AgentsCattle DiseasesHypoglycemiaHypothermiaSepsisAnimalsCattleCritical IllnessEscherichia coliRetrospective StudiesRisk FactorsAnti-Infective Agentsantimicrobial resistancecattlecritically important antimicrobialsmortality

Identifiers

PMID36562487
PMCPMC9889718
OpenAlexW4312179277

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.