Evidence map›Paper›PMID 37197520›Full record

ArticleJournal of thoracic disease2023

Efficacy and safety of colistin sulfate in the treatment of infections caused by carbapenem-resistant organisms: a multicenter retrospective cohort study.

Danyang Peng, Fan Zhang, Yinyin Chen, Congyi Zhao, Jingjing Niu, Jianxu Yang, Zhifeng Li, Chao Chen, Shi Qiu, Huifeng Zhang and 5 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Review
  10. Article
  11. Observational
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

15 authors.

Danyang PengDepartment of Critical Care Medicine, Henan University People's Hospital, Zhengzhou, China.
Fan ZhangDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Yinyin ChenDepartment of Critical Care Medicine, Henan University People's Hospital, Zhengzhou, China.
Congyi ZhaoDepartment of Critical Care Medicine, Henan University People's Hospital, Zhengzhou, China.
Jingjing NiuDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Jianxu YangDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Zhifeng LiDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Chao ChenDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Shi QiuDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Huifeng ZhangDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Bingyu QinDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Xiang FangDepartment of Pulmonary and Critical Care Medicine, Chest Hospital of Henan Province, Zhengzhou, China.
Suping GuoDepartment of Cardiac Intensive Care Unit, Fuwai Central China Cardiovascular Hospital, Henan Provincial People's Hospital, Zhengzhou, China.
Ying LiuDepartment of Critical Medicine, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Huanzhang ShaoDepartment of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Polymyxins have become an important treatment option for carbapenem-resistant organisms (CRO) infections. However, there is a rare of clinical studies on colistin sulfate. This study sought to investigate the rate of clinical improvement and adverse reactions of colistin sulfate in the treatment of severe infections caused by CRO in critically ill patients and assess the factors associated with 28-day all-cause mortality. Methods: This multicenter retrospective cohort study included intensive care unit (ICU) patients who received colistin sulfate due to CRO infections during July 2021 and May 2022. The primary endpoint was clinical improvement at end of therapy. Secondary endpoints included adverse reactions bacterial clearance rate and 28-day all-cause mortality. Results: A total of 122 patients, who were included between July 2021 and May 2022, were included in this study, of whom 86 (70.5%) showed clinical improvement and 36 (29.5%) showed clinical failure. The comparison of the clinical data of the patients showed that the median sequential organ failure assessment (SOFA) score was higher in the failure group than the improvement group {9.5 [7, 11] Conclusions: Colistin sulfate is a reasonable choice for the treatment of CRO infections in the current treatment options are limited. The possible kidney injury caused by the colistin sulfate requires intensive monitoring.

Indexed as

28-day all-cause mortalityadverse reactionsCarbapenem-resistant organisms (CRO)clinical improvementcolistin sulfate

Identifiers

PMID37197520
PMCPMC10183486

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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.