Evidence map›Paper›PMID 38662672›Full record

Observational studyPloS one2024

Identifying predictors and determining mortality rates of septic cardiomyopathy and sepsis-related cardiogenic shock: A retrospective, observational study.

Kathryn W Hendrickson, Meghan M Cirulis, Rebecca E Burk, Michael J Lanspa, Ithan D Peltan, Hunter Marshall, Danielle Groat, Al Jephson, Sarah J Beesley, Samuel M Brown

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2024. 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. Review
  3. Review
  4. Review
  5. 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

10 authors.

Kathryn W HendricksonThe Oregon Clinic Department of Pulmonary, Critical Care, and Sleep Medicine East, Portland, OR, United States of America.ORCID 0000-0002-7790-9023
Meghan M CirulisDivision of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT, United States of America.
Rebecca E BurkRenown Medical Group Department of Pulmonary and Critical Care Medicine, Reno, NV, United States of America.
Michael J LanspaDivision of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT, United States of America.
Ithan D PeltanDivision of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT, United States of America.
Hunter MarshallDivision of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT, United States of America.
Danielle GroatDivision of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT, United States of America.
Al JephsonDivision of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT, United States of America.
Sarah J BeesleyDivision of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT, United States of America.ORCID 0000-0002-5292-2010
Samuel M BrownDivision of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT, United States of America.

Funding

Measuring and Learning from Care Variation in SepsisR35GM151147 · NIGMS · IHC HEALTH SERVICES, INC. · PI Ithan Daniel Peltan · 2023 to 2026
$1.5M
Prehospital Activation of ED Teams to Improve Sepsis CareK23GM129661 · NIGMS · IHC HEALTH SERVICES, INC. · PI PELTAN, ITHAN DANIEL · 2019 to 2023
$786k
NIGMS NIH HHS K23 GM129661NIGMS NIH HHS R35 GM151147
6 · The paper itself

Abstract

introductionSeptic shock is a severe form of sepsis that has a high mortality rate, and a substantial proportion of these patients will develop cardiac dysfunction, often termed septic cardiomyopathy (SCM). Some SCM patients may develop frank cardiac failure, termed sepsis-related cardiogenic shock (SeRCS). Little is known of SeRCS. This study describes baseline characteristics of patients with SCM and SeRCS compared to patients with septic shock without cardiac dysfunction. We compare clinical outcomes among SCM, SeRCS, and septic shock, and identify risk factors for the development of SCM and SeRCS.

methodsSeptic patients admitted to the ICU with an echocardiogram obtained within 72 hours were included. Left ventricular ejection fraction of ≤55% was used to define SCM, and cardiac index ≤2.1 L/min/m2 among patients with SCM defined SeRCS. Machine learning was used to identify risk factors for development of SCM and SeRCS. Logistic regression was used to compare mortality among groups.

resultsAmong 1229 patients, 977 patients had septic shock without cardiac dysfunction, 207 had SCM, and 45 had SeRCS. In patients with septic shock, the strongest predictor for developing SCM and SeRCs was a prior history of cardiac dysfunction. Mortality did not significantly differ among the three groups.

conclusionsSCM and SeRCS affect a minority of patients with septic shock, disproportionately affecting individuals with a history of cardiac disease. We did not identify a mortality difference associated with SCM or SeRCS. Additional work is needed to define further subtypes and treatment options for this patient population.

Indexed as

CardiomyopathiesShock, CardiogenicShock, SepticAgedAged, 80 and overEchocardiographyFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSepsis

Identifiers

PMID38662672
PMCPMC11045062

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.