Evidence map›Paper›PMID 26885387›Full record

ReviewCritical care research and practice2016

Review and Outcome of Prolonged Cardiopulmonary Resuscitation.

Houssein Youness, Tarek Al Halabi, Hussein Hussein, Ahmed Awab, Kellie Jones, Jean Keddissi

Abstract readReview
In one paragraph

Review in Critical care research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

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

  1. Pooled it
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  12. A simple method for removing initial irregularity of an electrocardiogram during a transient state of a power supply in a defibrillator.Technology and health care : official journal of the European Society for Engineering and Medicine · 2020
    Article
  13. Closed chest compressions after rib plating.Journal of thoracic disease · 2019
    Article
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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

6 authors.

Houssein YounessUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USA.
Tarek Al HalabiLebanese American University, Lebanon.
Hussein HusseinUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USA.
Ahmed AwabUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USA.
Kellie JonesUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USA.
Jean KeddissiUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The maximal duration of cardiopulmonary resuscitation (CPR) is unknown. We report a case of prolonged CPR. We have then reviewed all published cases with CPR duration equal to or more than 20 minutes. The objective was to determine the survival rate, the neurological outcome, and the characteristics of the survivors. Measurements and Main Results. The CPR data for 82 patients was reviewed. The median duration of CPR was 75 minutes. Patients mean age was 43 ± 21 years with no significant comorbidities. The main causes of the cardiac arrests were myocardial infarction (29%), hypothermia (21%), and pulmonary emboli (12%). 74% of the arrests were witnessed, with a mean latency to CPR of 2 ± 6 minutes and good quality chest compression provided in 96% of the cases. Adjunct therapy included extracorporeal membrane oxygenation (18%), thrombolysis (15.8%), and rewarming for hypothermia (19.5%). 83% were alive at 1 year, with full neurological recovery reported in 63 patients. Conclusion. Patients undergoing prolonged CPR can survive with good outcome. Young age, myocardial infarction, and potentially reversible causes of cardiac arrest such as hypothermia and pulmonary emboli predict a favorable result, especially when the arrest is witnessed and followed by prompt and good resuscitative efforts.

Identifiers

PMID26885387
PMCPMC4738728

What OpenQuestion holds

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Registered trials

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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.