Evidence map›Paper›PMID 38828923›Full record

ArticleNursing in critical care2025

Peri-mortem arrhythmias in the non-cardiac intensive care unit.

Iva Okaj, Maria E Vadakken, Emilie P Belley-Côté, Alexandra P Lengyel, Anand S Rai, Rubani S Suri, Jeff S Healey, William F McIntyre

Abstract read
In one paragraph

Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Iva OkajMcMaster University, Hamilton, Ontario, Canada.
Maria E VadakkenUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Emilie P Belley-CôtéMcMaster University and Population Health Research Institute, Hamilton, Ontario, Canada.
Alexandra P LengyelMcMaster University, Hamilton, Ontario, Canada.
Anand S RaiNova University, Fort Lauderdale, Florida, USA.
Rubani S SuriMcMaster University and Population Health Research Institute, Hamilton, Ontario, Canada.
Jeff S HealeyMcMaster University and Population Health Research Institute, Hamilton, Ontario, Canada.
William F McIntyreMcMaster University and Population Health Research Institute, Hamilton, Ontario, Canada.ORCID 0000-0001-6082-7542

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular failure is recognized as a common final pathway at the end of life but there is a paucity of data describing terminal arrhythmias.

aimWe aimed to describe arrhythmias recorded peri-mortem in critically ill patients. STUDY

designWe enrolled intensive care unit patients admitted to two tertiary Canadian medico-surgical centres. Participants wore a continuous electrocardiogram (ECG) monitor for 14 days, until discharge, removal or death. We recorded all significant occurrences of arrhythmias in the final hour of life.

resultsAmong 39 patients wearing an ECG monitor at the time of death, 22 (56%) developed at least 1 terminal arrhythmia as adjudicated by an arrhythmia physician: 23% (n = 9) had ventricular fibrillation/polymorphic ventricular tachycardia, 18% (n = 7) had sinoatrial pauses, 15% (n = 6) had atrial fibrillation and 13% (n = 5) had high-degree atrioventricular block. Five participants (13%) developed multiple arrythmias.

conclusionsArrhythmias are common in dying critically ill patients. There is a roughly even distribution between ventricular arrhythmias, atrial fibrillation, sinus node dysfunction and atrioventricular block. RELEVANCE TO CLINICAL PRACTICE: The results of this study may be most useful for critically ill patients who are organ donation candidates. The appearance of arrhythmias may serve as a marker of change in clinical status for organ donation teams to plan mobilization efforts. In participants who are sedated or intubated, arrhythmias could be a surrogate marker for respiratory or neurologic changes.

Indexed as

Arrhythmias, CardiacCritical IllnessIntensive Care UnitsAgedCanadaElectrocardiographyFemaleHumansMaleMiddle Agedarrhythmiasatrial fibrillationdeathECGorgan donation

Identifiers

PMID38828923
PMCPMC11864915

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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.