Evidence map›Paper›PMID 26819708›Full record

ArticleJournal of intensive care2016

Rationale, design, and profile of Comprehensive Registry of In-Hospital Intensive Care for OHCA Survival (CRITICAL) study in Osaka, Japan.

Tomoki Yamada, Tetsuhisa Kitamura, Koichi Hayakawa, Kazuhisa Yoshiya, Taro Irisawa, Yoshio Abe, Megumi Ishiro, Toshifumi Uejima, Yasuo Ohishi, Kazuhisa Kaneda and 14 more

Abstract read
In one paragraph

Article in Journal of intensive care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

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

13 citing papers in PubMed.

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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

24 authors.

Tomoki YamadaDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan ; Emergency and Critical Care Medical Center, Osaka Police Hospital, Osaka, Japan.
Tetsuhisa KitamuraDivision of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Koichi HayakawaDepartment of Emergency and Critical Care Medicine, Kansai Medical University, Takii Hospital, Moriguchi, Japan.
Kazuhisa YoshiyaDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Taro IrisawaDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Yoshio AbeDepartment of Emergency Medicine, Tane General Hospital, Osaka, Japan.
Megumi IshiroDepartment of Critical Care Medicine, Osaka City University, Osaka, Japan.
Toshifumi UejimaDepartment of Emergency and Critical Care Medicine, Kinki University School of Medicine, Osaka-Sayama, Japan.
Yasuo OhishiOsaka Mishima Emergency Critical Care Center, Takatsuki, Japan.
Kazuhisa KanedaDepartment of Critical Care Medicine, Osaka City University, Osaka, Japan.
Takeyuki KiguchiCritical Care and Trauma Center, Osaka General Medical Center, Osaka, Japan.
Masashi KishiEmergency and Critical Care Medical Center, Osaka Police Hospital, Osaka, Japan.
Masafumi KishimotoOsaka Prefectural Nakakawachi Medical Center of Acute Medicine, Higashi-Osaka, Japan.
Shota NakaoSenshu Trauma and Critical Care Center, Osaka, Japan.
Tetsuro NishimuraTraumatology and Critical Care Medical Center, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Yasuyuki HayashiSenri Critical Care Medical Center, Saiseikai Senri Hospital, Suita, Japan.
Takaya MorookaEmergency and Critical Care Medical Center, Osaka City General Hospital, Osaka, Japan.
Junichi IzawaKyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto, 606-8501 Japan.
Tomonari ShimamotoKyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto, 606-8501 Japan.
Toshihiro HatakeyamaKyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto, 606-8501 Japan.
Tasuku MatsuyamaKyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto, 606-8501 Japan.
Takashi KawamuraKyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto, 606-8501 Japan.
Takeshi ShimazuDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Taku IwamiKyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto, 606-8501 Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe established a multi-center, prospective cohort that could provide appropriate therapeutic strategies such as criteria for the introduction and the effectiveness of in-hospital advanced treatments, including percutaneous coronary intervention (PCI), target temperature management, and extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA) patients.

methodsIn Osaka Prefecture, Japan, we registered all consecutive patients who were suffering from an OHCA for whom resuscitation was attempted and who were then transported to institutions participating in this registry since July 1, 2012. A total of 11 critical care medical centers and one hospital with an emergency care department participated in this registry. The primary outcome was neurological status after OHCA, defined as cerebral performance category (CPC) scale.

resultsA total of 688 OHCA patients were documented between July 2012 and December 2012. Of them, 657 were eligible for our analysis. Patients' average age was 66.2 years old, and male patients accounted for 66.2 %. The proportion of OHCAs having a cardiac origin was 50.4 %. The proportion as first documented rhythm of ventricular fibrillation/pulseless ventricular tachycardia was 11.6 %, pulseless electrical activity 23.4 %, and asystole 54.5 %. After hospital arrival, 10.5 % received defibrillation, 90.8 % tracheal intubation, 3.0 % ECPR, 3.5 % PCI, and 83.1 % adrenaline administration. The proportions of 90-day survival and CPC 1/2 at 90 days after OHCAs were 5.9 and 3.0 %, respectively.

conclusionsThe Comprehensive Registry of In-hospital Intensive Care for OHCA Survival (CRITICAL) study will enroll over 2000 OHCA patients every year. It is still ongoing without a set termination date in order to provide valuable information regarding appropriate therapeutic strategies for OHCA patients (UMIN000007528).

Indexed as

CohortCRITICALIn-hospital intensive careOutcomeOut-of-hospital cardiac arrest

Identifiers

PMID26819708
PMCPMC4729004

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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.