Evidence map›Paper›PMID 41398301›Full record

ArticleJournal of anesthesia, analgesia and critical care2025

Use of Oxiris membrane in real-world clinical practice in critical care patients: a multicenter observational study.

Gianluca Villa, Antonio Fioccola, Matteo Cecchi, Caterina Scirè Calabrisotto, Diego Pomarè Montin, Silvia De Rosa, Giulia Scoccia, Andrea Manno, Lorenzo Tofani, Clemente Santorsola and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of anesthesia, analgesia and critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03807414 (Development of a Web-based Multicenter Registry on the Use of oXiris Membrane for Extracorporeal Blood Purification Therapies in Critically Ill Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03807414 active not recruitingnot on this map

Development of a Web-based Multicenter Registry on the Use of oXiris Membrane for Extracorporeal Blood Purification Therapies in Critically Ill Patients

TypeobservationalSponsorCareggi HospitalRan2019 to 2025Enrolled270ConditionsCritical Illness, Acute Kidney Injury, Sepsis, Systemic Inflammatory Response SyndromeArmsoXiris
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

20 authors.

Gianluca VillaDepartment of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Università di Firenze, P.za di San Marco, 4, Florence, 50121 Firenze FI, Italy. gianluca.villa@unifi.it.ORCID http://orcid.org/0000-0003-4274-3593
Antonio FioccolaDepartment of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Università di Firenze, P.za di San Marco, 4, Florence, 50121 Firenze FI, Italy.ORCID http://orcid.org/0000-0003-4443-1905
Matteo CecchiDepartment of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Università di Firenze, P.za di San Marco, 4, Florence, 50121 Firenze FI, Italy.ORCID http://orcid.org/0000-0002-1622-8435
Caterina Scirè CalabrisottoDepartment of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Università di Firenze, P.za di San Marco, 4, Florence, 50121 Firenze FI, Italy.
Diego Pomarè MontinDepartment of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Università di Firenze, P.za di San Marco, 4, Florence, 50121 Firenze FI, Italy.
Silvia De RosaCentre for Medical Sciences - CISMed, University of Trento, Trento, Italy.
Giulia ScocciaDepartment of Information Engineering, Computer Science and Mathematics, University of L'Aquila, L'Aquila, Italy.
Andrea MannoDepartment of Information Engineering, Computer Science and Mathematics, Center of Excellence DEWS, University of L'Aquila, L'Aquila, Italy.
Lorenzo TofaniDepartment of Statistics, Informatics, Applications, University of Florence, Florence, Italy.
Clemente SantorsolaAccident and Emergency and Anaesthesia and Intensive Care Medicine Department, Esine and Edolo Hospitals, ASST Valcamonica, Brescia, Italy.
Francesco PateraNephrology, Dialysis and Transplantation, Santa Maria Della Misericordia Hospital, Perugia, Italy.
Alessandro CapitaniniUnit of Nephrology, San Jacopo Hospital, Pistoia, Italy.
Marco Vittorio RestaUnit of General Anesthesia and Intensive Care, IRCCS Polyclinic San Donato, San Donato M.se Milan, Italy.
Fiorenza FerrariDepartment of Anaesthesia, Critical Care and Emergency, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Massimiliano GrecoDepartment of Anesthesiology and Intensive Care, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Fabrizio RossiDepartment of Information Engineering, Computer Science and Mathematics, University of L'Aquila, L'Aquila, Italy.
Zaccaria RicciDepartment of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Università di Firenze, P.za di San Marco, 4, Florence, 50121 Firenze FI, Italy.
Claudio RoncoInternational Renal Research Institute of Vicenza (IRRIV), San Bortolo Hospital, Vicenza, Italy.
Stefano RomagnoliDepartment of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Università di Firenze, P.za di San Marco, 4, Florence, 50121 Firenze FI, Italy.ORCID http://orcid.org/0000-0003-4907-6607
OxirisNET registry working group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo characterize current clinical practices and outcomes associated with the use of the extracorporeal blood purification (EBP) device Oxiris® in critically ill patients.

methodsThis was a prospective clinical registry database that analyzed patients treated with Oxiris®. Three different clusters of critically ill patients were identified: Group A-patients with chronic kidney disease and systemic inflammation who required postoperative support of renal function; Group B-patients requiring immunomodulation without definitive indications for renal support; Group C-patients with abdominal septic shock necessitating both postoperative renal support and immunomodulation. The primary endpoint was the comparison between mortality rates predicted by the Simplified Acute Physiology Score II (SAPS II) and observed mortality rates 4 days after EBP initiation.

resultsObserved 4-day mortality rates were markedly lower than SAPS II-predicted rates: 16.7% vs. 41% in Group A, 30.8% vs. 77% in Group B, and 21.3% vs. 83% [66;89] in Group C. Early mortality was significantly associated with baseline hemodynamic instability (vasopressor requirement, OR = 3.62 [1.59-9.80], p = 0.005) and a lower PaO₂/FiO₂ ratio (OR = 0.99 [0.98-0.99], p = 0.001).

conclusionsThe removal of inflammatory mediators and microbial components is an emerging therapeutic target for Oxiris® use. Oxiris® may offer therapeutic benefit through the removal of inflammatory mediators in critically ill patients with severe systemic inflammation and renal failure. Although observed mortality was lower than historical estimates, these findings must be interpreted cautiously given the lack of a control group and the limitations of SAPS II. Controlled trials are needed to confirm its clinical impact.

trial registrationThe study was registered on ClinicalTrials.gov (Identifier: NCT03807414; Registration Date: June 28, 2019).

Indexed as

Cluster analysisCytokinesHemoadsorptionRegistryRenal replacement therapySeptic shockSOFA score

Identifiers

PMID41398301
PMCPMC12713267

What OpenQuestion holds

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Registered trials

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.