Evidence map›Paper›PMID 34223343›Full record

ArticleResuscitation plus2021

A descriptive analysis of cross-sectional imaging findings in patients after non-traumatic sudden cardiac arrest.

Charles W Hwang, Muhammad Abdul Baker Chowdhury, Dru Z Curtis, Jon D Wiese, Apara Agarwal, Brandon P Climenhage, Torben K Becker

Abstract read
In one paragraph

Article in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Observational
  3. 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

7 authors.

Charles W HwangDepartment of Emergency Medicine UF Health, 1329 SW 16th Street PO Box 100186 Gainesville, FL 32610-0186, USA.
Muhammad Abdul Baker ChowdhuryDepartment of Emergency Medicine UF Health, 1329 SW 16th Street PO Box 100186 Gainesville, FL 32610-0186, USA.
Dru Z CurtisDepartment of Emergency Medicine UF Health, 1329 SW 16th Street PO Box 100186 Gainesville, FL 32610-0186, USA.
Jon D WieseDepartment of Emergency Medicine UF Health, 1329 SW 16th Street PO Box 100186 Gainesville, FL 32610-0186, USA.
Apara AgarwalDepartment of Emergency Medicine UF Health, 1329 SW 16th Street PO Box 100186 Gainesville, FL 32610-0186, USA.
Brandon P ClimenhageDepartment of Emergency Medicine UF Health, 1329 SW 16th Street PO Box 100186 Gainesville, FL 32610-0186, USA.
Torben K BeckerDepartment of Emergency Medicine UF Health, 1329 SW 16th Street PO Box 100186 Gainesville, FL 32610-0186, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCross-sectional imaging is frequently obtained after sudden cardiac arrest (SCA) to determine the aetiology. Although imaging studies may reveal acute and/or chronic findings that may impact downstream medical management, lack of standardized guidelines results in significant practice variability. We aimed to perform a descriptive analysis and to report on radiographic findings after SCA.

methodsThis was a retrospective observational descriptive study that included all adult SCA patients who presented to our emergency department (ED) over a 6-year period, achieved sustained return of spontaneous circulation, and subsequently received cross-sectional imaging while in the ED. Each imaging study was reviewed and graded based on a predefined scale, and significant radiographic findings were tabulated.

results1573 patients were identified, and 452 patients remained after applying predefined exclusion criteria. A total of 298, 184, and 113 computed tomography (CT) studies were performed of the head, chest, and abdomen, respectively. For head, chest, and abdominal imaging, 13 (4.4%), 23 (12.5%), and 6 (5.3%) studies had radiographic findings that likely contributed to SCA, respectively. Altogether, 42 (7.1%) radiographic studies had findings that likely contributed to SCA. Eighty (13.4%) studies (head [n = 38, 12.8%], chest [n = 26, 14.1%], abdomen [n = 16, 14.2%]) resulted in a change of clinical care (e.g. specialty consultation or procedures).

conclusionGiven the clinical uncertainty and relative instability during the post-SCA phase, cross-sectional imaging frequently reveals important acute and chronic diagnostic findings.

Indexed as

ACLS, advanced cardiac life supportACS, acute coronary syndromeCross-Sectional imagingCT, computed tomographyeCPR, extracorporeal cardiopulmonary resuscitationED, emergency departmentMR, Imagnetic resonance imagingOHCA, out-of-hospital cardiac arrestPEA, pulseless electrical activityPost-Cardiac arrest managementResuscitationROS, Creturn of spontaneous circulationSCA, sudden cardiac arrestSudden cardiac arrestVF, ventricular fibrillationVT, ventricular tachycardiaWBCT, whole body computed tomography

Identifiers

PMID34223343
PMCPMC8244399

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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.