Evidence map›Paper›PMID 42553259›Full record

ArticleFrontiers in medicine2026

Effects of meropenem plus ulinastatin on inflammatory response and complications in patients with severe septic shock.

Dan Wu, Wei Ni, Xinying Zhang, Xiaodong Liu

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Dan WuDepartment of Emergency Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Wei NiDepartment of Emergency Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Xinying ZhangDepartment of Emergency Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Xiaodong LiuDepartment of Emergency Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To evaluate whether receipt of ulinastatin in addition to meropenem-based standard care was associated with inflammatory, coagulation, perfusion, and clinical outcomes in patients with severe septic shock. Methods: This single-center retrospective, non-randomized comparative cohort study included 106 consecutive patients with severe septic shock treated between January 2023 and November 2025. Patients were classified according to treatment received in routine clinical practice: meropenem-based standard care plus ulinastatin (observation group, Results: The overall response rate in the observation group presented higher at 90.6% (48/53) versus 73.6% (39/53) in the control group ( Conclusion: In this single-center retrospective cohort, receipt of ulinastatin in addition to meropenem-based standard care was associated with more favorable inflammatory, coagulation, lactate-clearance, hemodynamic, immune, and resource-use outcomes. Because treatment was not randomized and residual confounding cannot be excluded, these findings should not be interpreted as proof of causality or synergy.

Indexed as

clinical outcomescoagulation functioninflammatory responselactate clearancemeropenemsevere septic shockulinastatin

Identifiers

PMID42553259
PMCPMC13433519

What Socratic holds

Textmetadata
LicenceCC BY
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.