Evidence map›Paper›PMID 38863355›Full record

ArticleAcute and critical care2024

Are sodium-glucose co-transporter-2 inhibitors associated with improved outcomes in diabetic patients admitted to intensive care units with septic shock?

Nikita Ashcherkin, Abdelmohaymin A Abdalla, Simran Gupta, Shubhang Bhatt, Claire I Yee, Rodrigo Cartin-Ceba

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Article in Acute and critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nikita AshcherkinDepartment of Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA.
Abdelmohaymin A AbdallaDepartment of Pulmonary and Critical Care, Mayo Clinic, Scottsdale, AZ, USA.
Simran GuptaDepartment of Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA.
Shubhang BhattDepartment of Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA.
Claire I YeeDepartment of Quantitative Health Science Research, Mayo Clinic, Scottsdale, AZ, USA.
Rodrigo Cartin-CebaDepartment of Pulmonary and Critical Care, Mayo Clinic, Scottsdale, AZ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSodium-glucose cotransporter-2 inhibitors (SGLT2i) have been shown to reduce organ dysfunction in renal and cardiovascular disease. There are limited data on the role of SGLT2i in acute organ dysfunction. We conducted a study to assess the effect of SGLT2i taken prior to intensive care unit (ICU) admission in diabetic patients admitted with septic shock.

methodsThis retrospective cohort study used electronic medical records and included diabetic patients admitted to the ICU with septic shock. We compared diabetic patients on SGLT2i to those who were not on SGLT2i prior to admission. The primary outcome was in-hospital mortality, and secondary outcomes included hospital and ICU length of stay, use of renal replacement therapy, and 28- and 90-day mortality.

resultsA total of 98 diabetic patients was included in the study, 36 in the SGLT2i group and 62 in the non-SGLT2i group. The Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation III scores were similar in the groups. Inpatient mortality was significantly lower in the SGLT2i group (5.6% vs. 27.4%, P=0.008). There was no significant difference in secondary outcomes.

conclusionsOur study found that diabetic patients on SGLT2i prior to hospitalization who were admitted to the ICU with septic shock had lower inpatient mortality compared to patients not on SGLT2i.

Indexed as

intensive care unitmortalityseptic shock, sodium-glucose cotransporter-2 inhibitortype 2 diabetes mellitus

Identifiers

PMID38863355
PMCPMC11167419

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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.