Evidence map›Paper›PMID 40811754›Full record

ArticleNeurology2025

Association Between Deviations From Cerebral Autoregulation-Derived Optimal Blood Pressure and Outcome After Pediatric Cardiac Arrest.

Matthew P Kirschen, Andrea Lauren Christman Schneider, Tanmay Majmudar, Jesse Y Hsu, Ryan Burnett, Rebecca Douglas, Samridhi Sawhney, Kathryn Graham, Kenya Agarwal, Chelsea Whelan and 6 more

Abstract read
In one paragraph

Article in Neurology, 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

16 authors.

Matthew P KirschenDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0003-3585-2687
Andrea Lauren Christman SchneiderDepartment of Neurology, Hospital of the University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0003-0026-5052
Tanmay MajmudarDepartment of Ophthalmology and Visual Science, Ohio State University, Columbus; and.
Jesse Y HsuDepartment of Biostatistics and Epidemiology, Hospital of the University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania.
Ryan BurnettDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Rebecca DouglasDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Samridhi SawhneyDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Kathryn GrahamDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0002-9435-7777
Kenya AgarwalDepartment of Nursing, Children's Hospital of Philadelphia, PA.
Chelsea WhelanDepartment of Nursing, Children's Hospital of Philadelphia, PA.
Tiffany KoDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Ryan W MorganDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Vinay M NadkarniDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Ramon Diaz-ArrastiaDepartment of Neurology, Hospital of the University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0001-6051-3594
Robert A BergDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Alexis TopjianDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0001-7855-8627

Funding

Cerebral autoregulation and MRI measures of brain injury after pediatric-post cardiac arrestK23NS116120 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI KIRSCHEN, MATTHEW P · 2021 to 2025
$966k
NINDS NIH HHS K23 NS116120
6 · The paper itself

Abstract

BACKGROUND AND

objectivesCerebrovascular pressure autoregulation (CAR) maintains adequate cerebral blood flow (CBF) despite changes in cerebral perfusion pressure. CAR is disrupted after cardiac arrest, making the brain vulnerable to inadequate perfusion and oxygen delivery at population-derived guideline-recommended blood pressures. A metric of CAR can be used to determine the mean arterial pressure (MAP) at which CAR is most preserved, termed the optimal MAP (MAP

methodsWe conducted a retrospective analysis of prospectively collected data of patients aged 18 years or younger admitted to the pediatric intensive care unit at Children's Hospital of Philadelphia between October 2018 and December 2023 for post-cardiac arrest care. We computed cerebral oximetry index (COx), a metric of CAR, using a moving, linear correlation between time-synchronized brain tissue oxygenation (StO

resultsAmong 147 patients included (median age 4.5 years, interquartile range [IQR] 1.1-11.7 years, 59% male), 52% had unfavorable outcomes. The median time from return of circulation to data collection was 4 (IQR 2.1-8.3) hours. The median burden of MAP < MAP DISCUSSION: Greater burden of MAP < MAP

Indexed as

Arterial PressureBlood PressureBrainCerebrovascular CirculationHeart ArrestHomeostasisAdolescentChildChild, PreschoolFemaleHumansInfantMaleOximetryRetrospective StudiesSpectroscopy, Near-Infrared

Identifiers

PMID40811754
PMCPMC12356597

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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.