Evidence map›Paper›PMID 20890677›Full record

Trial reportNeurocritical care2011

Short-term outcome prediction by electroencephalographic features in children treated with therapeutic hypothermia after cardiac arrest.

Sudha Kilaru Kessler, Alexis A Topjian, Ana M Gutierrez-Colina, Rebecca N Ichord, Maureen Donnelly, Vinay M Nadkarni, Robert A Berg, Dennis J Dlugos, Robert R Clancy, Nicholas S Abend

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Neurocritical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
4.5field-weighted citation impact, top 5% of its field
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

35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Guideline
  5. Hypothermia for neuroprotection in children after cardiopulmonary arrest.The Cochrane database of systematic reviews · 2013
    Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Observational
  14. Review
  15. Article
  16. Article
  17. Early EEG Features for Outcome Prediction After Cardiac Arrest in Children.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2019
    Observational
  18. Observational
  19. Stability of Early EEG Background Patterns After Pediatric Cardiac Arrest.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2018
    Observational
  20. EEG Factors After Pediatric Cardiac Arrest.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2018
    Observational
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

10 authors at 2 institutions in 1 country.

Sudha Kilaru KesslerDivision of Neurology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Alexis A Topjian
Ana M Gutierrez-Colina
Rebecca N Ichord
Maureen Donnelly
Vinay M Nadkarni
Robert A Berg
Dennis J Dlugos
Robert R Clancy
Nicholas S Abend
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
NSADA Training Grant for Child NeurologistsK12NS049453 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI TENNEKOON, GIHAN I · 2006 to 2015
$4.4M
NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1-RR-024134NINDS NIH HHS K12 NS049453NINDS NIH HHS NS049453
6 · The paper itself

Abstract

backgroundElectroencephalographic (EEG) features may provide objective data regarding prognosis in children resuscitated from cardiac arrest (CA), but therapeutic hypothermia (TH) may impact its predictive value. We aimed to determine whether specific EEG features were predictive of short-term outcome in children treated with TH after CA, both during hypothermia and after return to normothermia.

methodsThirty-five children managed with a standard clinical TH algorithm after CA were prospectively enrolled. EEG recordings were scored in a standardized manner and categorized. EEG category 1 consisted of continuous and reactive tracings. EEG category 2 consisted of continuous but unreactive tracings. EEG category 3 included those with any degree of discontinuity, burst suppression, or lack of cerebral activity. The primary outcome was unfavorable short-term outcome defined as Pediatric Cerebral Performance Category score of 4-6 (severe disability, vegetative, death) at hospital discharge. Univariate analyses of the association between EEG category and outcome was performed using logistic regression.

resultsFor tracings obtained during hypothermia, patients with EEGs in categories 2 or 3 were far more likely to have poor outcome than those in category 1 (OR 10.7, P = 0.023 and OR 35, P = 0.004, respectively). Similarly, for tracings obtained during normothermia, patients with EEGs in categories 2 or 3 were far more likely to have poor outcomes than those in category 1 (OR 27, P = 0.006 and OR 18, P = 0.02, respectively).

conclusionsA simple EEG classification scheme has predictive value for short-term outcome in children undergoing TH after CA.

Indexed as

Hypothermia, InducedAdolescentAlgorithmsBrain IschemiaChildChild, PreschoolCritical CareElectroencephalographyFemaleHeart ArrestHumansInfantMalePredictive Value of TestsPrognosisProspective Studies

Identifiers

PMID20890677
PMCPMC3086560
OpenAlexW2013650893

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.