Evidence map›Paper›PMID 38204663›Full record

ArticleJTCVS open2023

Electroencephalography as a tool to predict cerebral oxygen metabolism during deep-hypothermic circulatory arrest in neonates with critical congenital heart disease.

Gerard H Laurent, Tiffany S Ko, Kobina G Mensah-Brown, Constantine D Mavroudis, Marin Jacobwitz, Nicolina Ranieri, Susan C Nicolson, J William Gaynor, Wesley B Baker, Daniel J Licht and 2 more

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 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
0.6field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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 1 institution in 1 country.

Gerard H LaurentDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Tiffany S KoDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Kobina G Mensah-BrownDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Constantine D MavroudisDivision of Cardiothoracic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pa.
Marin JacobwitzDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Nicolina RanieriDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Susan C NicolsonDivision of Cardiothoracic Anesthesiology, Children's Hospital of Philadelphia, Philadelphia, Pa.
J William GaynorDivision of Cardiothoracic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pa.
Wesley B BakerDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Daniel J LichtDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Shavonne L MasseyDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Jennifer M LynchDivision of Cardiothoracic Anesthesiology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Children's Hospital of Philadelphia · US

Funding

Training in Molecular Therapeutics for Pediatric CardiologyT32HL007915 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI Robert J Levy, JOSEPH W ROSSANO · 1999 to 2026
$13.4M
Training and DisseminationP41EB015893 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2012 to 2019
$11.3M
Multidisciplinary Training in Cardiovascular BiologyT32HL007954 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI DAVIES, PETER FRANCIS · 2000 to 2019
$9.9M
Diffuse Optics for Acute Stroke ManagementR01NS060653 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI YODH, ARJUN G. · 2008 to 2018
$5.5M
Diffuse Optics for Pediatric Hydrocephalus ManagementR01NS113945 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI BAKER, WESLEY · 2020 to 2024
$1.9M
Augmented Physiologic Monitoring to Predict Brain Injury in Infants with CHDR01NS072338 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI LICHT, DANIEL JACQUES · 2011 to 2015
$1.7M
NHLBI NIH HHS T32 HL007915NHLBI NIH HHS T32 HL007954NIBIB NIH HHS P41 EB015893NINDS NIH HHS R01 NS060653NINDS NIH HHS R01 NS072338NINDS NIH HHS R01 NS113945
6 · The paper itself

Abstract

Objectives: Recent research suggests that increased cerebral oxygen use during surgical intervention for neonates with congenital heart disease may play a role in the development of postoperative white matter injury. The objective of this study is to determine whether increased cerebral electrical activity correlates with greater decrease of cerebral oxygen saturation during deep hypothermic circulatory arrest. Methods: Neonates with critical congenital heart disease requiring surgical intervention during the first week of life were studied. All subjects had continuous neuromonitoring with electroencephalography and an optical probe (to quantify cerebral oxygen saturation) during cardiac surgical repair that involved the use of cardiopulmonary bypass and deep hypothermic circulatory arrest. A simple linear regression was used to investigate the association between electroencephalography metrics before the deep hypothermic circulatory arrest period and the change in cerebral oxygen saturation during the deep hypothermic circulatory arrest period. Results: Sixteen neonates had both neuromonitoring modalities attached during surgical repair. Cerebral oxygen saturation data from 5 subjects were excluded due to poor data quality, yielding a total sample of 11 neonates. A simple linear regression model found that the presence of electroencephalography activity at the end of cooling is positively associated with the decrease in cerebral oxygen saturation that occurs during deep hypothermic circulatory arrest ( Conclusions: Electroencephalography characteristics within 5 minutes before the initiation of deep hypothermic circulatory arrest may be useful in predicting the decrease in cerebral oxygen saturation that occurs during deep hypothermic circulatory arrest. Electroencephalography may be an important tool for guiding cooling and the initiation of circulatory arrest to potentially decrease the prevalence of new white matter injury in neonates with critical congenital heart disease.

Indexed as

cardiopulmonary bypasscerebral oxygen extraction fractioncerebral oxygen saturationcongenital heart diseasedeep hypothermic circulatory arrestneonatewhite matter injury

Identifiers

PMID38204663
PMCPMC10774939
OpenAlexW4385786423

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.