Evidence map›Paper›PMID 36050640›Full record

ArticleBMC anesthesiology2022

Pilot study: advanced haemodynamic monitoring after acute spinal cord injury-Keep the pressure up?

Niklas Drotleff, Oliver Jansen, Christina Weckwerth, Mirko Aach, Thomas Armin Schildhauer, Christian Waydhas, Uwe Hamsen

Abstract read
In one paragraph

Article in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Critical Care of Spinal Cord Injury.Current neurology and neuroscience reports · 2024
    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

7 authors.

Niklas DrotleffDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany. niklas.drotleff@bergmannsheil.de.ORCID 0000-0001-5263-5620
Oliver JansenDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
Christina WeckwerthFaculty of Psychology, FernUniversität Hagen, Hagen, Germany.
Mirko AachDepartment of Spinal Cord Injury, BG University Hospital Bergmannsheil, Bochum, Germany.
Thomas Armin SchildhauerDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
Christian WaydhasDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
Uwe HamsenDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the use of vasopressors to maintain haemodynamic goals after acute spinal cord injury (SCI) is still recommended, evidence regarding the target values and possible risks of this practice is limited, and data on haemodynamic parameters unaffected by catecholamines are rare. In this pilot study, we show the haemodynamic profile of patients with acute SCI mainly unaffected by vasopressor use and other factors that influence the cardiovascular system.

methodsFrom March 2018 to March 2020, we conducted a prospective, single-centre pilot study of 30 patients with acute SCI. Factors that could affect the cardiocirculatory system other than SCI (sepsis, pre-existing heart disease or multiple trauma) led to exclusion. A total of 417 measurements were performed using the PiCCO™ system.

resultsThe mean systemic vascular resistance index (SVRI, 1447.23 ± 324.71 dyn*s*cm

conclusionThese findings could lead to an adaptation of the target range for SVRI and MAP in patients with acute SCI and therefore reduce the use of vasopressors.

Indexed as

Hemodynamic MonitoringSpinal Cord InjuriesCardiac OutputHemodynamicsHumansPilot ProjectsProspective StudiesAdvanced haemodynamic monitoringMAP goalsSpinal cord injuryTranspulmonary thermodilution

Identifiers

PMID36050640
PMCPMC9434085

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Registered trials

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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.