Evidence map›Paper›PMID 40419490›Full record

Articlenpj aging2025

Metformin administration improves adverse outcomes in older adult burn patients: a single-centre cohort study.

Dalia Barayan, Fadi Khalaf, Sarah Rehou, Diana Julia Tedesco, Punit Bhattachan, Gregory Pond, Abdikarim Abdullahi, Marc G Jeschke

Abstract read
In one paragraph

Article in npj aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

8 authors.

Dalia Barayan *Sunnybrook Research Institute, Toronto, ON, Canada.
Fadi Khalaf *David Braley Research Institute, Hamilton, ON, Canada.
Sarah Rehou *Sunnybrook Research Institute, Toronto, ON, Canada.
Diana Julia TedescoDavid Braley Research Institute, Hamilton, ON, Canada.
Punit BhattachanDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Gregory PondHamilton Health Sciences, Hamilton, ON, Canada.
Abdikarim AbdullahiSunnybrook Research Institute, Toronto, ON, Canada.
Marc G JeschkeSunnybrook Research Institute, Toronto, ON, Canada. jeschke@HHSC.CA.

Funding

Adverse outcomes of aged mice are associated with adipose tissue failure after burnR01AG080040 · NIA · HAMILTON HEALTH SCIENCES CORPORATION · PI Marc Gerhard Jeschke · 2023 to 2026
$1.3M
Burn induces hypermetabolism via browning of the white adipose tissueR01GM133961 · NIGMS · SUNNYBROOK RESEARCH INSTITUTE · PI JESCHKE, MARC GERHARD · 2020 to 2023
$1.3M
NIA NIH HHS R01 AG080040NIGMS NIH HHS R01 GM133961
6 · The paper itself

Abstract

This study assesses the safety and efficacy of metformin administration in older adult burn patients, a rapidly growing demographic with substantially poorer outcomes. This is a single-centre cohort study of older adults (≥60 years) admitted to a provincial burn center over 15 years. Clinical outcomes, laboratory measures, inflammatory markers, and adipose tissue single-nuclei RNA sequencing (SnRNA-seq) were compared among metformin-treated and non-treated controls. A total of 50 metformin-treated and 262 control older burn patients met the eligibility criteria. Despite pre-admission comorbidities, metformin-treated patients showed improved survival, no significant differences in the number of hypoglycemic episodes, a lower incidence of lactic acidosis, and reduced circulating levels of organ damage markers. SnRNA-Seq further revealed that metformin may exert its beneficial effects by local restoration of immune and inflammatory responses. In older burn patients, metformin was linked with improved outcomes and no adverse effects, underscoring its safety and efficacy in this population.

Identifiers

PMID40419490
PMCPMC12106820

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.