Evidence map›Paper›PMID 34250498›Full record

ArticleCritical care explorations2021

Factors Associated With Rebound Hyperthermia After Targeted Temperature Management in Out-of-Hospital Cardiac Arrest Patients: An Explorative Substudy of the Time-Differentiated Therapeutic Hypothermia in Out-of-Hospital Cardiac Arrest Survivors Trial.

Aki Holm, Hans Kirkegaard, Fabio Silvio Taccone, Eldar Søreide, Anders M Grejs, Valdo Toome, Christian Hassager, Bodil S Rasmussen, Timo Laitio, Christian Storm and 2 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 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
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

12 authors at 8 institutions in 6 countries.

Aki HolmDepartment of Emergency Care and Services, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Hans KirkegaardResearch Center for Emergency Medicine, Department of Emergency Medicine and Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.
Fabio Silvio TacconeDepartment of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Eldar SøreideCritical Care and Anaesthesiology Research Group, Department of Anesthesiology and Intensive Care, Stavanger University Hospital, Stavanger, Norway.
Anders M GrejsDepartment of Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.
Valdo ToomeDepartment of Intensive Cardiac Care, North Estonia Medical Centre, Tallinn, Estonia.
Christian HassagerDepartment of Cardiology, Rigshospitalet, Copenhagen, Denmark.
Bodil S RasmussenDepartment of Anesthesiology and Intensive Care Medicine, Aalborg University Hospital, Aalborg, Denmark.
Timo LaitioDivision of Perioperative Services, Department of Intensive Care Medicine and Pain Management, Turku University Hospital and University of Turku, Turku, Finland.
Christian StormDepartment of Internal Medicine, Nephrology and Intensive Care, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Johanna HästbackaDepartment of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Markus B SkrifvarsDepartment of Emergency Care and Services, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Aarhus University Hospital · DKHelsinki University Hospital · FIAalborg University Hospital · DKCharité - Universitätsmedizin Berlin · DENorth Estonia Medical Centre · EERigshospitalet · DKUniversité Libre de Bruxelles · BEUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate rebound hyperthermia following targeted temperature management after cardiac arrest and its impact on functional outcome.

designPost hoc analysis.

settingTen European ICUs. PATIENTS: Patients included in the time-differentiated therapeutic hypothermia in out-of-hospital cardiac arrest survivors trial treated with targeted temperature management at 33°C for 48 or 24 hours. Favorable functional outcome was defined as a Cerebral Performance Category of 1 or 2 at 6 months.

interventionsNone. MEASUREMENTS AND MAIN

resultsOf 338 included patients, 103 (30%) experienced rebound hyperthermia defined as a maximum temperature after targeted temperature management and rewarming exceeding 38.5°C. Using multivariate logistic regression analysis, increasing age (odds ratio, 0.97; 95% CI, 0.95-0.99;

conclusionsOne-third of targeted temperature management patients experience rebound hyperthermia, and it is more common in younger male patients with an aggravated inflammatory response and those treated with a mechanical chest compression device. Later onset of rebound hyperthermia and temperatures exceeding 38.5°C associate with unfavorable outcome.

Indexed as

feverout-of-hospital cardiac arrestrebound hyperthermiaresuscitationtargeted temperature management

Identifiers

PMID34250498
PMCPMC8263323
OpenAlexW3180002133

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.