Evidence map›Paper›PMID 26561380›Full record

Observational studyThe Journal of pediatrics2016

Global and Regional Derangements of Cerebral Blood Flow and Diffusion Magnetic Resonance Imaging after Pediatric Cardiac Arrest.

Leah C Manchester, Vince Lee, Vincent Schmithorst, Patrick M Kochanek, Ashok Panigrahy, Ericka L Fink

Abstract readObservational Study
In one paragraph

Observational study in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
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  3. Review
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  5. Observational
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  9. Observational
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  11. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Leah C ManchesterUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
Vince LeeDepartment of Radiology, Children's Hospital of Pittsburgh, Pittsburgh, PA.
Vincent SchmithorstDepartment of Radiology, Children's Hospital of Pittsburgh, Pittsburgh, PA.
Patrick M KochanekDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA; Safar Center for Resuscitation Research, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA.
Ashok PanigrahyDepartment of Radiology, Children's Hospital of Pittsburgh, Pittsburgh, PA.
Ericka L FinkDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA; Safar Center for Resuscitation Research, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA. Electronic address: FinkEL@ccm.upmc.edu.
Children's Hospital of Pittsburgh · USUniversity of Pittsburgh · US

Funding

Advanced MR Imaging of Perinatal White Matter InjuryK23NS063371 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PANIGRAHY, ASHOK · 2009 to 2013
$846k
Duration of Hypothermia for Neuroprotection after Pediatric Cardiac ArrestK23NS065132 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FINK, ERICKA LINN · 2009 to 2013
$807k
NINDS NIH HHS K23 NS063371NINDS NIH HHS K23NS063371NINDS NIH HHS K23 NS065132
6 · The paper itself

Abstract

objectiveTo quantify and examine the relationship between global and regional cerebral blood flow (CBF) and water diffusion on brain magnetic resonance imaging (MRI) in children after cardiac arrest. STUDY

designChildren admitted to a tertiary care children's hospital from July 2011 to April 2013 who received a brain MRI within 2 weeks after cardiac arrest that included arterial spin labeling and apparent diffusion coefficient (ADC) sequences were studied. CBF and ADC values were calculated globally and in 19 regions of interest. Outcome variables included survival and favorable neurologic outcome, which was defined as Pediatric Cerebral Performance Category ≤3 at 6 months. We examined global and regional relationships between CBF and ADC and their association with outcome.

resultsThis sample included 14 pediatric patients (mean time to MRI 6 ± 4 days), 9 of whom survived and 6 who survived with favorable outcome. Global ADC was significantly decreased in patients with unfavorable outcome (P = .02). Increased CBF and decreased ADC often were colocalized in the same region, especially in children who had unfavorable outcomes.

conclusionsIn this exploratory study, global restricted water diffusion on ADC after pediatric cardiac arrest was associated with unfavorable outcome. MRI assessments of perfusion and diffusion may have prognostic value after pediatric cardiac arrest.

Indexed as

Cerebrovascular CirculationDiffusion Magnetic Resonance ImagingAdolescentChildChild, PreschoolFemaleHeart ArrestHumansInfantInfant, NewbornMale

Identifiers

PMID26561380
PMCPMC4729616
OpenAlexW2173206457

What OpenQuestion holds

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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.