Evidence map›Paper›PMID 37714682›Full record

ArticleBMJ open2023

Early restricted oxygen therapy after resuscitation from cardiac arrest (ER-OXYTRAC): protocol for a stepped-wedge cluster randomised controlled trial.

Ryo Yamamoto, Kazuma Yamakawa, Akira Endo, Koichiro Homma, Yasunori Sato, Ryo Takemura, Takeshi Yamagiwa, Keiki Shimizu, Daiki Kaito, Masayuki Yagi and 36 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Guideline
  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

46 authors.

Ryo YamamotoDepartment of Emergency and Critical Care Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan ryo.yamamoto@gmail.com.ORCID 0000-0001-8772-9600
Kazuma YamakawaDepartment of Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan.ORCID 0000-0003-2999-4021
Akira EndoDepartment of Acute Critical Care Medicine, Tsuchiura Kyodo General Hospital, Tsuchiura, Ibaraki, Japan.
Koichiro HommaDepartment of Emergency and Critical Care Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan.
Yasunori SatoClinical and Translational Research Center, Keio University Hospital, Shinjuku, Tokyo, Japan.
Ryo TakemuraClinical and Translational Research Center, Keio University Hospital, Shinjuku, Tokyo, Japan.ORCID 0000-0002-3733-7411
Takeshi YamagiwaDepartment of Emergency and Critical Care Medicine, Ebina General Hospital, Ebina, Kanagawa, Japan.
Keiki ShimizuEmergency Medical Center of Tokyo Metropolitan Tama Medical Center, Fuchuu, Tokyo, Japan.
Daiki KaitoDepartment of Emergency and Critical Care Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan.
Masayuki YagiEmergency Medicine and Acute Care Surgery, Matsudo City General Hospital, Matsudo, Chiba, Japan.
Taku YonemuraDepartment of Emergency and Critical Care Medicine, Hitachi General Hospital, Hitachi, Ibaraki, Japan.
Takayuki ShibusawaDepartment of Emergency and Critical Care Medicine, National Hospital Organization Tokyo Medical Center, Meguro, Tokyo, Japan.
Ginga SuzukiCritical Care Center, Toho University Omori Medical Center, Ota-ku, Tokyo, Japan.ORCID 0000-0002-9854-3411
Takahiro ShojiDepartment of Emergency Medicine, Saiseikai Central Hospital, Minato-ku, Tokyo, Japan.ORCID 0000-0003-2945-8421
Naoya MiuraDepartment of Emergency and Critical Care Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Jiro TakahashiDepartment of Acute Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.
Chihiro NaritaDepartment of Emergency Medicine, Shizuoka General Hospital, Shizuoka City, Shizuoka, Japan.
Saori KurataDepartment of Emergency and Critical Care Medicine, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.
Kazunobu MinamiEmergency and Critical Care Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya City, Hyogo, Japan.
Takeshi WadaDepartment of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Hokkaido, Japan.
Yoshihisa FujinamiDepartment of Emergency Medicine, Kakogawa Central City Hospital, Kakogawa, Hyogo, Japan.
Yohei TsubouchiDepartment of Emergency and Critical Care Medicine, Subaru Health Insurance Society Ota Memorial Hospital, Ota City, Gunma, Japan.
Mai NatsukawaDepartment of Emergency and Critical Care Medicine, Yodogawa Christian Hospital, Osaka City, Osaka, Japan.
Jun NagayamaJapan Red Cross Maebashi Hospital, Maebashi, Gunma, Japan.
Wataru TakayamaTrauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, Tokyo, Japan.
Ken IshikuraDepartment of Emergency and Disaster Medicine, Mie University Graduate School of Medicine, Tsu City, Mie, Japan.
Kyoko YokokawaDivision of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Tohoku University Hospital Emergency Center, Sendai, Miyagi, Japan.
Yasuo FujitaDepartment of Emergency and Critical Care Center, Akita Redcross Hospital, Akita City, Akita, Japan.
Hirofumi NakayamaDepartment of Emergency and Disaster Medicine, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.
