Evidence map›Paper›PMID 37932650›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2024

Cerebral autoregulation-based mean arterial pressure targets and delirium in critically ill adults without brain injury: a retrospective cohort study.

Jasmine M Khan, Abigail Shore, Kevin F H Lee, Michael D Wood, David M Maslove, Miranda Hunt, Ilinca Georgescu, John Muscedere, J Gordon Boyd

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02344043 (Cerebral Oxygenation and Neurological Outcomes FOllowing CriticAL Illness), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 19% 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.

NCT02344043 completednot on this map

Cerebral Oxygenation and Neurological Outcomes FOllowing CriticAL Illness

TypeobservationalSponsorQueen's UniversityRan2014 to 2016Enrolled116ConditionsCritical Illness, Sepsis, Delirium, Respiratory FailureArmsNear infrared spectroscopy
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Observational
  9. In reply: Do endotracheal tubes with subglottic suction devices cause airway injury?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    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 at 2 institutions in 1 country.

Jasmine M KhanCentre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.ORCID 0000-0002-5765-2371
Abigail ShoreFaculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
Kevin F H LeeDepartment of Medicine, Queen's University, Kingston, ON, Canada.
Michael D WoodFaculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
David M MasloveDepartment of Medicine, Queen's University, Kingston, ON, Canada.
Miranda HuntDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Ilinca GeorgescuDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
John MuscedereDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
J Gordon BoydDepartment of Medicine, Queen's University, Kingston, ON, Canada. gordon.boyd@kingstonhsc.ca.
Queen's University · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCerebral autoregulation (CA) is a mechanism that acts to maintain consistent cerebral perfusion across a range of blood pressures, and impaired CA is associated with delirium. Individualized CA-derived blood pressure targets are poorly characterized in critically ill patients and the association with intensive care unit (ICU) delirium is unknown. Our objectives were to characterize optimal mean arterial pressure (MAP

methodsWe performed a retrospective cohort analysis of patients with shock of any etiology and/or respiratory failure requiring invasive mechanical ventilation, without a neurologic admitting diagnosis. Patients were screened daily for delirium. Cerebral oximetry and mean arterial pressure data were captured for the first 24 hr from enrolment.

resultsForty-two patients with invasive blood pressure monitoring data were analyzed. Optimal mean arterial pressure targets ranged from 55 to 100 mm Hg. Optimal mean arterial pressure values were not significantly different based on history of hypertension or delirium status, and delirium was not associated with deviations from MAP

conclusionWe observed that MAP STUDY REGISTRATION: ClinicalTrials.gov (NCT02344043); first submitted 22 January 2015.

Indexed as

Brain InjuriesDeliriumAdultArterial PressureCerebrovascular CirculationCohort StudiesCritical IllnessHomeostasisHumansOximetryProspective StudiesRetrospective Studiescerebral autoregulationcritically illdeliriumnear-infrared spectroscopyoptimal mean arterial blood pressure (MAPopt)

Identifiers

PMID37932650
OpenAlexW4388406754

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.