Evidence map›Paper›PMID 38500519›Full record

ArticleJAC-antimicrobial resistance2024

Factors influencing voriconazole plasma level in intensive care patients.

Christopher Alexander Hinze, Jan Fuge, Denis Grote-Koska, Korbinian Brand, Hortense Slevogt, Markus Cornberg, Susanne Simon, Oana Joean, Tobias Welte, Jessica Rademacher

Open access · goldAbstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
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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

10 authors at 2 institutions in 1 country.

Christopher Alexander HinzeDepartment of Respiratory Medicine and Infectious Disease, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0009-0001-2397-7805
Jan FugeBiomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), German Center for Lung Research (DZL), Hannover, Germany.
Denis Grote-KoskaInstitute of Clinical Chemistry, Hannover Medical School, Hannover, Germany.
Korbinian BrandInstitute of Clinical Chemistry, Hannover Medical School, Hannover, Germany.
Hortense SlevogtDepartment of Respiratory Medicine and Infectious Disease, Hannover Medical School, Hannover, Germany.
Markus CornbergDepartment of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Centre for Individualized Infection Medicine, Hannover, Germany.
Susanne SimonDepartment of Respiratory Medicine and Infectious Disease, Hannover Medical School, Hannover, Germany.
Oana JoeanDepartment of Respiratory Medicine and Infectious Disease, Hannover Medical School, Hannover, Germany.
Tobias WelteDepartment of Respiratory Medicine and Infectious Disease, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-9947-7356
Jessica RademacherDepartment of Respiratory Medicine and Infectious Disease, Hannover Medical School, Hannover, Germany.
Medizinische Hochschule Hannover · DEGerman Center for Lung Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In clinical routine, voriconazole plasma trough levels ( Objectives: To determine the distribution and influencing factors on voriconazole blood levels of patients treated on intensive- or intermediate care units (ICU/IMC). Patients and methods: Data were collected retrospectively from patients with at least one voriconazole trough plasma level on ICU/IMC ( Results: Of 153 patients, only 71 (46%) reached the target range at the first therapeutic drug monitoring, whereas 66 (43%) patients experienced too-low and 16 (10%) too-high plasma levels. Ordinal logistic regression analysis identified the use of extra corporeal membrane oxygenation (ECMO), low international normalized ratio (INR) and aspartate-aminotransferase (AST) serum levels as predictors for too-low plasma levels. Conclusion: Our data highlight an association of ECMO, INR and AST levels with voriconazole plasma levels, which should be considered in the care of critically ill patients to optimize antifungal therapy with voriconazole.

Identifiers

PMID38500519
PMCPMC10946233
OpenAlexW4393064348

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.