Hideki TokuyamaDepartment of Emergency and Critical Care Medicine, Fujita Medical School Bantane Hospital, Nakagawa-ku, Nagoya, Japan.
Kota ShinadaDepartment of Emergency and Critical Care Medicine, Saga University, Saga City, Saga, Japan.ORCID 0000-0002-9718-0890
Takayuki TairaDepartment of Emergency and Critical Care Medicine, Ryukyu University hospital, Kunigamigun, Okinawa, Japan.
Shoki FukuiDepartment of Emergency Medicine, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Noritaka UshioDepartment of Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan.ORCID 0000-0001-7807-7428
Masaki NakaneDepartment of Emergency and Critical Care Medicine, Yamagata University Hospital, Yamagata City, Yamagata, Japan.
Eisei HoshiyamaDepartment of Neurology/Emergency and Critical Care Medicine, Dokkyomedical University, Mibu, Tochigi, Japan.
Akihito TampoDepartment of Emergency Medicine, Asahikawa City Hospital, Asahikawa, Hokkaido, Japan.
Hisako SageshimaDepartment of Emergency Medicine, Sapporo City General Hospital, Sapporo, Hokkaido, Japan.
Hiroki TakamiDepartment of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital, Nerima-ku, Tokyo, Japan.
Shinichi IizukaDepartment of Emergency and Critical Care Medicine, Odawara Municipal Hospital, Odawara, Kanagawa, Japan.
Hitoshi KikuchiDepartment of Emergency Medicine, Sagamihara Kyodo Hospital, Sagamihara City, Kanagawa, Japan.
Jun HagiwaraDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Bunkyo-ku, Tokyo, Japan.
Takashi TagamiDepartment of Emergency and Critical Care Medicine, Nippon Medical School Musashikosugi Hospital, Kawasaki, Kanagawa, Japan.
Yumi FunatoDepartment of Emergency Medicine and Critical Care, National Center for Global Health and Medicine, Shinjuku, Tokyo, Japan.
Junichi SasakiDepartment of Emergency and Critical Care Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan.
Study Group Er-OxytracJapanese Association for Acute Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiac arrest is a critical condition, and patients often experience postcardiac arrest syndrome (PCAS) even after the return of spontaneous circulation (ROSC). Administering a restricted amount of oxygen in the early phase after ROSC has been suggested as a potential therapy for PCAS; however, the optimal target for arterial partial pressure of oxygen or peripheral oxygen saturation (SpO METHODS AND ANALYSIS: ER-OXYTRAC (early restricted oxygen therapy after resuscitation from cardiac arrest) is a nationwide, multicentre, pragmatic, single-blind, stepped-wedge cluster randomised controlled trial targeting cases of non-traumatic cardiac arrest. This study includes adult patients with out-of-hospital or in-hospital cardiac arrest who achieved ROSC in 39 tertiary centres across Japan, with a target sample size of 1000. Patients whose circulation has returned before hospital arrival and those with cardiac arrest due to intracranial disease or intoxication are excluded. Study participants are assigned to either the restricted oxygen (titration of a fraction of inspired oxygen with 94%-95% of the target SpO ETHICS AND DISSEMINATION: This study has been approved by the Institutional Review Board at Keio University School of Medicine (approval number: 20211106). Written informed consent will be obtained from all participants or their legal representatives. Results will be disseminated via publications and presentations. TRIAL REGISTRATION NUMBER: UMIN Clinical Trials Registry (UMIN000046914).

Indexed as

Heart ArrestOxygenAdultHumansMulticenter Studies as TopicOxygen Inhalation TherapyPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicResuscitationSingle-Blind MethodOxygenAdult intensive & critical careCardiopulmonary ResuscitationOut-of-Hospital Cardiac Arrest

Identifiers

PMID37714682
PMCPMC10510872

What OpenQuestion holds

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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.