Evidence map›Paper›PMID 38265564›Full record

ReviewThe ultrasound journal2024

The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review.

Hany A Zaki, Haris Iftikhar, Eman E Shaban, Mavia Najam, Baha Hamdi Alkahlout, Nabil Shallik, Wael Elnabawy, Kaleem Basharat, Aftab Mohammad Azad

Open access · goldAbstract readReview
In one paragraph

Review in The ultrasound journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
15.2field-weighted citation impact, top 1% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Article
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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 3 institutions in 1 country.

Hany A ZakiEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Haris IftikharEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar. hiftikhar@hamad.qa.ORCID http://orcid.org/0000-0002-7091-1243
Eman E ShabanCardiology, Al Jufairi Diagnosis and Treatment, Doha, Qatar.
Mavia NajamDepartment of Medical Education, Hamad Medical Corporation, Doha, Qatar.
Baha Hamdi AlkahloutEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Nabil ShallikAnesthesia Department, IT Deputy Chair, HMC, Doha, Qatar.
Wael ElnabawyEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Kaleem BasharatEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Aftab Mohammad AzadEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Hamad General Hospital · QAHamad Medical Corporation · QAQatar Airways (Qatar) · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac arrest in hospital and out-of-hospital settings is associated with high mortality rates. Therefore, a bedside test that can predict resuscitation outcomes of cardiac arrest patients is of great value. Point-of-care ultrasound (POCUS) has the potential to be used as an effective diagnostic and prognostic tool during cardiac arrest, particularly in observing the presence or absence of cardiac activity. However, it is highly susceptible to "self-fulfilling prophecy" and is associated with prolonged cardiopulmonary resuscitation (CPR), which negatively impacts the survival rates of cardiac arrest patients. As a result, the current systematic review was created to assess the role of POCUS in predicting the clinical outcomes associated with out-of-hospital and in-hospital cardiac arrests.

methodsThe search for scientific articles related to our study was done either through an electronic database search (i.e., PubMed, Medline, ScienceDirect, Embase, and Google Scholar) or manually going through the reference list of the relevant articles. A quality appraisal was also carried out with the Quality Assessment of Diagnostic Accuracy Studies tool (QUADAS-2), and the prognostic test performance (sensitivity and sensitivity) was tabulated.

resultsThe search criteria yielded 3984 articles related to our topic, of which only 22 were eligible for inclusion. After reviewing the literature, we noticed a wide variation in the definition of cardiac activity, and the statistical heterogeneity was high; therefore, we could not carry out meta-analyses. The tabulated clinical outcomes based on initial cardiac rhythm and definitions of cardiac activity showed highly inconsistent results.

conclusionPOCUS has the potential to provide valuable information on the management of cardiac arrest patients; however, it should not be used as the sole predictor for the termination of resuscitation efforts.

Identifiers

PMID38265564
PMCPMC10808079
OpenAlexW4391174620

What OpenQuestion holds

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LicenceCC BY
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.