Evidence map›Paper›PMID 40210585›Full record

ArticleActa anaesthesiologica Scandinavica2025

Sedation, temperature and pressure after cardiac arrest and resuscitation-The STEPCARE trial: A statistical analysis plan.

C B Kamp, J Dankiewicz, M Harboe Olsen, J Holgersson, M Saxena, P Young, V H Niemelä, J Hästbacka, H Levin, G Lilja and 70 more

Abstract readClinical Trial ProtocolMulticenter Study
In one paragraph

Article in Acta anaesthesiologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. A study of Professor Bellomo's contribution to cardiac arrest research.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025
    Article
  10. Observational
  11. Article
  12. Article
  13. 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

80 authors.

C B KampCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital - Rigshospitalet, Copenhagen Ø, Denmark.
J DankiewiczDepartment of Clinical Sciences Lund, Section of Cardiology, Skåne University Hospital, Scania, Sweden.
M Harboe OlsenCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital - Rigshospitalet, Copenhagen Ø, Denmark.
J HolgerssonAnesthesiology and Intensive Care, Department of Clinical Sciences, Helsingborg Hospital Lund, Lund University, Lund, Sweden.
M SaxenaCritical Care Division and Department of Intensive Care Medicine, The George Institute for Global Health, Sydney, NSW, Australia.
P YoungIntensive Care Unit, Wellington Hospital, Wellington, New Zealand.
V H NiemeläDepartment of Anaesthesia and Intensive Care, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0009-0009-5048-4801
J HästbackaTampere University Hospital, Wellbeing Services County of Pirkanmaa and Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland.
H LevinDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
G LiljaDepartment of Neurology and Rehabilitation, Skåne University Hospital, Lund, Sweden.
M Moseby-KnappeDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
M TiainenDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
M ReinikainenUniversity of Eastern Finland, Institute of Clinical Medicine, Finland.
A CericAnaesthesia & Intensive Care, Department of Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden.ORCID 0000-0001-6846-5961
J JohnssonDepartment of Anaesthesiology and Intensive Care, Helsingborg Hospital, Helsingborg, Sweden.
J UndénDepartment of Operation and Intensive Care, Hallands Hospital Halmstad, Sweden.
J DüringAnaesthesia & Intensive Care, Department of Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden.
A LybeckDepartment of Intensive and Perioperative Care, Skåne University Hospital, Lund University, Lund, Sweden.ORCID 0000-0001-7574-3958
D Rodriguez-SantosDepartment of Anaesthesia and Intensive Care, Skaraborgs Sjukhus, Skövde, Sweden.
A LundinDepartment of Anaesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-6623-6847
J KåhlinPerioperative Medicine and Intensive Care (PMI), Karolinska University Hospital, Stockholm, Sweden.
J GripPerioperative Medicine and Intensive Care (PMI), Karolinska University Hospital, Stockholm, Sweden.
E LotmanNorth Estonia Medical Centre, Estonia.
L RomundstadDepartment of Anaesthesia and Intensive Care Medicine, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
P SeidelDepartment of Intensive Care Medicine, Stavanger University Hospital, Stavanger, Norway.
P StammetDepartment of Anaesthesia and Intensive Care Medicine, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg.
T GrafUniversity Heart Center Lübeck, University Hospital Schleswig-Holstein, Germany.
A MengelDepartment of Neurology and Stroke, University Hospital Tuebingen, Germany.
C LeithnerCharité - Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität zu Berlin, Department of Neurology, Berlin, Germany.
J NeeDepartment of Nephrology and Medical Intensive Care, Charité - Universitaetsmedizin Berlin, Berlin, Germany.
P DrúweDepartment of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium.
K AmelootDepartment of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium.
M P WiseAdult Critical Care, University Hospital of Wales, Cardiff, UK.
P J McGuiganWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, UK.
A RatcliffeLeeds General Infirmary, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
J ColeCritical Care, University Hospital of Wales, Cardiff, UK.
J WhiteCentre for Healthcare Evaluation, Device Assessment and Research, Cardiff and Vale University, Health Board, Cardiff, UK.ORCID 0000-0002-4557-3393
N PareekDepartment of Cardiology, King's College Hospital NHS Foundation Trust, London, UK.
G GloverDepartment of Critical Care, Guy's and St Thomas NHS Foundation Trust, London, UK.
R HandslipSt George's University Hospital NHS Foundation Trust, London, UK.
A ProudfootDepartment of Perioperative Medicine, Barts Heart Centre, St Bartholomew's Hospital, London, UK.
M ThomasUniversity Hospitals, Bristol and Weston, UK.
D PogsonDepartment of Critical Care, Portsmouth University Hospitals Trust, Portsmouth, UK.
T R KeebleEssex Cardiothoracic Centre, MSE NHSFT, Essex, UK.
A NicholUniversity College Dublin Clinical Research Centre at St Vincent's University Hospital, University College Dublin, Dublin, Ireland.
M HaenggiInstitute of Intensive Care Medicine University Hospital Zurich, Zurich, Switzerland.
M P HiltyInstitute of Intensive Care Medicine University Hospital Zurich, Zurich, Switzerland.
M ItenDepartment of Intensive Care Medicine, Inselspital University Hospital Bern, Bern, Switzerland.ORCID 0000-0002-0140-2066
C SchragKlinik für Intensivmedizin, Kantonsspital St. Gallen, St. Gallen, Switzerland.
M NafiIstituto Cardiocentro Ticino Lugano, Switzerland.ORCID 0000-0003-2733-9103
M JoannidisDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Insbruck, Innsbruck, Austria.ORCID 0000-0002-6996-0881
C RobbaIRCCS Policlinico San Martino, Genova, Italy.
T PellisAnaesthesia and Intensive Care, Pordenone Hospital Azienda Sanitaria Friuli Occidentale, Italy.
J Belohlavek2nd Department of Internal Medicine, Cardiovascular Medicine, General University Hospital, Prague, Czech Republic.
O Smid2nd Department of Internal Medicine, Cardiovascular Medicine, General University Hospital, Prague, Czech Republic.
D Rob2nd Department of Internal Medicine, Cardiovascular Medicine, General University Hospital, Prague, Czech Republic.
Y ArabiKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.ORCID 0000-0001-5735-6241
S BuabbasDepartment of Anaesthesia, Critical Care and Pain Medicine, Jaber Alahmad Alsabah Hospital, Kuwait.
C Yew WoonTan Tock Seng Hospital, Singapore, Singapore.
Q LiThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
M ReadeMedical School, University of Queensland, Brisbane, Australia.
A DelaneyMedical School, University of Queensland, Brisbane, Australia.
B VenkateshThe George Institute for Global Health, Sydney, New South Wales, Australia.
N HammondMalcolm Fisher Department of Intensive Care Medicine, Royal North Shore Hospital, St Leonards, Australia.
F BassThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
A AnemanIntensive Care Unit, Liverpool Hospital, South Western Sydney Local Health District, Sydney, New South Wales, Australia.ORCID 0000-0003-2096-5304
A StewartLiverpool Hospital, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
L NavarraMedical Research Institute of New Zealand, Wellington, New Zealand.
B CrichtonMedical Research Institute of New Zealand, Wellington, New Zealand.
D KnightDepartment of Intensive Care, Christchurch Hospital, New Zealand.
A WilliamsMiddlemore Hospital, Auckland, New Zealand.
J TirkkonenIntensive Care Unit, Tampere University Hospital, Finland.
T OksanenDepartment of Critical Care, University of Melbourne, Melbourne, Victoria, Australia.
T KaakinenResearch Unit of Translational Medicine, Research Group of Anaesthesiology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
S BendelDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
H FribergIntensive and Perioperative Care, Skåne University Hospital, Malmö, Sweden.
T CronbergDepartment of Research, Development, Education and Innovation, Skåne University Hospital, Lund, Sweden.
M B SkrifvarsDepartment of Anaesthesia and Intensive Care, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-0341-0262
N NielsenAnesthesiology and Intensive Care, Department of Clinical Sciences, Helsingborg Hospital Lund, Lund University, Lund, Sweden.
J C JakobsenCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital - Rigshospitalet, Copenhagen Ø, Denmark.

