Evidence map›Paper›PMID 28553435›Full record

Observational studyOxidative medicine and cellular longevity2017

Therapeutic Hypothermia Reduces Oxidative Damage and Alters Antioxidant Defenses after Cardiac Arrest.

Fernanda S Hackenhaar, Tássia M Medeiros, Fernanda M Heemann, Camile S Behling, Jordana S Putti, Camila D Mahl, Cleber Verona, Ana Carolina A da Silva, Maria C Guerra, Carlos A S Gonçalves and 4 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Oxidative medicine and cellular longevity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Hypothermia for neuroprotection in adults after cardiac arrest.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Article
  3. Article
  4. Mechanisms and treatment of anemia related to cardiac arrest.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. The role of (Diagnostic and interventional radiology (Ankara, Turkey) · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Targeted temperature management and early neuro-prognostication after cardiac arrest.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Review
  15. Review
  16. Article
  17. Review
  18. 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

14 authors at 3 institutions in 1 country.

Fernanda S HackenhaarDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.
Tássia M MedeirosDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.
Fernanda M HeemannDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.
Camile S BehlingDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.
Jordana S PuttiDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.
Camila D MahlDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.
Cleber VeronaDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.
Ana Carolina A da SilvaDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.
Maria C GuerraInstituto de Ciências Básicas da Saúde, UFRGS, Porto Alegre, Brazil.
Carlos A S GonçalvesInstituto de Ciências Básicas da Saúde, UFRGS, Porto Alegre, Brazil.
Vanessa M OliveiraGrupo Hospitalar Conceição, Porto Alegre, Brazil.
Diego F M RiveiroGrupo Hospitalar Conceição, Porto Alegre, Brazil.
Silvia R R VieiraHospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Mara S BenfatoDepartamento de Biofísica, UFRGS, Porto Alegre, Brazil.ORCID 0000-0001-5997-1926
Universidade Federal do Rio Grande do Sul · BRGrupo Hospitalar Conceição · BRHospital de Clínicas de Porto Alegre · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After cardiac arrest, organ damage consequent to ischemia-reperfusion has been attributed to oxidative stress. Mild therapeutic hypothermia has been applied to reduce this damage, and it may reduce oxidative damage as well. This study aimed to compare oxidative damage and antioxidant defenses in patients treated with controlled normothermia versus mild therapeutic hypothermia during postcardiac arrest syndrome. The sample consisted of 31 patients under controlled normothermia (36°C) and 11 patients treated with 24 h mild therapeutic hypothermia (33°C), victims of in- or out-of-hospital cardiac arrest. Parameters were assessed at 6, 12, 36, and 72 h after cardiac arrest in the central venous blood samples. Hypothermic and normothermic patients had similar S100B levels, a biomarker of brain injury. Xanthine oxidase activity is similar between hypothermic and normothermic patients; however, it decreases posthypothermia treatment. Xanthine oxidase activity is positively correlated with lactate and S100B and inversely correlated with pH, calcium, and sodium levels. Hypothermia reduces malondialdehyde and protein carbonyl levels, markers of oxidative damage. Concomitantly, hypothermia increases the activity of erythrocyte antioxidant enzymes superoxide dismutase, glutathione peroxidase, and glutathione S-transferase while decreasing the activity of serum paraoxonase-1. These findings suggest that mild therapeutic hypothermia reduces oxidative damage and alters antioxidant defenses in postcardiac arrest patients.

Indexed as

Hypothermia, InducedOxidative StressAntioxidantsBiomarkersBrainFemaleHeart ArrestHumansMaleMiddle AgedOut-of-Hospital Cardiac ArrestTreatment OutcomeXanthine OxidaseAntioxidantsBiomarkersXanthine Oxidase

Identifiers

PMID28553435
PMCPMC5434234
OpenAlexW2610767688

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.