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Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review
OBJECTIVES: The objective of this study is to synthesize the current literature about the relationship between the occurrence of diabetes insipidus (DI), its diagnosis criteria, and management after withdrawal of vasopressin (VP) in critically ill. DATA SOURCES: This scoping review followed the reco...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Jaypee Brothers Medical Publishers
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9973175/ https://www.ncbi.nlm.nih.gov/pubmed/36864877 http://dx.doi.org/10.5005/jp-journals-10071-24244 |
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author | Pérsico, Raquel S Viana, Marina V Viana, Luciana V |
author_facet | Pérsico, Raquel S Viana, Marina V Viana, Luciana V |
author_sort | Pérsico, Raquel S |
collection | PubMed |
description | OBJECTIVES: The objective of this study is to synthesize the current literature about the relationship between the occurrence of diabetes insipidus (DI), its diagnosis criteria, and management after withdrawal of vasopressin (VP) in critically ill. DATA SOURCES: This scoping review followed the recommendations of Preferred Reporting Items for Systematic Review and Meta-Analyses for Scoping Review (PRISMA-ScR). The search literature was conducted in MEDLINE and EMBASE databases, until March 2022. A manual search was also conducted in order to include articles that were not identified in the initial search performed in the databases. STUDY SELECTION AND DATA EXTRACTION: The selection of studies and extraction of data were carried out in a paired and independent manner. There was no restriction regarding the language of publication of the included manuscripts. DATA SYNTHESIS: The analysis included 17 studies (16 case reports and one retrospective cohort). All studies used VP, with a median time of drug infusion of 48 hours (IQR: 16–72) and DI incidence of 1.53%. The diagnosis of DI was based on diuresis output and concomitant hypernatremia or changes in serum sodium concentration, with median time to symptoms onset after discontinuation of VP of 5 hours (IQR: 3–10). The treatment of DI consisted mainly of fluid management and the use of desmopressin. CONCLUSIONS: DI after VP withdrawal was present in 51 patients described in 17 studies, but diagnosis and management varied among each report. Using the available data, we propose a diagnosis suggestion and a flowchart for managing patients with DI after withdrawal of VP in the Intensive Care Unit. Multicentric collaborative research is urgently needed to obtain more quality data on this topic. HOW TO CITE THIS ARTICLE: Pérsico RS, Viana MV, Viana LV. Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review. Indian J Crit Care Med 2022;26(7):846–852. |
format | Online Article Text |
id | pubmed-9973175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-99731752023-03-01 Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review Pérsico, Raquel S Viana, Marina V Viana, Luciana V Indian J Crit Care Med Systematic Review OBJECTIVES: The objective of this study is to synthesize the current literature about the relationship between the occurrence of diabetes insipidus (DI), its diagnosis criteria, and management after withdrawal of vasopressin (VP) in critically ill. DATA SOURCES: This scoping review followed the recommendations of Preferred Reporting Items for Systematic Review and Meta-Analyses for Scoping Review (PRISMA-ScR). The search literature was conducted in MEDLINE and EMBASE databases, until March 2022. A manual search was also conducted in order to include articles that were not identified in the initial search performed in the databases. STUDY SELECTION AND DATA EXTRACTION: The selection of studies and extraction of data were carried out in a paired and independent manner. There was no restriction regarding the language of publication of the included manuscripts. DATA SYNTHESIS: The analysis included 17 studies (16 case reports and one retrospective cohort). All studies used VP, with a median time of drug infusion of 48 hours (IQR: 16–72) and DI incidence of 1.53%. The diagnosis of DI was based on diuresis output and concomitant hypernatremia or changes in serum sodium concentration, with median time to symptoms onset after discontinuation of VP of 5 hours (IQR: 3–10). The treatment of DI consisted mainly of fluid management and the use of desmopressin. CONCLUSIONS: DI after VP withdrawal was present in 51 patients described in 17 studies, but diagnosis and management varied among each report. Using the available data, we propose a diagnosis suggestion and a flowchart for managing patients with DI after withdrawal of VP in the Intensive Care Unit. Multicentric collaborative research is urgently needed to obtain more quality data on this topic. HOW TO CITE THIS ARTICLE: Pérsico RS, Viana MV, Viana LV. Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review. Indian J Crit Care Med 2022;26(7):846–852. Jaypee Brothers Medical Publishers 2022-07 /pmc/articles/PMC9973175/ /pubmed/36864877 http://dx.doi.org/10.5005/jp-journals-10071-24244 Text en Copyright © 2022; Jaypee Brothers Medical Publishers (P) Ltd. https://creativecommons.org/licenses/by-nc/4.0/© The Author(s). 2022 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Systematic Review Pérsico, Raquel S Viana, Marina V Viana, Luciana V Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review |
title | Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review |
title_full | Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review |
title_fullStr | Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review |
title_full_unstemmed | Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review |
title_short | Diabetes Insipidus after Vasopressin Withdrawal: A Scoping Review |
title_sort | diabetes insipidus after vasopressin withdrawal: a scoping review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9973175/ https://www.ncbi.nlm.nih.gov/pubmed/36864877 http://dx.doi.org/10.5005/jp-journals-10071-24244 |
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