Evidence map›Paper›PMID 39035614›Full record

ArticleJournal of intensive medicine2024

Cerebral autoregulation-directed optimal blood pressure management reduced the risk of delirium in patients with septic shock.

Qianyi Peng, Xia Liu, Meilin Ai, Li Huang, Li Li, Wei Liu, Chunguang Zhao, Chenghuan Hu, Lina Zhang

Registry-linked trialAbstract read
In one paragraph

Article in Journal of intensive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03879317 (NIRS Directed Optimal Cerebral Perfusion Pressure in Septic Shock Patients), which is not on this 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
–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.

NCT03879317 unknown statusnot on this map

NIRS Directed Optimal Cerebral Perfusion Pressure in Septic Shock Patients: A Feasibility Study

TypeobservationalSponsorXiangya Hospital of Central South UniversityRan2019 to 2019Enrolled30ConditionsThe Time Used for Determining Optimal CPPArmsContinuous NIRS monitoring
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Individualized autoregulation-guided arterial blood pressure management in neurocritical care.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
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.

Qianyi PengDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xia LiuDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Meilin AiDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Li HuangDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Li LiDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Wei LiuDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Chunguang ZhaoDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Chenghuan HuDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Lina ZhangDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: When resuscitating patients with septic shock, cerebrovascular reactivity parameters are calculated by monitoring regional cerebral oxygen saturation (rSO Methods: This prospective randomized controlled clinical study was conducted in the Xiangya Hospital of Central South University, China. Fifty-one patients with septic shock (December 2020-May 2022) were enrolled and randomly allocated to the experimental ( Results: The 51 patients, including 39 male and 12 female, had a mean age of (57.0±14.9) years. The incidence of delirium was 40.1% (23/51), and the 28-day mortality rate was 29.4% (15/51). The mean MAP during the first 24 h of intensive care unit (ICU) admission was higher ([84.5±12.2] mmHg Conclusions: The use of cerebral autoregulation-directed optimal blood pressure management during shock resuscitation reduces the incidence of delirium in patients with septic shock. Trial Registration: ClinicalTrials.gov ldentifer: NCT03879317.

Indexed as

Cerebral regional oxygen saturationDeliriumMortalityOptimal blood pressureSeptic shock

Identifiers

PMID39035614
PMCPMC11258506

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Registered trials

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.