Evidence map›Paper›PMID 27894327›Full record

Trial reportScandinavian journal of trauma, resuscitation and emergency medicine2016

A statistical analysis protocol for the time-differentiated target temperature management after out-of-hospital cardiac arrest (TTH48) clinical trial.

Hans Kirkegaard, Asger Roer Pedersen, Ville Pettilä, Jakob Hjort, Bodil Steen Rasmussen, Inge de Haas, Jørgen Feldbæk Nielsen, Susanne Ilkjær, Anne Kaltoft, Anni Nørgaard Jeppesen and 10 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01689077 (Time-differentiated Treatment With Mild Therapeutic Hypothermia Following Cardiac Arrest, a Multi Center Study.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 24% 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.

NCT01689077 nacompletednot on this map

Time-differentiated Treatment With Mild Therapeutic Hypothermia Following Cardiac Arrest, a Multi Center Study.

TypeinterventionalSponsorUniversity of AarhusRan2013 to 2017Enrolled355ConditionsOut of Hospital Cardiac ArrestArmsTherapeutic hypothermia
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
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

20 authors at 11 institutions in 8 countries.

Hans KirkegaardDepartment of Anaesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark. hanskirkegaard@dadlnet.dk.
Asger Roer PedersenHammel Neurorehabilitation Centre and University Research Clinic, Aarhus University, Aarhus, Denmark.
Ville PettiläDivision of Intensive Care, Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Hospital, Helsinki, Finland.
Jakob HjortDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Bodil Steen RasmussenDepartment of Anaesthesiology and Intensive Care Medicine, Aalborg University Hospital, Aalborg, Denmark.
Inge de HaasDepartment of Anaesthesiology and Intensive Care Medicine, Aalborg University Hospital, Aalborg, Denmark.
Jørgen Feldbæk NielsenHammel Neurorehabilitation Centre and University Research Clinic, Aarhus University, Aarhus, Denmark.
Susanne IlkjærDepartment of Anaesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.
Anne KaltoftDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Anni Nørgaard JeppesenDepartment of Anaesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.
Anders Morten GrejsDepartment of Anaesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.
Christophe Henri Valdemar DuezDepartment of Anaesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.
Alf Inge LarsenDepartment of Cardiology, Stavanger University Hospital, Stavanger, Norway.
Valdo ToomeDepartment of Anaesthesiology, Intensive Care and Emergency Medicine, North Estonia Medical Centre, Tallinn, Estonia.
Urmet ArusDepartment of Intensive Cardiac Care, North Estonia Medical Centre, Tallinn, Estonia.
Fabio Silvio TacconeDepartment of Intensive Care, Erasmus Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Christian StormDepartment of Internal Medicine, Nephrology and Intensive Care, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Timo LaitioDepartment of Anaesthesiology and Intensive Care, University of Turku, Turku, Finland.
Markus B SkrifvarsDivision of Intensive Care, Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Hospital, Helsinki, Finland.
Eldar SøreideDepartment of Anaesthesiology and Intensive Care, Stavanger University Hospital, Stavanger, Norway.
Aarhus University · DKAarhus University Hospital · DKNorth Estonia Medical Centre · EEStavanger University Hospital · NOAalborg University · DKAalborg University Hospital · DKCharité - Universitätsmedizin Berlin · DEErasmus Hospital · BEHelsinki University Hospital · FITurku University Hospital · FIUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe TTH48 trial aims to determine whether prolonged duration (48 hours) of targeted temperature management (TTM) at 33 (±1) °C results in better neurological outcomes compared to standard duration (24 hours) after six months in comatose out-of-hospital cardiac arrest (OHCA) patients.

methodsTTH48 is an investigator-initiated, multicentre, assessor-blinded, randomised, controlled superiority trial of 24 and 48 hours of TTM at 33 (±1) ° C performed in 355 comatose OHCA patients aged 18 to 80 years who were admitted to ten intensive care units (ICUs) in six Northern European countries. The primary outcome of the study is the Cerebral Performance Category (CPC) score observed at six months after cardiac arrest. CPC scores of 1 and 2 are defined as good neurological outcomes, and CPC scores of 3, 4 and 5 are defined as poor neurological outcomes. The secondary outcomes are as follows: mortality within six months after cardiac arrest, CPC at hospital discharge, Glasgow Coma Scale (GCS) score on day 4, length of stay in ICU and at hospital and the presence of any adverse events such as cerebral, circulatory, respiratory, gastrointestinal, renal, metabolic measures, infection or bleeding. With the planned sample size, we have 80% power to detect a 15% improvement in good neurological outcomes at a two-sided statistical significance level of 5%. DISCUSSION: We present a detailed statistical analysis protocol (SAP) that specifies how primary and secondary outcomes should be evaluated. We also predetermine covariates for adjusted analyses and pre-specify sub-groups for sensitivity analyses. This pre-planned SAP will reduce analysis bias and add validity to the findings of this trial on the effect of length of TTM on important clinical outcomes after cardiac arrest.

trial registrationClinicalTrials.gov: NCT01689077 , 17 September 2012.

Indexed as

AdolescentAdultAgedAged, 80 and overBody TemperatureCardiopulmonary ResuscitationEuropeFemaleHumansHypothermia, InducedMaleMiddle AgedOut-of-Hospital Cardiac ArrestSingle-Blind MethodSurvival RateTemperatureCardiac arrestCerebral performance categoryCritical careHeart arrestIntensive careMortalityOut-of-hospitalRandomised controlled trialTargeted temperature management

Identifiers

PMID27894327
PMCPMC5127087
OpenAlexW2559252227

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.