Evidence map›Paper›PMID 29340538›Full record

SynthesisRevista Brasileira de terapia intensiva

Autonomic nervous system monitoring in intensive care as a prognostic tool. Systematic review.

Luis Bento, Rui Fonseca-Pinto, Pedro Póvoa

Registry-linked trialOpen access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07288840 (Exercise Prescription in Cardiac Rehabilitation Mediated by Autonomic Function), which is not on this 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 25% 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.

NCT07288840 enrolling by invitationnot on this map

Exercise Prescription in Cardiac Rehabilitation Mediated by Autonomic Function

TypeobservationalSponsorInstituto Politécnico de LeiriaRan2024 to 2026Enrolled90ConditionsCardiac Rehabilitation, Exercise Therapy, Autonomic Nervous System Imbalance, Treatment Outcomes
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Observational
  5. 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

3 authors at 1 institution in 1 country.

Luis BentoUnidade de Urgência Médica, Centro Hospitalar de Lisboa Central, EPE - Lisboa, Portugal.
Rui Fonseca-PintoInstituto Politécnico de Leiria - Leiria, Portugal.
Pedro PóvoaUnidade de Cuidados Intensivos Polivalente, Hospital São Francisco Xavier - Centro Hospitalar de Lisboa Ocidental - Lisboa, Portugal.
Universidade Nova de Lisboa · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo present a systematic review of the use of autonomic nervous system monitoring as a prognostic tool in intensive care units by assessing heart rate variability.

methodsLiterature review of studies published until July 2016 listed in PubMed/Medline and conducted in intensive care units, on autonomic nervous system monitoring, via analysis of heart rate variability as a prognostic tool (mortality study). The following English terms were entered in the search field: ("autonomic nervous system" OR "heart rate variability") AND ("intensive care" OR "critical care" OR "emergency care" OR "ICU") AND ("prognosis" OR "prognoses" OR "mortality").

resultsThere was an increased likelihood of death in patients who had a decrease in heart rate variability as analyzed via heart rate variance, cardiac uncoupling, heart rate volatility, integer heart rate variability, standard deviation of NN intervals, root mean square of successive differences, total power, low frequency, very low frequency, low frequency/high frequency ratio, ratio of short-term to long-term fractal exponents, Shannon entropy, multiscale entropy and approximate entropy.

conclusionIn patients admitted to intensive care units, regardless of the pathology, heart rate variability varies inversely with clinical severity and prognosis.

Indexed as

Autonomic Nervous SystemCritical CareHeart RateHumansIntensive Care UnitsMonitoring, PhysiologicPrognosisSeverity of Illness Index

Identifiers

PMID29340538
PMCPMC5764561
OpenAlexW2782670150

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.