Evidence map›Paper›PMID 40408504›Full record

ArticlePloS one2025

Identification of risk factors for supra-therapeutic vancomycin trough levels in ventilator-assisted critical care patients based on integrated modeling and multi-criteria decision analysis.

Xi Cao, Bi-Ting Zhu, Cai-Peng Xie, Jing-Yue Cai, Ding-Guo Dong, Miao-Ting Chen, Cheng-Zhao Huang, Yong-Chun Lin

Abstract read
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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xi CaoDepartment of Pharmacy, Central People's Hospital of Zhanjiang, Zhanjiang, China.
Bi-Ting ZhuDepartment of Pharmacy, Zhanjiang Potou District People's Hospital, Zhanjiang, China.
Cai-Peng XieDepartment of Pharmacy, Central People's Hospital of Zhanjiang, Zhanjiang, China.
Jing-Yue CaiDepartment of Pharmacy, Central People's Hospital of Zhanjiang, Zhanjiang, China.
Ding-Guo DongDepartment of Pharmacy, Central People's Hospital of Zhanjiang, Zhanjiang, China.
Miao-Ting ChenDepartment of Pharmacy, Central People's Hospital of Zhanjiang, Zhanjiang, China.
Cheng-Zhao HuangComprehensive Second Ward of Critical Care Medicine, Central People's Hospital of Zhanjiang, Zhanjiang, China.
Yong-Chun LinDepartment of Pharmacy, Central People's Hospital of Zhanjiang, Zhanjiang, China.ORCID https://orcid.org/0000-0003-3193-8950

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To explore the risk factors influencing vancomycin trough concentration ([Formula: see text]) overexposure in critically ill patients with mechanical ventilation and rank the factors, the medical records of 194 mechanically ventilated critically ill patients hospitalized from 12/10/2021-06/10/2024 were analyzed. Among 194 critically ill patients, 77.83% were male and 22.17% were female. Univariate analysis showed that oxygenation index (OI), activated partial thromboplastin time (APTT), urea nitrogen (UN), septic shock, heart disease, congestive heart failure (CHF), moderate/severe chronic kidney disease (CKD), etc. were statistically different (P < 0.05). And APTT, OI, CHF and moderate/severe CKD were statistically different in multivariate logistic regression (P < 0.05). The receiver operating characteristic (ROC) curve constructed for APTT and OI was 0.7779 (95% CI [0.708,0.848], P < 0.001), with a sensitivity and specificity were 72.99% and 71.93%, respectively. The consistency index (CI) and consistency ratio (CR) of analytic hierarchy process (AHP) was 0.0796 and 0.0885, respectively, which meets the consistency test standard. The contributions of APTT, OI, CHF and moderate to severe CKD to the overexposure of [Formula: see text] were 0.0584, 0.1899, 0.1614 and 0.5902, respectively. The overexposure rates of [Formula: see text] in patients with moderate/severe CKD and CHF were 95.12% and 95.23%, respectively. With regard to OI, when the cutoff value of OI was less than 245, the [Formula: see text]overexposure rate was 83%, otherwise, the overexposure rate was 60.97%. The risk factors for excessive exposure of [Formula: see text] in critically ill patients with mechanical ventilation were ranked as follows: moderate/severe CKD > OI > CHF > APTT.

Indexed as

Anti-Bacterial AgentsCritical CareRespiration, ArtificialVancomycinAdultAgedCritical IllnessDecision Support TechniquesFemaleHumansMaleMiddle AgedPartial Thromboplastin TimeRetrospective StudiesRisk FactorsROC CurveAnti-Bacterial AgentsVancomycin

Identifiers

PMID40408504
PMCPMC12101740

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