Evidence map›Paper›PMID 39095791›Full record

Trial reportBMC pediatrics2024

Maintenance intravenous fluid therapy in infants with sepsis and hyponatremia: a clinical trial.

Hani Milani, Saleheh Tajalli, Kamran Behrouzi, Nakisa Homan, Fateme Zamaniashtiani, Ali Vafaee, Zahra Vahedi, Nasrin Khalesi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

8 authors.

Hani MilaniDepartment of Neonatology, Kamali Hospital, Alborz University of Medical Sciences, Alborz, Iran.
Saleheh TajalliSchool of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Kamran BehrouziDepartment of Neonatology, Kamali Hospital, Alborz University of Medical Sciences, Alborz, Iran.
Nakisa HomanDepartment of Pediatrics, Iran University of Medical Sciences, Tehran, Iran.
Fateme ZamaniashtianiSchool of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Ali VafaeeDepartment of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Zahra VahediDepartment of Pediatrics, Iran University of Medical Sciences, Tehran, Iran.
Nasrin KhalesiDepartment of Pediatrics, Iran University of Medical Sciences, Tehran, Iran. nasrinkhalessi@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to compare the effect of two methods of maintenance intravenous fluid therapy on hyponatremia in hospitalized infants with sepsis.

methodsIn a double-blinded randomized clinical trial, 60 term infants with sepsis were enrolled. Blood samples were taken to determine sodium, potassium, Creatinine, and BUN levels before the initiation of treatment. Urine samples were taken to assess specific gravity and urinary output. Infants in the intervention group received half saline in 10% dextrose and infants in the control group were assigned to receive the conventional solution as maintenance. The above indicators were re-evaluated 24 and 48 h after the initiation of treatment. Two groups were compared concerning the incidence of hyponatremia, and other criteria such as urinary output and urinary specific gravity, blood urea nitrogen (BUN), and creatinine levels.

resultsHyponatremia was more common in the control group. Sodium levels were significantly higher in half saline recipients 24 h (137.83 ± 2.86 vs. 134.37 ± 1.91 mmol/L), and 48 h (138.10 ± 2.41 vs. 133.66 ± 1.98 mmol/L) after treatment (P < 0.001). Although BUN in the intervention group was significantly higher in comparison to the control group, the difference in urinary output, urine specific gravity, potassium, and Creatinine levels were not significant in the two groups.

conclusionsThe use of a half-saline solution as maintenance fluid reduces the risk of hyponatremia after 48 h when compared to 0.18%NaCl.

trial registrationThis has been registered at Iranian Registry of Clinical Trials (Retrospectively registered, Registration date: 2017-10-12, identifier: IRCT2017053034223N1, https://irct.behdasht.gov.ir/trial/26204 ).

Indexed as

Fluid TherapyHyponatremiaSepsisBlood Urea NitrogenCreatinineDouble-Blind MethodFemaleHumansInfantInfant, NewbornInfusions, IntravenousMalePotassiumSaline SolutionSodiumCreatininePotassiumSaline SolutionSodiumHyponatremiaMaintenance fluidNeonateNewbornSodium

Identifiers

PMID39095791
PMCPMC11295352

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.