Evidence map›Paper›PMID 24982721›Full record

ArticleThe Neurohospitalist2014

Therapeutic hypothermia for neuroprotection: history, mechanisms, risks, and clinical applications.

Lioudmila V Karnatovskaia, Katja E Wartenberg, William D Freeman

Registry-linked trialAbstract read
In one paragraph

Article in The Neurohospitalist, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04973085 (Effect of a Novel Cooling Device on Brain Temperature), which is not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
–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.

NCT04973085 nacompletednot on this mapstarted 2021, after this paper: background citation

Effect of a Novel Cooling Device on Brain Temperature

TypeinterventionalSponsorUniversity of VermontRan2021 to 2022Enrolled22ConditionsHealthyArmsCold circulated water, Body-temperature circulated water
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Anesthetic Management for Proximal Aortic Repair.Seminars in cardiothoracic and vascular anesthesia · 2025
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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

3 authors.

Lioudmila V KarnatovskaiaDepartments of Pulmonary and Critical Care, Mayo Clinic, Jacksonville, FL, USA.
Katja E WartenbergDepartment of Neurology, Martin-Luther-University Halle-Wittenberg, Germany.
William D FreemanDepartments of Neurology, Neurosurgery, Critical Care, Mayo Clinic, Jacksonville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The earliest recorded application of therapeutic hypothermia in medicine spans about 5000 years; however, its use has become widespread since 2002, following the demonstration of both safety and efficacy of regimens requiring only a mild (32°C-35°C) degree of cooling after cardiac arrest. We review the mechanisms by which hypothermia confers neuroprotection as well as its physiological effects by body system and its associated risks. With regard to clinical applications, we present evidence on the role of hypothermia in traumatic brain injury, intracranial pressure elevation, stroke, subarachnoid hemorrhage, spinal cord injury, hepatic encephalopathy, and neonatal peripartum encephalopathy. Based on the current knowledge and areas undergoing or in need of further exploration, we feel that therapeutic hypothermia holds promise in the treatment of patients with various forms of neurologic injury; however, additional quality studies are needed before its true role is fully known.

Indexed as

clinicalclinical specialtynervous systemneurocritical careneurophysiologytechniquestrauma

Identifiers

PMID24982721
PMCPMC4056415

What OpenQuestion holds

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Registered trials

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.