Evidence map›Paper›PMID 38666252›Full record

ArticleResuscitation plus2024

The detrimental effects of intestinal injury mediated by inflammation are limited in cardiac arrest patients: A prospective cohort study.

Bjørn Hoftun Farbu, Stian Lydersen, Randi Marie Mohus, Thor Ueland, Tom Eirik Mollnes, Pål Klepstad, Halvor Langeland

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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Balloon occlusion of the aorta during cardiac arrest -a death blow to the intestines?Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    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

7 authors at 5 institutions in 1 country.

Bjørn Hoftun FarbuDepartment of Anaesthesiology and Intensive Care Medicine, St. Olav's University Hospital Trondheim, Norway.
Stian LydersenRegional Centre for Child and Youth Mental Health and Child Welfare, Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Randi Marie MohusDepartment of Anaesthesiology and Intensive Care Medicine, St. Olav's University Hospital Trondheim, Norway.
Thor UelandThrombosis Research Center (TREC), Division of Internal Medicine, University hospital of North Norway, Tromsø, Norway.
Tom Eirik MollnesDepartment of Immunology, Oslo University Hospital and University of Oslo, Oslo, Norway.
Pål KlepstadDepartment of Anaesthesiology and Intensive Care Medicine, St. Olav's University Hospital Trondheim, Norway.
Halvor LangelandDepartment of Anaesthesiology and Intensive Care Medicine, St. Olav's University Hospital Trondheim, Norway.
St Olav's University Hospital · NONorwegian University of Science and Technology · NOOslo University Hospital · NOStiftelsen Norsk Luftambulanse · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ischaemic intestines could be a driver of critical illness through an inflammatory response. We have previously published reports on a biomarker for intestinal injury, plasma Intestinal Fatty Acid Binding Protein (IFABP), and inflammatory biomarkers after out-of-hospital cardiac arrest (OHCA). In this post-hoc study we explored the potential indirect effects of intestinal injury mediated through the inflammatory response on organ dysfunction and mortality. Methods: We measured IFABP and twenty-one inflammatory biomarkers in 50 patients at admission to intensive care unit after OHCA. First, we stratified patients on median IFABP and compared biomarkers between "low" and "high" IFABP. Second, by causal mediation analysis, we assessed effects of IFABP through the two most important inflammatory biomarkers, interleukin (IL)-6 and terminal complement complex (TCC), on day two circulatory variables, Sequential Organ Failure Assessment (SOFA)-score, and 30-day mortality. Results: Cytokines and complement activation were higher in the high IFABP group. In mediation analysis, patients on the 75th percentile of IFABP, compared to the 25th percentile, had 53% (95% CI, 33-74; Conclusion: Effects of intestinal injury mediated through inflammation on organ dysfunction and mortality were limited. Small, but significant, effects through IL-6 were noted.

Indexed as

Cardiac arrestInflammationIntestinal fatty acid binding proteinIntestinal ischaemiaMediationMultiple organ dysfunction

Identifiers

PMID38666252
PMCPMC11043872
OpenAlexW4394905017

What OpenQuestion holds

Textmetadata
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.