Evidence map›Paper›PMID 30052576›Full record

Observational studyShock (Augusta, Ga.)2019

Plasma Adenylate Levels are Elevated in Cardiopulmonary Arrest Patients and May Predict Mortality.

Yuka Sumi, Carola Ledderose, Linglin Li, Yoshiaki Inoue, Ken Okamoto, Yutaka Kondo, Koichiro Sueyoshi, Wolfgang G Junger, Hiroshi Tanaka

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Shock (Augusta, Ga.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 11 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

9 authors at 3 institutions in 3 countries.

Yuka SumiDepartment of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Urayasu, Chiba, Japan.
Carola LedderoseDepartment of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Linglin LiDepartment of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Yoshiaki InoueDepartment of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Urayasu, Chiba, Japan.
Ken OkamotoDepartment of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Urayasu, Chiba, Japan.
Yutaka KondoDepartment of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Urayasu, Chiba, Japan.
Koichiro SueyoshiDepartment of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Urayasu, Chiba, Japan.
Wolfgang G JungerDepartment of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Hiroshi TanakaDepartment of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Urayasu, Chiba, Japan.
Juntendo University Urayasu Hospital · JPBeth Israel Deaconess Medical Center · USUniversity of Tsukuba Hospital · JP

Funding

Neutrophil activation and traumaR01GM060475 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JUNGER, WOLFGANG G · 2001 to 2016
$3.8M
Purinergic regulation of T cellsR01GM051477 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JUNGER, WOLFGANG G · 2003 to 2016
$2.5M
Autocrine regulation of neutrophil chemotaxisR01GM116162 · NIGMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JUNGER, WOLFGANG G · 2015 to 2018
$1.6M
Purinergic receptors in inflammationR01AI080582 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JUNGER, WOLFGANG G · 2009 to 2012
$1.4M
Harvard Trauma Inflammation Training ProgramT32GM103702 · NIGMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JUNGER, WOLFGANG G · 2013 to 2017
$922k
Autocrine control of neutrophil chemotaxisR01AI072287 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JUNGER, WOLFGANG G · 2009 to 2010
$766k
NIAID NIH HHS R01 AI072287NIAID NIH HHS R01 AI080582NIGMS NIH HHS R01 GM051477NIGMS NIH HHS R01 GM060475NIGMS NIH HHS R01 GM116162NIGMS NIH HHS T32 GM103702
6 · The paper itself

Abstract

Cerebral and cardiac dysfunction cause morbidity and mortality in postcardiac arrest syndrome (PCAS) patients. Predicting clinical outcome is necessary to provide the optimal level of life support for these patients. In this pilot study, we examined whether plasma ATP and adenylate levels have value in predicting clinical outcome in PCAS patients. In total, 15 patients who experienced cardiac arrest outside the hospital setting and who could be reanimated were enrolled in this study. Healthy volunteers (n = 8) served as controls. Of the 15 PCAS patients, 8 died within 4 days after resuscitation. Of the 7 survivors, 2 lapsed into vegetative states, 1 survived with moderate disabilities, and 4 showed good recoveries. Arterial blood samples were drawn immediately after successful resuscitation and return of spontaneous circulation (ROSC). The concentrations of ATP and other adenylates in plasma were assessed with high-performance liquid chromatography. PCAS patients had significantly higher ATP levels than healthy controls. Plasma ATP levels correlated with lactate levels, Acute Physiology and Chronic Health Evaluation II scores, and the time it took to ROSC (time-to-ROSC). Plasma adenylate levels in patients who died after resuscitation were significantly higher than in survivors. Based on our results and receiver-operating characteristic curve analysis, we conclude that plasma adenylate levels may help predict outcome in PCAS patients.

Indexed as

Adenosine TriphosphateHeart ArrestAdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansLactic AcidMaleMiddle AgedPilot ProjectsPredictive Value of TestsProspective StudiesSurvival RateAdenosine TriphosphateLactic Acid

Identifiers

PMID30052576
PMCPMC6347542
OpenAlexW2884646857

What OpenQuestion holds

Textmetadata
LicenceTDM
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.