Evidence map›Paper›PMID 36639628›Full record

ArticleBMC anesthesiology2023

Changes of cardiac output and velocity time integral in blood return at the end of renal replacement therapy predict fluid responsiveness in critically Ill patients with acute circulatory failure.

Daozheng Huang, Jie Ma, Shouhong Wang, Tiehe Qin, Feier Song, Tieying Hou, Huan Ma

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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 4 institutions in 1 country.

Daozheng Huang *Department of Critical Care Medicine, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Jie Ma *Department of Critical Care Medicine, Jiangmen Central Hospital, Jiangmen, 529000, China.
Shouhong WangDepartment of Critical Care Medicine, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Tiehe QinDepartment of Critical Care Medicine, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Feier SongThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510080, China. feiersong@126.com.
Tieying HouMedical Department, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China. houtieying@gdph.org.cn.
Huan MaDepartment of Critical Care Medicine, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China. mahuandoctor@163.com.
Southern Medical University · CNGuangdong Academy of Medical Sciences · CNGuangdong Provincial People's Hospital · CNJiangmen Central Hospital · CN

Funding

2020 National Natural Science Foundation of China start-up funding (youth project) KY012020267Medical Scientific Research Foundation of Guangdong Province A2018064National Clinical Key Specialty Construction Project of China 2012-649National Clinical Key Specialty Construction Project of China 2013-544
6 · The paper itself

Abstract

objectivesTo observe if blood return, also defined as the blood infusion test (BIT) could predict fluid responsiveness in critically ill patients with acute circulatory failure and renal replacement therapy (RRT).

methodsThis was a single-center, prospective, diagnostic accuracy study. Before BIT, the passive leg raise test (PLRT) was performed to record the change of cardiac output (ΔCO) by pulse contour analysis, and ΔCO >  = 10% was defined as the fluid responder. Meanwhile, the change in velocity time integral (ΔVTI) was recorded by ultrasound. Later, the ΔCO and ΔVTI during BIT were recorded 5-10 min after PLRT. The receiver-operating characteristic curves of ΔCO and ΔVTI of BIT were performed in predicting the fluid responder defined by PLRT.

resultsA total of 43 patients with acute circulatory failure undergoing RRT were enrolled in the present study, and 25 patients (58.1%) were recognized as responders during PLRT. According to the receiver-operating characteristic curves, the cutoff value of ΔCO was 10% and ΔVTI was 9% during BIT with the area under curve of 0.96 and 0.94, respectively.

conclusionsBIT in RRT could identify fluid responsiveness in critically ill patients with shock.

trial registrationChiCTR-DDD-17010534. Registered on 30/01/2017 (retrospective registration).

Indexed as

HemodynamicsShockCardiac OutputCritical IllnessFluid TherapyHumansProspective StudiesRenal Replacement TherapyRespiration, ArtificialRetrospective StudiesStroke VolumeBlood infusion testBlood returnCardiac outputFluid responsivenessPassive leg raiseVelocity time integral

Identifiers

PMID36639628
PMCPMC9840273
OpenAlexW4315977626

What OpenQuestion holds

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LicenceCC BY
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.