Evidence map›Paper›PMID 29621337›Full record

Observational studyPloS one2018

Serial evaluation of SOFA and APACHE II scores to predict neurologic outcomes of out-of-hospital cardiac arrest survivors with targeted temperature management.

Jae Chol Yoon, Youn-Jung Kim, You-Jin Lee, Seung Mok Ryoo, Chang Hwan Sohn, Dong-Woo Seo, Yoon-Seon Lee, Jae Ho Lee, Kyoung Soo Lim, Won Young Kim

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04361838 (Impact of Multi-Denominational Prayer on Morbidity and Mortality of Patients Admitted to the Intensive Care Unite With Corona Virus Infection), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.6field-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.

NCT04361838 naterminatednot on this mapstarted 2020, after this paper: background citation

Impact of Multi-Denominational Prayer on Morbidity and Mortality of Patients Admitted to the Intensive Care Unite With Corona Virus Infection

TypeinterventionalSponsorKansas City Heart Rhythm InstituteRan2020 to 2021Enrolled200ConditionsCoronavirus InfectionArmsprayer
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 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

10 authors at 2 institutions in 1 country.

Jae Chol YoonDepartment of Emergency Medicine, Research Institute of Clinical Medicine of Chonbuk National University and Biomedical Research Institute of Chonbuk National University Hospital, Jeonju-si, Republic of Korea.
Youn-Jung KimDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
You-Jin LeeDepartment of Emergency Medicine, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
Seung Mok RyooDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Chang Hwan SohnDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Dong-Woo SeoDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Yoon-Seon LeeDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Jae Ho LeeDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Kyoung Soo LimDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Won Young KimDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0002-6904-5966
Ulsan College · KRJeonbuk National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study was aimed at a serial evaluation and comparison of the prognostic values of Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation (APACHE) II scores for neurologic outcomes in comatose, out-of-hospital cardiac arrest (OHCA) survivors, treated with targeted temperature management (TTM).

methodsWe analysed a prospective cohort of comatose OHCA patients, with TTM, admitted to an emergency intensive care unit (ICU), between January 2010 and December 2015. SOFA and APACHE II scores were calculated initially, and then at day 1, 2, 3, 5, and 7 after ICU admission. Primary and secondary outcomes were the 28-day neurologic outcome and the 28-day mortality, respectively. Prognostic value of the SOFA and APACHE II scores was analysed using the receiver operating characteristic curve.

resultsOf the 143 selected patients, 62 survived and 34 had good neurologic outcomes at day 28. There was no significant difference in the SOFA and extracerebral SOFA scores between the good and poor neurologic outcome groups. However, the APACHE II scores were significantly higher in the good outcome group; they displayed good discriminatory power in predicting poor outcomes, unlike the SOFA scores. The APACHE II score at day 3 had the highest prognostic value for predicting poor neurologic outcomes with an area under the cure of 0.793, and with a cut-off value of 20, the APACHE II score predicted poor neurologic outcomes with a sensitivity of 43.75%, a specificity of 94.12%, a positive predictive value of 94.59%, and a negative predictive value of 41.56%.

conclusionsIdentifying APACHE II score might assist as one piece of multimodal prognostic approach for the assessment of neurologic outcomes in OHCA survivors treated with TTM.

Indexed as

APACHEHypothermia, InducedOrgan Dysfunction ScoresAgedComaComorbidityCritical CareEmergency Medical ServicesFemaleHumansMaleMiddle AgedOut-of-Hospital Cardiac ArrestPrognosisProspective StudiesRegistries

Identifiers

PMID29621337
PMCPMC5886591
OpenAlexW2795549358

What OpenQuestion holds

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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.