Evidence map›Paper›PMID 38302643›Full record

ArticleNeurocritical care2024

Characterizing the Relationship Between Arterial Carbon Dioxide Trajectory and Serial Brain Biomarkers with Central Nervous System Injury During Veno-Venous Extracorporeal Membrane Oxygenation: A Prospective Cohort Study.

Sonny Thiara, Sophie Stukas, Ryan Hoiland, Cheryl Wellington, Mike Tymko, George Isac, Gordon Finlayson, Hussein Kanji, Kali Romano, Veronica Hirsch-Reinshagen and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Neurocritical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Exploring the Association Between Early PaCOTranslational stroke research · 2025
    Article
  3. Plasma brain-related biomarkers and potential therapeutic targets in pediatric ECMO.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Sonny ThiaraDivision of Critical Care Medicine, Department of Medicine, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Room 2438, Jim Pattison Pavilion, 2nd Floor 855 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada. shananjitsonny.thiara@vch.ca.
Sophie StukasDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Ryan HoilandDepartment of Anesthesiology, Pharmacology and Therapeutics, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Cheryl WellingtonDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Mike TymkoDivision of Critical Care Medicine, Department of Medicine, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Room 2438, Jim Pattison Pavilion, 2nd Floor 855 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada.
George IsacDepartment of Anesthesiology, Pharmacology and Therapeutics, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Gordon FinlaysonDepartment of Anesthesiology, Pharmacology and Therapeutics, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Hussein KanjiDepartment of Emergency Medicine, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Kali RomanoDepartment of Anesthesiology, Pharmacology and Therapeutics, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Veronica Hirsch-ReinshagenDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Mypinder Sekhon *Division of Critical Care Medicine, Department of Medicine, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Room 2438, Jim Pattison Pavilion, 2nd Floor 855 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada.
Donald Griesdale *Department of Anesthesiology, Pharmacology and Therapeutics, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
University of British Columbia · CAVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCentral nervous system (CNS) injury following initiation of veno-venous extracorporeal membrane oxygenation (VV-ECMO) is common. An acute decrease in partial pressure of arterial carbon dioxide (PaCO

methodsWe conducted a prospective cohort study of adult patients undergoing VV-ECMO for acute respiratory failure. Arterial blood gas measurements were obtained prior to initiation of VV-ECMO, and at every 2-4 h for the first 24 h. Neuroimaging was conducted within the first 7-14 days in patients who were suspected of having neurological injury or unable to be examined because of sedation. We collected blood biospecimens to measure brain biomarkers [neurofilament light (NF-L); glial fibrillary acidic protein (GFAP); and phosphorylated-tau 181] in the first 7 days following initiation of VV-ECMO. We assessed the relationship between both PaCO

resultsIn our cohort, 12 of 59 (20%) patients had overt CNS injury identified on head computed tomography. The PaCO

conclusionsAlthough rapid decreases in PaCO

Indexed as

BiomarkersCarbon DioxideExtracorporeal Membrane OxygenationAdultAgedBrainFemaleGlial Fibrillary Acidic ProteinHumansMaleMiddle AgedNeurofilament ProteinsProspective StudiesRespiratory Insufficiencytau ProteinsBiomarkersCarbon DioxideGFAP protein, humanGlial Fibrillary Acidic ProteinMAPT protein, humanneurofilament protein LNeurofilament Proteinstau ProteinsBrain biomarkersCentral nervous systemVeno-venous extracorporeal membrane oxygenation

Identifiers

PMID38302643
PMCPMC11335840
OpenAlexW4391426216

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.