Evidence map›Paper›PMID 38340262›Full record

ReviewInternational urology and nephrology2024

Alactic base excess (ABE): a novel internal milieu parameter-its concept and clinical importance.

Md Hoque, Jason Nagourney, Thomas Pawlowski, Joaquin Cantos, Gustavo Aroca-Martinez, Ivan Huespe, Carlos G Musso

Abstract readReview
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In one paragraph

Review in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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 3 institutions in 3 countries.

Md Hoque *University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Jason Nagourney *University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Thomas Pawlowski *University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Joaquin CantosIntensive Care Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Gustavo Aroca-MartinezFacultad de Ciencias de La Salud, Universidad Simon Bolivar, Barranquilla, Colombia.
Ivan HuespeIntensive Care Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Carlos G MussoFacultad de Ciencias de La Salud, Universidad Simon Bolivar, Barranquilla, Colombia. carlos.musso@hospitalitaliano.org.ar.ORCID http://orcid.org/0000-0001-8666-1130
Hospital Italiano de Buenos Aires · ARUniversity of Rochester · USUniversidad Simón Bolívar · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inspired by the Stewart-Figge acid-base approach, Gattinoni et al. recently introduced a new internal milieu parameter known as alactic base excess (ABE). The authors defined ABE as the sum of lactate and standard base excess. In the context of sepsis, ABE has been proposed as a valuable marker to discern between metabolic acidosis resulting from the accumulation of lactate and the retention of fixed acids, which can occur in cases of renal failure. Multiple studies have demonstrated that a negative ABE value (<-3 mmol/L) represents an early marker of renal dysfunction, and significantly correlates with higher mortality rates in septic patients. In conclusion, ABE is a simple and useful parameter that can be used to better interpret a patient's acid-base status, assess renal function, and general prognosis in sepsis. By incorporating ABE into clinical practice, healthcare professionals can enhance their understanding of the complex acid-base imbalances in their patients and tailor more individualized, effective treatment plans.

Indexed as

Acid-Base EquilibriumAcid-Base ImbalanceSepsisAcidosisBiomarkersClinical RelevanceHumansLactic AcidPrognosisBiomarkersLactic AcidAcute kidney injuryAlactic base excessBiomarkerSepsisStrong ion difference

Identifiers

PMID38340262
OpenAlexW4391721783

What OpenQuestion holds

Textmetadata
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.