Evidence map›Paper›PMID 38343680›Full record

ArticleIndian journal of anaesthesia2023

Role of

Khushboo Saran, Swathy S Iyengar, Nitesh Sinha, Kumar Abhishek, Amit Kumar, Jay Prakash

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Frontiers in immunology · 2024
    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

6 authors.

Khushboo SaranDepartment of Pathology, Gandhi Nagar Hospital, Central Coalfields Limited, Kanke, Ranchi, Jharkhand, India.ORCID https://orcid.org/0000-0001-6106-8445
Swathy S IyengarDepartment of Neuroanaesthesia, People Tree Institute of Neurosciences, Bengaluru, Karnataka, India.ORCID https://orcid.org/0009-0007-4573-1586
Nitesh SinhaDepartment of Cardiac Anaesthesia, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.ORCID https://orcid.org/0000-0002-1229-1234
Kumar AbhishekDepartment of Trauma Critical Care, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.ORCID https://orcid.org/0009-0008-9515-4171
Amit KumarDepartment of Laboratory Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.ORCID https://orcid.org/0000-0003-0970-5333
Jay PrakashDepartment of Critical Care Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.ORCID https://orcid.org/0000-0002-5290-3848

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Sepsis-induced immunosuppression appears to be reversible with immunomodulatory drugs. Methods: The databases (PubMed, Google Scholar, Web of Science, and Cochrane Library), along with preprint servers until June 2023, were searched. The methodology was evaluated using the 'Cochrane Collaboration risk of bias-2 tool' for RCT. The study included patients more than 18 years of age with sepsis within 48 h of first organ dysfunction. The primary outcome was 28-day mortality, and secondary outcomes were the length of stay in the intensive care unit (ICU), days on vasopressor support, ventilator-associated pneumonia (VAP), secondary infections, catheter-related bloodstream infections (CRBSI), and the delta sequential organ failure assessment (SOFA) score. Results: The meta-analysis included two studies with 252 participants. In a pooled analysis, mortality in the MIP group was 43% lower than in the control (RR: 0.57, 95%CI: 0.33-1); however, this difference was statistically not significant. We observed the days on a vasopressor day (standardised mean difference [SMD]: 0.38; 95%CI: -1.20 to 0.44), length of ICU stay (SMD: 0.46; 95%CI: -1.44 to 0.51), secondary infection (RR: 0.75; 95%CI: 0.19-3.01), VAP (RR: 0.6; 95%CI: 0.28-1.56), CRBSI (RR: 0.97, 95%CI: 0.14-6.98), delta SOFA score (SMD: 0.88, 95%CI: -1.66 to - 0.10) between the two groups. Conclusions: Our findings observed preliminary evidence in the trends for a positive association of MIP with better outcomes in sepsis patients.

Indexed as

Catheter-related bloodstream infectionsmeta-analysismortalityMycobacterium indicus praniiMycobacterium welchiisepsissequential organ failure assessment score systematic reviewvasopressorventilator-associated pneumonia

Identifiers

PMID38343680
PMCPMC10858690

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.