Evidence map›Paper›PMID 37445530›Full record

ReviewJournal of clinical medicine2023

Blood Pressure Targets for Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis.

Shir Lynn Lim, Christopher Jer Wei Low, Ryan Ruiyang Ling, Rehena Sultana, Victoria Yang, Marcus E H Ong, Yew Woon Chia, Vijay Kumar Sharma, Kollengode Ramanathan

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. 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. Observational
  2. 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

9 authors.

Shir Lynn LimDepartment of Cardiology, National University Heart Centre Singapore, Singapore 119074, Singapore.ORCID 0000-0002-1151-2357
Christopher Jer Wei LowYong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.ORCID 0000-0003-2602-8637
Ryan Ruiyang LingYong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.
Rehena SultanaCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore 169857, Singapore.
Victoria YangImperial College Healthcare NHS Trust, London W12 OHS, UK.
Marcus E H OngDepartment of Emergency Medicine, Singapore General Hospital, Singapore 169608, Singapore.ORCID 0000-0001-7874-7612
Yew Woon ChiaYong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.ORCID 0000-0002-4635-3333
Vijay Kumar SharmaYong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.
Kollengode RamanathanYong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.ORCID 0000-0003-1822-9455

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith ideal mean arterial pressure (MAP) targets in resuscitated out-of-hospital cardiac arrest (OHCA) patients unknown, we performed a meta-analysis of randomised controlled trials (RCTs) to compare the effects of higher versus lower MAP targets.

methodsWe searched four databases until 1 May 2023 for RCTs reporting the effects of higher MAP targets (>70 mmHg) in resuscitated OHCA patients and conducted random-effects meta-analyses. The primary outcome was mortality while secondary outcomes were neurological evaluations, arrhythmias, acute kidney injury, and durations of mechanical ventilation and ICU stay. We conducted inverse-variance weighted strata-level meta-regression against a proportion of non-survivors to assess differences between reported MAPs. We also conducted a trial sequential analysis of RCTs.

resultsFour RCTs were included. Higher MAP was not associated with reduced mortality (OR: 1.09, 95%-CI: 0.84 to 1.42,

conclusionsA higher MAP target was not significantly associated with improved mortality and neurological outcomes in resuscitated OHCA patients.

Indexed as

blood pressurehaemodynamicsmeta-analysisneurologic deficitsout-of-hospital cardiac arrest

Identifiers

PMID37445530
PMCPMC10342823

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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.