Evidence map›Paper›PMID 29305927›Full record

Trial reportResuscitation2018

Neurobehavioural outcomes in children after In-Hospital cardiac arrest.

Beth S Slomine, Faye S Silverstein, James R Christensen, Richard Holubkov, Russell Telford, J Michael Dean, Frank W Moler, Therapeutic Hypothermia after Paediatric Cardiac Arrest (THAPCA) Trial Investigators

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Resuscitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00880087 (Therapeutic Hypothermia After Pediatric Cardiac Arrest), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

NCT00880087 nacompletednot on this map

Therapeutic Hypothermia After Pediatric Cardiac Arrest (In Hospital)

TypeinterventionalSponsorUniversity of MichiganRan2009 to 2016Enrolled329ConditionsCardiac ArrestArmsTherapeutic Hypothermia, Therapeutic Normothermia
3 · Its place in the literature

Who cites it

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

  1. Neurocognitive functioning and health-related quality of life of children after pediatric intensive care admission: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  2. Cardiac Arrest Outcomes in Children With Preexisting Neurobehavioral Impairment.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019
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  19. Concordance of the Vineland Adaptive Behavior Scales, second and third editions.Journal of intellectual disability research : JIDR · 2020
    Article
  20. Focus on paediatrics.Intensive care medicine · 2019
    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

8 authors.

Beth S SlomineKennedy Krieger Institute, 707 North Broadway, Baltimore, MD 21205, United States; Johns Hopkins University, School of Medicine, Baltimore, MD 21205, United States. Electronic address: slomine@kennedykrieger.org.
Faye S SilversteinDepartment of Pediatrics, University of Michigan, Ann Arbor, MI 48109, United States.
James R ChristensenKennedy Krieger Institute, 707 North Broadway, Baltimore, MD 21205, United States; Johns Hopkins University, School of Medicine, Baltimore, MD 21205, United States.
Richard HolubkovDepartment of Pediatrics, University of Utah, 295 Chipeta Way, P. O. Box 58128, Salt Lake City, UT 84158, United States.
Russell TelfordDepartment of Pediatrics, University of Utah, 295 Chipeta Way, P. O. Box 58128, Salt Lake City, UT 84158, United States.
J Michael DeanDepartment of Pediatrics, University of Utah, 295 Chipeta Way, P. O. Box 58128, Salt Lake City, UT 84158, United States.
Frank W MolerDepartment of Pediatrics, University of Michigan, Ann Arbor, MI 48109, United States.
Therapeutic Hypothermia after Paediatric Cardiac Arrest (THAPCA) Trial Investigators

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
Data Coordinating Center for the Collaborative Pediatric Critical Care Research NetworkU01HD049934 · NICHD · UNIVERSITY OF UTAH · PI DEAN, JONATHAN MICHAEL · 2005 to 2020
$35.2M
NEUROIMAGING COREP30HD040677 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VITTORIO GALLO, VITTORIO GALLO VITTORIO GALLO · 2001 to 2015
$15.9M
THAPCA Trials - Scientific ApplicationU01HL094345 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MOLER, FRANK W · 2009 to 2016
$12.7M
Translational Neuroscience CoreU54HD079123 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI FATEMI, S. ALI, SCHLAGGAR, BRADLEY L · 2014 to 2019
$7.9M
THAPCA Trials - DCC ApplicationU01HL094339 · NHLBI · UNIVERSITY OF UTAH · PI DEAN, JONATHAN MICHAEL · 2009 to 2015
$7.4M
Washington University Intellectual and Developmental Disabilities Research CenterP30HD062171 · NICHD · WASHINGTON UNIVERSITY · PI INDER, TERRIE E · 2010 to 2014
$4.3M
Physiologically Guided Ventilator Strategies in ChildrenU10HD050012 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI NEWTH, CHRISTOPHER JOHN · 2005 to 2014
$3.7M
Neurodevelopmental Outcome after Cardiac Intensive CareU10HD049981 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI WESSEL, DAVID LLOYD · 2005 to 2014
$3.7M
Department of Health CS-2015-15-016NCATS NIH HHS KL2 TR000434NCATS NIH HHS UL1 TR000003NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1 TR002240NCRR NIH HHS KL2 RR024987NCRR NIH HHS UL1 RR024986NHLBI NIH HHS U01 HL094339NHLBI NIH HHS U01 HL094345NICHD NIH HHS P30 HD040677NICHD NIH HHS P30 HD062171NICHD NIH HHS R21 HD044955NICHD NIH HHS R34 HD050531NICHD NIH HHS RL1 HD107773NICHD NIH HHS U01 HD049934NICHD NIH HHS U10 HD049945NICHD NIH HHS U10 HD049981NICHD NIH HHS U10 HD049983NICHD NIH HHS U10 HD050009NICHD NIH HHS U10 HD050012NICHD NIH HHS U10 HD050096NICHD NIH HHS U54 HD079123NICHD NIH HHS UG1 HD049981NICHD NIH HHS UG1 HD049983NINDS NIH HHS K08 NS063956
6 · The paper itself

Abstract

aimChildren who remain comatose after in-hospital cardiac arrest (IH-CA) resuscitation are at risk for poor neurological outcome. We report results of detailed neurobehavioural testing in paediatric IH-CA survivors, initially comatose after return of circulation, and enrolled in THAPCA-IH, a clinical trial that evaluated two targeted temperature management interventions (hypothermia, 33.0 °C or normothermia, 36.8 °C; NCT00880087).

methodsChildren, aged 2 days to <18 years, were enrolled in THAPCA-IH from 2009 to 2015; primary trial outcome (survival with favorable neurobehavioural outcome) did not differ between groups. Pre-IH-CA neurobehavioural functioning, measured with the Vineland Adaptive Behavior Scales, Second Edition (VABS-II) was evaluated soon after enrollment; this report includes only children with broadly normal pre-IH-CA scores (VABS-II composite scores ≥70; 269 enrolled). VABS-II was re-administered 3 and 12 months later. Cognitive testing was completed at 12 months.

resultsFollow-ups were obtained on 125 of 135 eligible one-year survivors. Seventy-seven percent (96/125) had VABS-II scores ≥70 at 12 months; cognitive composites were ≥2SD of mean in 59%. VABS-II composite, domain, and most subdomain scores declined between pre-IH-CA and 3-month, and pre-IH-CA and 12-month assessments (composite means declined about 1 SD at 3 and 12 months, p < 0.005); 3 and 12-month scores were strongly correlated (r = 0.72, p < 0.001).

conclusionsIn paediatric IH-CA survivors at high risk for unfavorable outcomes, the majority demonstrated significant declines in neurobehavioural functioning, across multiple functional domains, with similar functioning at 3 and 12 months. About three-quarters attained VABS-II functional performance composite scores within the broadly normal range.

Indexed as

AdolescentCardiopulmonary ResuscitationChildChild, PreschoolCognitive DysfunctionComaFemaleHeart ArrestHumansHypothermia, InducedInfantInfant, NewbornMaleNeuropsychological TestsCardiac arrestCognitionIn-hospital cardiac arrestNeurobehavioralOutcomePediatrics

Identifiers

PMID29305927
PMCPMC5837951

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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.