Evidence map›Paper›PMID 31468207›Full record

ArticleEmergency radiology2020

Early whole-body CT for treatment guidance in patients with return of spontaneous circulation after cardiac arrest.

S Viniol, R P Thomas, A M König, S Betz, A H Mahnken

Abstract read
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In one paragraph

Article in Emergency radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Rib fractures and other injuries after cardiopulmonary resuscitation for non-traumatic cardiac arrest: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Pooled it
  3. Observational
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  11. Post-resuscitation pneumothorax: retrospective analysis of incidence, risk factors and outcome-relevance.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    Observational
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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

5 authors at 1 institution in 1 country.

S ViniolDepartment of Diagnostic and Interventional Radiology, Marburg University Hospital, Philipps-University, Marburg, Germany. viniol@staff.uni-marburg.de.ORCID http://orcid.org/0000-0002-8161-499X
R P ThomasDepartment of Diagnostic and Interventional Radiology, Marburg University Hospital, Philipps-University, Marburg, Germany.
A M KönigDepartment of Diagnostic and Interventional Radiology, Marburg University Hospital, Philipps-University, Marburg, Germany.
S BetzDepartment of Emergency Medicine, Marburg University Hospital, Philipps-University, Marburg, Germany.
A H MahnkenDepartment of Diagnostic and Interventional Radiology, Marburg University Hospital, Philipps-University, Marburg, Germany.
Philipps University of Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNon-traumatic cardiac arrest (CA) and return of spontaneous circulation (ROSC) after cardiopulmonary resuscitation (CPR) are often associated with multiple pathologies. Expecting a high prevalence of important findings, a whole-body CT (WBCT) could be of relevance for therapy. The aim of this study is to investigate the feasibility and diagnostic yield of an early WBCT in this setting.

methodsThis single-center retrospective study included 100 consecutive patients (27 female; 73 male; mean age 68.5± 12.57 years) with non-traumatic, in- and out-of-hospital CA and ROSC following CPR, who underwent a contrast-enhanced WBCT within 6 h after ROSC over 12 months. CT findings were determined corresponding to anatomical region.

resultsEarly WBCT was successfully carried out in 100% of the patients with CA and ROSC after CPR. Acute pathologies were found not only in the chest but also in the head (15%) and the abdomen (6%). Early global brain edema (n = 12), acute stroke (n = 3), pulmonary embolism (n = 10), pneumothorax (26%), acute abdominal pathologies (n = 6), iatrogenic bleeding (4%), and CPR-related injuries (93%) were detected by CT right from the beginning of the post-cardiac arrest care.

conclusionsAn early WBCT is feasible and provides added diagnostic value for patients with ROSC after non-traumatic CA.

Indexed as

Cardiopulmonary ResuscitationWhole Body ImagingAgedContrast MediaFemaleHeart ArrestHumansMaleRetrospective StudiesTomography, X-Ray ComputedContrast MediaCardiac arrestEarly whole-body CTEmergency radiologyROSC

Identifiers

PMID31468207
OpenAlexW2970903800

What OpenQuestion holds

Textmetadata
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.