Evidence map›Paper›PMID 25138227›Full record

ArticleIntensive care medicine2014

Secretoneurin as a marker for hypoxic brain injury after cardiopulmonary resuscitation.

Julia Hasslacher, Georg Franz Lehner, Ulrich Harler, Ronny Beer, Hanno Ulmer, Rudolf Kirchmair, Reiner Fischer-Colbrie, Romuald Bellmann, Stefan Dunzendorfer, Michael Joannidis

Erratum issuedAbstract read
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In one paragraph

Article in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Julia HasslacherDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine I, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Georg Franz Lehner
Ulrich Harler
Ronny Beer
Hanno Ulmer
Rudolf Kirchmair
Reiner Fischer-Colbrie
Romuald Bellmann
Stefan Dunzendorfer
Michael Joannidis
Innsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe neuropeptide secretoneurin (SN) shows widespread distribution in the brain. We evaluated whether SN is elevated after cardiopulmonary resuscitation (CPR) and could serve as a potential new biomarker for hypoxic brain injury after CPR.

methodsThis was a prospective observational clinical study. All patients admitted to a tertiary medical intensive care unit after successful CPR with expected survival of at least 24 h were consecutively enrolled from September 2008 to April 2013. Serum SN and neuron-specific enolase were determined in 24 h intervals starting with the day of CPR for 7 days. Neurological outcome was assessed with the Cerebral Performance Categories Scale (CPC) at hospital discharge.

resultsA total of 134 patients were included with 49 % surviving to good neurological outcome (CPC 1-2). SN serum levels peaked within the first 24 h showing on average a sixfold increase above normal. SN levels were significantly higher in patients with poor (CPC 3-5) than in patients with good neurological outcome [0-24 h: 75 (43-111) vs. 38 (23-68) fmol/ml, p < 0.001; 24-48 h: 45 (24-77) vs. 23 (16-39) fmol/ml, p < 0.001]. SN determined within the first 48 h showed a receiver operating characteristic (ROC) area under the curve (AUC) of 0.753 (0.665-0.841). NSE in the first 72 h had a ROC-AUC of 0.881 (0.815-0.946). When combining the two biomarkers an AUC of 0.925 (0.878-0.972) for outcome prediction could be reached.

conclusionsSN is a promising early biomarker for hypoxic brain injury. Further studies will be required for confirmation of these results.

Indexed as

AgedAPACHEArea Under CurveBiomarkersCardiopulmonary ResuscitationDiagnostic Techniques, NeurologicalFemaleHeart ArrestHumansHypoxia, BrainIntensive Care UnitsMaleMiddle AgedMultivariate AnalysisNeuropeptidesOrgan Dysfunction ScoresBiomarkersNeuropeptidesPhosphopyruvate HydrataseSecretogranin IIsecretoneurin

Identifiers

PMID25138227
OpenAlexW1979897658

What OpenQuestion holds

Textmetadata
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.