Evidence map›Paper›PMID 38740497›Full record

Observational studyBMJ open2024

Association between septic shock and tracheal injury score in intensive care unit patients with invasive ventilation: a prospective single-centre cohort study in China.

Pei Zhang, Qilin Yang, Chunhua Yin, Zhigang Cai, Huaihai Lu, Haitao Li, Liwen Li, Ye Tian, Long Bai, Lining Huang

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Pei ZhangDepartment of Anesthesiology and Intensive Care, The Second Hospital of Hebei Medical University, Shijiazhuang, China.ORCID 0000-0002-4776-6084
Qilin YangDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Chunhua YinDepartment of Anesthesiology and Intensive Care, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Zhigang CaiDepartment of Respiratory Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Huaihai LuDepartment of Anesthesiology and Intensive Care, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Haitao LiDepartment of Respiratory Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Liwen LiDepartment of Anesthesiology and Intensive Care, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Ye TianDepartment of Anesthesiology and Intensive Care, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Long BaiDepartment of Anesthesiology and Intensive Care, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Lining HuangDepartment of Anesthesiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China 27701226@hebmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere was no evidence regarding the relationship between septic shock and tracheal injury scores. Investigate whether septic shock was independently associated with tracheal injury scores in intensive care unit (ICU) patients with invasive ventilation.

designProspective observational cohort study.

settingOur study was conducted in a Class III hospital in Hebei province, China.

participantsPatients over 18 years of age admitted to the ICU between 31 May 2020 and 3 May 2022 with a tracheal tube and expected to be on the tube for more than 24 hours. PRIMARY AND SECONDARY OUTCOME MEASURES: Tracheal injuries were evaluated by examining hyperaemia, ischaemia, ulcers and tracheal perforation by fiberoptic bronchoscope. Depending on the number of lesions, the lesions were further classified as moderate, severe or confluent.

resultsAmong the 97 selected participants, the average age was 56.6±16.5 years, with approximately 64.9% being men. The results of adjusted linear regression showed that septic shock was associated with tracheal injury scores (β: 2.99; 95% CI 0.70 to 5.29). Subgroup analysis revealed a stronger association with a duration of intubation ≥8 days (p=0.013).

conclusionPatients with septic shock exhibit significantly higher tracheal injury scores compared with those without septic shock, suggesting that septic shock may serve as an independent risk factor for tracheal injury. TRIAL REGISTRATION NUMBER: ChiCTR2000037842, registered 03 September 2020. Retrospectively registered, https://www.chictr.org.cn/edit.aspx?pid=57011&htm=4.

Indexed as

Intensive Care UnitsIntubation, IntratrachealRespiration, ArtificialShock, SepticTracheaAdultAgedBronchoscopyChinaFemaleHumansMaleMiddle AgedProspective Studiesadult intensive & critical careclinical trialintensive & critical care

Identifiers

PMID38740497
PMCPMC11097891

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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.