Funding

ALF-project funding within the Swedish Health CareClinical Research Programme Directorate of Health Ministry of Health and Social Security (Luxembourg)Health Research Council of New ZealandHospital District of Helsinki and Uusimaa (Finland)Medical Research Future Fund (Australia)Medicinska Understödsföreningen Liv och Hälsa (Sweden)Sigrid Jusélius Foundation (Finland)The Academy of FinlandThe Swedish Research Council
6 · The paper itself

Abstract

backgroundBasic management for patients who have suffered a cardiac arrest and are admitted to an intensive care unit (ICU) after resuscitation includes setting targets for blood pressure and managing sedation and temperature. However, optimal targets and management are unknown.

methodsThe STEPCARE (Sedation, Temperature and Pressure after Cardiac Arrest and Resuscitation) trial is a multicenter, parallel-group, randomized, factorial, superiority trial in which sedation, temperature, and blood pressure strategies will be studied in three separate comparisons (SED-CARE, TEMP-CARE, and MAP-CARE). The trial population will be adults admitted to intensive care who are comatose after resuscitation from out-of-hospital cardiac arrest. The primary outcome will be all-cause mortality, and the secondary outcomes will be poor functional outcome (modified Rankin Scale 4-6), Health-Related Quality of Life using EQ-VAS, and specific serious adverse events in the intensive care unit predefined for each trial. All outcomes will be assessed at 6 months after randomization. The prognosticators, outcome assessors, statisticians, data managers, steering group, and manuscript writers will be blinded to treatment allocation. This statistical analysis plan includes a comprehensive description of the statistical analyses, handling of missing data, and assessments of underlying statistical assumptions. Analyses will be conducted according to the intention-to-treat principle, that is, all randomized participants with available data will be included. The analyses will be performed independently by two statisticians following the present plan.

conclusionThis statistical analysis plan describes the statistical analyses for the STEPCARE trial in detail. The aim of this predefined statistical analysis plan is to minimize the risk of analysis bias.

Indexed as

Blood PressureCardiopulmonary ResuscitationOut-of-Hospital Cardiac ArrestBody TemperatureEquivalence Trials as TopicHumansQuality of LifeRandomized Controlled Trials as Topicblood pressurecardiac arrestsedationstatistical analysisSTEPCARE trialtemperature

Identifiers

PMID40210585
PMCPMC11985327

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.