Evidence map›Paper›PMID 38268847›Full record

ArticleResuscitation plus2024

The association of regional cerebral oximetry and neurologically intact survival in a porcine model of cardiac arrest.

Mithun Suresh, Susana Arango, Johanna Moore, Bayert Salverda, Michael Lick, Carolina Rojas-Salvador, Anja Metzger, Guillaume Debaty, Pouria Pourzand, Alexander Kaizer and 1 more

Open access · goldAbstract read
In one paragraph

Article in Resuscitation plus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.5field-weighted citation impact, top 9% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

11 authors at 5 institutions in 2 countries.

Mithun SureshDepartment of Medicine, CentraCare-St. Cloud Hospital, St. Cloud, MN, USA.
Susana ArangoDepartment of Anesthesiology, University of Minnesota, Minneapolis, MN, USA.
Johanna MooreDepartment of Emergency Medicine, University of Minnesota, Minneapolis, MN, USA.
Bayert SalverdaHennepin Healthcare Research Institute, Minneapolis, MN, USA.
Michael LickHennepin Healthcare Research Institute, Minneapolis, MN, USA.
Carolina Rojas-SalvadorDepartment of Medicine, University of Minnesota, Minneapolis, MN, USA.
Anja MetzgerDepartment of Emergency Medicine, University of Minnesota, Minneapolis, MN, USA.
Guillaume DebatyDepartment of Emergency Medicine, University of Grenoble Alps/CNRS/TIMC-IMAG UMR 5525, Grenoble, France.
Pouria PourzandDepartment of Emergency Medicine, University of Minnesota, Minneapolis, MN, USA.
Alexander KaizerDepartment of Biostatistics and Informatics, University of Colorado, Aurora, CO, USA.
Keith LurieDepartment of Emergency Medicine, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · USHennepin Healthcare Research Institute · USCentre National de la Recherche Scientifique · FRSt. Cloud Hospital · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Statistical Methods and Adaptive Trial Designs for Cardiovascular Outcomes with Information SharingK01HL151754 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI KAIZER, ALEXANDER MARK · 2021 to 2025
$742k
NHLBI NIH HHS K01 HL151754
6 · The paper itself

Abstract

Background: The objective of this study was to determine if regional cerebral oximetry (rSO2) assessed during CPR would be predictive of survival with favorable neurological function in a prolonged model of porcine cardiac arrest. This study also examined the relative predictive value of rSO2 and end-tidal carbon dioxide (ETCO2), separately and together. Methods: This study is a post-hoc analysis of data from a previously published study that compared conventional CPR (C-CPR) and automated head-up positioning CPR (AHUP-CPR). Following 10 min of untreated ventricular fibrillation, 14 pigs were treated with either C-CPR (C-CPR) or AHUP-CPR. rSO2, ETCO2, and other hemodynamic parameters were measured continuously. Pigs were defibrillated after 19 min of CPR. Neurological function was assessed 24 h later. Results: There were 7 pigs in the neurologically intact group and 7 pigs in the poor outcomes group. Within 6 min of starting CPR, the mean difference in rSO2 by 95% confidence intervals between the groups became statistically significant (p < 0.05). The receiver operating curve for rSO2 to predict survival with favorable neurological function reached a maximal area under the curve value after 6 min of CPR (1.0). The correlation coefficient between rSO2 and ETCO2 during CPR increased towards 1.0 over time. The combined predictive value of both parameters was similar to either parameter alone. Conclusion: Significantly higher rSO2 values were observed within less than 6 min after starting CPR in the pigs that survived versus those that died. rSO2 values were highly predictive of survival with favorable neurological function.

Indexed as

Active compression-decompressionAutomated head-up positioning CPRCardiac arrestCardiopulmonary resuscitationCerebral oximetryImpedance threshold device

Identifiers

PMID38268847
PMCPMC10805944
OpenAlexW4390570434

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.