Evidence map›Paper›PMID 32802436›Full record

ArticleJournal of thoracic disease2020

Serial disseminated intravascular coagulation score with neuron specific enolase predicts the mortality of cardiac arrest-a pilot study.

Qiangrong Zhai, Lu Feng, Hua Zhang, Meng Wu, Daidai Wang, Hongxia Ge, Shu Li, Langfang Du, Kang Zheng, Hui Li and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

14 authors at 1 institution in 1 country.

Qiangrong ZhaiDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Lu FengDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Hua ZhangThe Clinical Epidemiology Research Center, Peking University Third Hospital, Beijing, China.
Meng WuDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Daidai WangDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Hongxia GeDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Shu LiDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Langfang DuDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Kang ZhengDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Hui LiDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Shaoyu LiuDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Jingjing ZhaoDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Wei HuaiDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Qingbian MaDepartment of Emergency, Peking University Third Hospital, Beijing, China.
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrognosis in cardiac arrest (CA) patients has been challenging. We sought to investigate prognostic value combining serial disseminated intravascular coagulation (DIC) score and neuron-specific enolase (NSE) in out-of-hospital cardiac arrest (OHCA) patients.

methodsSixty-one consecutive patients successfully resuscitated after CA were included in the analysis. DIC score and NSE levels were serially analyzed after return of spontaneous circulation (ROSC). The outcome measure was death before hospital discharge. Prognostication performance was assessed as the area under the receiver-operating characteristics curve (AUC). Hosmer-Lemeshow test was used for internal validation of predictive models. Calibration curves were drawn to visualize the results of tests.

resultsThe NSE levels continued to increase in the first 72 h in non-survivors. In survivors, the NSE levels decreased after 48 h. Both DIC score at 48 h and NSE level at 48 h were good predictors of outcome. The AUC for predictive mortality in OHCA patients was 0.869 (95% CI, 0.781-0.956) for DIC score at 48 h combining NSE at 24 h, 0.878 (95% CI, 0.791-0.965) for DIC score at 48 h combining NSE at 48 h and 0.882 (95% CI, 0.792-0.972) for DIC score at 48 h combining NSE at 72 h, respectively. Significance of Hosmer-Lemeshow test was 0.488, 0.324, 0.011 for each combination.

conclusionsSerial DIC score combined with measurement of NSE levels is a useful and accessible tool for prognostication following OHCA.

Indexed as

Cardiac arrestdisseminated intravascular coagulation score (DIC score)neuron-specific enolase (NSE)

Identifiers

PMID32802436
PMCPMC7399410
OpenAlexW3038695300

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.