Evidence map›Paper›PMID 41333954›Full record

ArticleCureus2025

Association Between Cerebral Blood Flow Velocity and Neurological Outcomes After Cardiac Arrest: A Retrospective Transcranial Color Flow Imaging Study.

Saki Yamamoto, Ginga Suzuki, Tsuneyoshi Yakuwa, Saria Nishioka, Toshimitsu Kobori, Yuka Masuyama, Hibiki Serizawa, Yoshimi Nakamichi, Masayuki Watanabe, Mitsuru Honda and 1 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Saki YamamotoCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Ginga SuzukiCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Tsuneyoshi YakuwaDepartment of Clinical Functional Physiology, Toho University Omori Medical Center, Tokyo, JPN.
Saria NishiokaCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Toshimitsu KoboriCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Yuka MasuyamaCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Hibiki SerizawaCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Yoshimi NakamichiCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Masayuki WatanabeCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Mitsuru HondaCritical Care Center, Toho University Omori Medical Center, Tokyo, JPN.
Yosuke SasakiDepartment of General Medicine and Emergency Care, Toho University School of Medicine, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeurological outcomes after cardiac arrest (CA) remain a challenge in critical care. Time-averaged maximum flow velocity (TAMX) measured via transcranial ultrasound has been suggested as a potential predictor of neurological prognosis, but its relationship remains unclear. This study investigated the association between TAMX, recorded using transcranial color flow imaging (TCCFI), and neurological outcomes.

methodsThis single-center retrospective study included patients admitted to the ICU with initial ventricular fibrillation (VF) following CA. Patients aged <18 years and those who developed cerebral hemorrhage or infarction during their course were excluded. The primary outcome assessed was the cerebral performance category (CPC) at discharge, with CPC 1-2 categorized as 'good CPC.' Logistic regression models were used to analyze the relationship between TAMX and good CPC, adjusting for body temperature, mean arterial pressure, pH, hemoglobin level at examination, and time from CA to examination. The TAMX was categorized into three groups (low, medium, and high), with medium as the reference for subsequent analyses.

resultsAmong 41 patients, TAMX was significantly associated with good CPC in logistic regression analyses. The medium TAMX group showed significantly better neurological outcomes (CPC 1-2, 78.9%) compared with the high TAMX group (30.8%, p = 0.01). In adjusted analyses, the medium TAMX group was significantly associated with favorable CPC outcomes compared with the high group.

conclusionThe TAMX measured via TCCFI may be associated with neurological outcomes in post-CA patients. Medium TAMX levels were associated with better neurological recovery than high levels. The TAMX may serve as a simple bedside prognostic marker, but further studies are warranted to validate these findings and clarify the underlying mechanisms.

Indexed as

clinical neurologycritical carecritical care medicineintensive careintensive care unit

Identifiers

PMID41333954
PMCPMC12665802

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