Evidence map›Paper›PMID 37596376›Full record

ReviewHormones (Athens, Greece)2023

Temporary hypothyroidism in severe crush syndrome: a potential novel entity.

Ahmet Burak Dirim, Gamze Ergun Sezer, Emine Uzun, Murvet Yilmaz

Abstract readReview
PubMed Publisher
In one paragraph

Review in Hormones (Athens, Greece), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 2 countries.

Ahmet Burak DirimDepartment of Nephrology, University of Health Sciences, Bakırkoy Dr. Sadi Konuk Education and Research Hospital, Zuhuratbaba, Tevfik Sağlam Avenue, No: 11, Bakırkoy, 34147, Istanbul, Turkey. ahmetburakdirim@gmail.com.ORCID http://orcid.org/0000-0003-2262-8627
Gamze Ergun SezerDepartment of Nephrology, University of Health Sciences, Bakırkoy Dr. Sadi Konuk Education and Research Hospital, Zuhuratbaba, Tevfik Sağlam Avenue, No: 11, Bakırkoy, 34147, Istanbul, Turkey.
Emine UzunDepartment of Nephrology, University of Health Sciences, Bakırkoy Dr. Sadi Konuk Education and Research Hospital, Zuhuratbaba, Tevfik Sağlam Avenue, No: 11, Bakırkoy, 34147, Istanbul, Turkey.
Murvet YilmazDepartment of Nephrology, University of Health Sciences, Bakırkoy Dr. Sadi Konuk Education and Research Hospital, Zuhuratbaba, Tevfik Sağlam Avenue, No: 11, Bakırkoy, 34147, Istanbul, Turkey.
Bakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi · TRUniversity of Health Science · KH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThyroid hormone synthesis is a complex process in the human body. Although the thyroid gland is essential for thyroid hormone synthesis, skeletal muscles also have crucial roles in thyroid hormone metabolism due to the deiodinase activities of the muscle cells. Hypothyroidism-related myopathy is a well-known entity. However, systemic effects of acute myopathies, such as rhabdomyolysis, on thyroid hormone metabolism have not to date been fully clarified.

methodsFifty-three earthquake victims were evaluated retrospectively. We investigated the thyroid function tests (TFTs) among patients with creatine kinase (CK) levels higher than 10.000 U/L at admission. Fifteen patients had CK levels higher than 10.000 U/L and 12 of them had data of TFTs, including thyroid stimulating hormone (TSH), free T4 (FT4), and free T3 (FT3) during hospitalization. These patients were evaluated.

resultsTSH levels were increased in all seven patients who required HD due to severe crush syndrome. Decreased FT4 levels were detected in 71.4% of them. None of the five non-HD patients had increased TSH levels or reduced FT4 levels. During follow-up, all patients survived. Renal and thyroid functions were normalized during follow-up without thyroxin replacement in patients with no prior history of hypothyroidism. Moreover, TFTs were normalized in two patients with history of hypothyroidism under thyroxine treatment without dose adjustments.

conclusionsIn severe forms of crush syndrome, temporary hypothyroidism might be seen. The exact mechanism underlying this entity is not well-known. Further clinical and experimental trials should be conducted to illuminate the mechanism of disrupted thyroid hormonogenesis in crush syndrome victims.

Indexed as

Congenital HypothyroidismCrush SyndromeHumansHypertrophyMuscle, SkeletalMuscular DiseasesRetrospective StudiesThyroid HormonesThyrotropinThyroxineTriiodothyronineThyroid HormonesThyrotropinThyroxineTriiodothyronineCrush syndromeHypothyroidismRhabdomyolysisThyroid

Identifiers

PMID37596376
OpenAlexW4385970499

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.