Evidence map›Paper›PMID 33942277›Full record

SynthesisCardiology journal2023

Diagnostic performance of point-of-use ultrasound of resuscitation outcomes: A systematic review and meta-analysis of 3265 patients.

Maciej Dudek, Lukasz Szarpak, Frank W Peacock, Aleksandra Gasecka, Tomasz Michalski, Pawel Wroblewski, Halla Kaminska, Gabriela Borkowska, Ewa Skrzypek, Adam Smereka and 3 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cardiology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Ultrasound during Advanced Life Support-Help or Harm?Diagnostics (Basel, Switzerland) · 2024
    Article
  6. Review
  7. The 2023 Core Content of advanced emergency medicine ultrasonography.Journal of the American College of Emergency Physicians open · 2023
    Article
  8. 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

13 authors at 8 institutions in 3 countries.

Maciej DudekPolish Society of Disaster Medicine, Warsaw, Poland.
Lukasz SzarpakMaria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.ORCID 0000-0002-0973-5455
Frank W PeacockHenry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, Texas, USA.
Aleksandra GaseckaDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Tomasz Michalski1st Department of Cardiology, Medical University of Gdansk, Poland.
Pawel WroblewskiDepartment of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland.
Halla KaminskaDepartment of Pediatrics and Children's Diabetology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Zabrze, Poland.
Gabriela BorkowskaFaculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, Warsaw, Poland.
Ewa SkrzypekDepartment of History Medicine, Medical University of Warsaw, Poland. eskrzypek.ro@gmail.com.
Adam SmerekaDepartment of Gastroenterology and Hepatology, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.
Jaroslaw Meyer-SzaryDepartment of Pediatric Cardiology and Congenital Heart Diseases, Medical University of Gdansk, Poland.
Sylwia MarciniakStudents Research Club, Maria Sklodowska-Curie Medical Academy in Warsaw, Poland.
Mariola MaleckaInstitute of Outcomes Research, Maria Sklodowska-Curie Medical Academy in Warsaw, Poland.
Gdańsk Medical University · PLMedical University of Warsaw · PLWroclaw Medical University · PLBaylor College of Medicine · USCardinal Stefan Wyszyński University in Warsaw · PLMedical University of Białystok · PLMedical University of Silesia · PLUczelnia Warszawska im. Marii Skłodowskiej-Curie · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEchocardiography in the setting of resuscitation can provide information as to the cause of the cardiac arrest, as well as indicators of futility. This systematic review and meta-analysis were performed to determine the value of point-of-care ultrasonography (PoCUS) in the assessment of survival for adult patients with cardiac arrest.

methodsThis meta-analysis was performed in adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, EMBASE, Web of Science, Cochrane have been searched from databases inception until March 2nd 2021. The search was limited to adult patients with cardiac arrest and without publication dates or country restrictions. Papers were chosen if they met the required criteria relating to the sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of this diagnostic technique concerning resuscitation outcomes.

resultsThis systematic review identified 20 studies. Overall, for survival to hospital discharge, PoCUS was 6.2% sensitivity (95% confidence interval [CI] 4.7-8.0%) and 2.1% specific (95% CI 0.8-4.2%). PoCUS sensitivity and specificity for return of spontaneous circulation were 23.8% (95% CI 21.4-26.4%) and 50.7% (95% CI 45.8-55.7%) respectively, and for survival to admission 13.8% (95% CI 12.2-15.5%) and 20.1% (95% CI 16.2-24.3%), respectively.

conclusionsThe results do not allow unambiguous recommendation of PoCUS as a predictor of resuscitation outcomes and further studies based on a large number of patients with full standardization of operators, their training and procedures performed were necessary.

Indexed as

Cardiopulmonary ResuscitationHeart ArrestOut-of-Hospital Cardiac ArrestAdultEchocardiographyHumansPredictive Value of TestsUltrasonographycardiac arrestcardiopulmonary resuscitationechocardiographymeta-analysisoutcomesystematic reviewultrasonography

Identifiers

PMID33942277
PMCPMC10129265
OpenAlexW3158216615

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.