Evidence map›Paper›PMID 39733165›Full record

ArticleNPJ digital medicine2024

A novel sweat sensor detects inflammatory differential rhythmicity patterns in inpatients and outpatients with cirrhosis.

Brian C Davis, Kai-Chun Lin, Sarah Shahub, Annapoorna Ramasubramanya, Andrew Fagan, Sriram Muthukumar, Shalini Prasad, Jasmohan S Bajaj

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Brian C DavisRichmond Veterans Affairs (VA) Medical Center and Virginia Commonwealth University, Richmond, VA, USA.
Kai-Chun LinUniversity of Texas at Dallas, Richardson, TX, USA.
Sarah ShahubUniversity of Texas at Dallas, Richardson, TX, USA.
Annapoorna RamasubramanyaUniversity of Texas at Dallas, Richardson, TX, USA.
Andrew FaganRichmond Veterans Affairs (VA) Medical Center and Virginia Commonwealth University, Richmond, VA, USA.
Sriram MuthukumarEnLiSense LLC, Allen, TX, USA.
Shalini PrasadUniversity of Texas at Dallas, Richardson, TX, USA.
Jasmohan S BajajRichmond Veterans Affairs (VA) Medical Center and Virginia Commonwealth University, Richmond, VA, USA. jasmohan.bajaj@vcuhealth.org.

Funding

CSRD VA I01 CX001076CSRD VA I01 CX002472Richmond Institute for Veterans Research Pilot GrantU.S. Department of Veterans Affairs I01CX002472, I01CX001076
6 · The paper itself

Abstract

Patients with cirrhosis have high systemic inflammation (TNFα, CRP, and IL-6) that is associated with poor outcomes. These biomarkers need continuous non-invasive monitoring, which is difficult with blood. We studied the AWARE sweat-sensor to measure these in passively expressed sweat in healthy people (N = 12) and cirrhosis (N = 32, 10 outpatients/22 inpatients) for 3 days. Blood CRP, TNFα, IL6, levels, and liver function and quality of life were measured. We found that CRP, TNFα, and IL6 were correlated in sweat and serum among both groups and were evaluated in inpatients versus outpatients/controls. IL6 is associated with lower transplant-free survival. Sweat monitoring nocturnal CRP/IL6 elevations in cirrhosis versus controls. Outpatients with cirrhosis had inflammation levels that elevated during the evening and peaked towards the early night periods. The levels start to fall much later at night and early morning. These data suggest that further investigation of continuous measurement of sweat biomarkers in cirrhosis is warranted.

Identifiers

PMID39733165
PMCPMC11682110

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