Evidence map›Paper›PMID 40360546›Full record

ArticleScientific reports2025

Effects of ulinastatin on therapeutic outcomes and inflammatory markers in pediatric septic shock patients.

Shan Gao, Siman Cheng, Qunwei Zhang, Zhizhong Cheng, Le Chen, Zhihong Ren, Yufen Jiang, Wanlong Yin, Pan Du, Shan Gao and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

13 authors.

Shan Gao *Department of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Siman Cheng *Department of Health Management, Huanggang Central Hospital of Yangtze University, Huanggang, Hubei, China.
Qunwei ZhangDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Zhizhong ChengDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Le ChenDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Zhihong RenDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Yufen JiangDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Wanlong YinDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Pan DuDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Shan GaoDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Kunlun ZhanDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Liu DaiDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China.
Chengjiao HuangDepartment of Pediatrics, Huanggang Central Hospital of Yangtze University, No. 6 Qi'an Avenue, Huangzhou District, Huanggang City, 438000, Hubei Province, China. huangcj18@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to investigate the effects of ulinastatin on therapeutic outcomes and inflammatory markers in children with septic shock. This study selected 117 children with septic shock admitted to our hospital from April 2023 to April 2024. Among them, 7 children had comorbidities, 3 dropped out during the research process, 5 did not continue to participate in the study due to other reasons, and 4 explicitly refused to participate. After screening and excluding the above - mentioned cases, A total of 98 children were allotted to experimental group (ulinastatin combined with routine antishock therapy, n = 49) and control group (routine antishock therapy, n = 49) using stratified random method. The therapeutic effects and levels of inflammatory markers were assessed before and after treatment using a double antibody sandwich ELISA. The outcome was significantly better in the experimental group compared to controls (P < 0.05). Prior to treatment, there were no significant differences in the levels of CD64, procalcitonin (PCT), C-reactive protein, neutrophil-to-lymphocyte ratio (NLR), and serum α-hydroxybutyrate dehydrogenase between the two groups (all P > 0.05). After 7 days of treatment, the experimental group exhibited significantly lower levels of CD64, PCT, C-reactive protein, NLR, and serum α-hydroxybutyrate dehydrogenase compared to the control group (all P < 0.001). Ulinastatin enhances the therapeutic efficacy in children with septic shock by reducing levels of associated inflammatory markers and promoting recovery.

Indexed as

GlycoproteinsShock, SepticBiomarkersChildChild, PreschoolC-Reactive ProteinFemaleHumansInfantInflammationMaleNeutrophilsProcalcitoninTreatment OutcomeBiomarkersC-Reactive ProteinGlycoproteinsProcalcitoninurinastatinInflammatory indicatorsPediatric patientsSeptic shockTherapeutic effectUlinastatin

Identifiers

PMID40360546
PMCPMC12075584

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.