Evidence map›Paper›PMID 36597167›Full record

Trial reportTrials2023

The effects of adjunctive treatment with L-carnitine on monitoring laboratory variables in ICU patients: a double-blinded randomized controlled clinical trial.

Farveh Yahyapoor, Mahdi Keshani, Alireza Sedaghat, Awat Feizi, Cain C T Clark, Mohammad Bagherniya, Mohammad Safarian, Mohaddeseh Badpeyma, Abdolreza Norouzy

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. 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

9 authors at 4 institutions in 2 countries.

Farveh YahyapoorDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mahdi KeshaniFood Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Alireza SedaghatDepartment of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Awat FeiziBiostatistics and Epidemiology Department, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Cain C T ClarkCentre for Intelligent Healthcare, Coventry University, Coventry, CV1 5FB, UK.
Mohammad BagherniyaFood Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohammad SafarianDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohaddeseh BadpeymaStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Abdolreza NorouzyDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. NorouzyA@mums.ac.ir.ORCID http://orcid.org/0000-0001-6740-5502
Mashhad University of Medical Sciences · IRIsfahan University of Medical Sciences · IRIntelligent Health (United Kingdom) · GBTabriz University of Medical Sciences · IR

Funding

Mashhad University of Medical Sciences 960787
6 · The paper itself

Abstract

backgroundCritically ill patients must be monitored constantly in intensive care units (ICUs). Among many laboratory variables, nutritional status indicators are a key role in the prognosis of diseases. We investigated the effects of L-carnitine adjunctive therapy on monitoring variables in critical illness.

methodA prospective, double-blind, randomized controlled trial was implemented in a medical ICU. Participants were 54 patients, aged > 18 years, with multiple conditions, randomly assigned to receive 3 g L-carnitine per day or placebo, along with enteral feeding, for 1 week. Primary outcomes included monitoring variables related to nutritional status.

resultOf 54 patients randomly assigned, 51 completed the trial. Serum albumin (Alb) (P-value: 0.001), total protein (P-value: 0.003), and calcium (Ca) (0.044) significantly increased in the intervention vs. control group. Alanine transaminase (ALT) (0.022), lactate (<0.001), creatinine (Cr) (0.005), and international normalized ratio (INR) (0.049) decreased meaningfully in the intervention vs. control group.

conclusionL-Carnitine supplementation in critically ill patients can improve several parameters including INR, Cr, ALT, lactate, Ca, Alb, and total protein.

trial registrationIranian Registry of Clinical Trials IRCT 20151108024938N2. This trial was approved by the Research Ethics Committee of Mashhad University of Medical Sciences (registration code: IR.MUMS.fm.REC.1396.671) (available at https://en.irct.ir/trial/30748 , May 2018).

Indexed as

COVID-19CarnitineCritical IllnessHumansIntensive Care UnitsIranLactatesProspective StudiesSARS-CoV-2CarnitineLactatesICUL-CarnitineMonitoring variableNutritional statusSupplementation

Identifiers

PMID36597167
PMCPMC9808964
OpenAlexW4313522145

What OpenQuestion holds

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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.