Evidence map›Paper›PMID 27168071›Full record

ArticlePloS one2016

Influence of Chest Compressions on Circulation during the Peri-Cardiac Arrest Period in Porcine Models.

Jun Xu, Chen Li, Yan Li, Joseph Walline, Liangliang Zheng, Yangyang Fu, Dongqi Yao, Huadong Zhu, Xiaohe Liu, Yanfen Chai and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

12 authors at 5 institutions in 2 countries.

Jun XuEmergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Chen LiEmergency Department, Tianjin Medical University General Hospital, Tianjin, China.
Yan LiEmergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Joseph WallineDivision of Emergency Medicine, Department of Surgery, Saint Louis University Hospital, Saint Louis, Missouri, United States of America.
Liangliang ZhengEmergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Yangyang FuEmergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Dongqi YaoEmergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Huadong ZhuEmergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Xiaohe LiuEmergency Department, Tianjin Medical University General Hospital, Tianjin, China.
Yanfen ChaiEmergency Department, Tianjin Medical University General Hospital, Tianjin, China.
Zhong WangEmergency Department, Beijing Tsinghua Changgung Hospital, Beijing, China.
Xuezhong YuEmergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking Union Medical College Hospital · CNTianjin Medical University General Hospital · CNBeijing Tsinghua Chang Gung Hospital · CNSaint Louis University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStarting chest compressions immediately after a defibrillation shock might be harmful, if the victim already had a return of spontaneous circulation (ROSC) and yet was still being subjected to external compressions at the same time. The objective of this study was to study the influence of chest compressions on circulation during the peri-cardiac arrest period.

designProspective, randomized controlled study.

settingAnimal experimental center in Peking Union Medical Collage Hospital, Beijing, China. SUBJECTS: Healthy 3-month-old male domestic pigs.

interventions44 pigs (28±2 kg) were randomly assigned to three groups: Group I (non-arrested with compressions) (n = 12); Group II (arrested with compressions only) (n = 12); Group III (ROSC after compressions and defibrillation) (n = 20). In Groups I and II, compressions were performed to a depth of 5cm (Ia and IIa, n = 6) or a depth of 3cm (Ib and IIb, n = 6) respectively, while in Group III, the animals which had just achieved ROSC (n = 18) were compressed to a depth of 5cm (IIIa, n = 6), a depth of 3cm (IIIb, n = 6), or had no compressions (IIIc, n = 6). Hemodynamic parameters were collected and analyzed. MEASUREMENTS AND

findingsHemodynamics were statistically different between Groups Ia and Ib when different depths of compressions were performed (p < 0.05). In Group II, compressions were beneficial and hemodynamics correlated with the depth of compressions (p < 0.05). In Group III, compressions that continued after ROSC produced a reduction in arterial pressure (p < 0.05).

conclusionsChest compressions might be detrimental to hemodynamics in the early post-ROSC stage. The deeper the compressions were, the better the effect on hemodynamics during cardiac arrest, but the worse the effect on hemodynamics after ROSC.

Indexed as

HemodynamicsAnimalsCardiopulmonary ResuscitationDisease Models, AnimalElectric CountershockHeart ArrestHeart MassageMaleSwineTime FactorsVentricular Fibrillation

Identifiers

PMID27168071
PMCPMC4864302
OpenAlexW2376105620

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.