Evidence map›Paper›PMID 42069531›Full record

ReviewInternational journal of emergency medicine2026

Post-obstructive pulmonary edema following near-hanging: a case report and systematic review of published cases.

Shimels Getaneh Weldemedhn, Behaylu Tesfamaryam Hagos, Rediwan Gashaw Geto, Yitayal Lebeza Alemu, Elias Muche Kebede, Wegderes Bogale Gebresilassie, Melaku Tsediew Berhanu, Genetu Dagnaw Alemayehu

Abstract readReview
In one paragraph

Review in International journal of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

8 authors.

Shimels Getaneh WeldemedhnDepartment of Emergency and Critical Care, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia. shimelsgetaneh@dbu.edu.et.ORCID http://orcid.org/0009-0002-9293-4961
Behaylu Tesfamaryam HagosDepartment of Internal Medicine, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia. behaylu@dbu.edu.et.ORCID http://orcid.org/0009-0003-6825-5296
Rediwan Gashaw GetoEnat General Hospital, Alem Ketema, Semen Shewa, Amhara Regional State, Ethiopia.ORCID http://orcid.org/0009-0000-9626-0840
Yitayal Lebeza AlemuEnat General Hospital, Alem Ketema, Semen Shewa, Amhara Regional State, Ethiopia.ORCID http://orcid.org/0009-0000-5141-0040
Elias Muche KebedeDepartment of Pediatric and Child Health, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Amhara Regional State, Ethiopia.ORCID http://orcid.org/0009-0008-6612-5531
Wegderes Bogale GebresilassieDepartment of Emergency and Critical Care, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Melaku Tsediew BerhanuDepartment of Emergency and Critical Care, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.ORCID http://orcid.org/0009-0002-5775-3890
Genetu Dagnaw AlemayehuDepartment of Internal Medicine, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.ORCID http://orcid.org/0009-0000-7026-4536

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-obstructive pulmonary edema (POPE) is a rare, life-threatening complication of strangulation. Management is based on low-grade evidence, and outcomes are poorly characterized.

objectiveTo report a systematic review of POPE following near-hanging, illustrated by a case report that represents the first documented African case.

methodsWe combined a novel case report with a systematic review of published case reports and case series, conducted per a pre-registered protocol on the Open Science Framework (OSF). A clinical trial number was not applicable. A comprehensive search of major databases identified all relevant published cases. Data on demographics, management, and outcomes were extracted and synthesized descriptively.

resultsFifteen cases from 11 publications were included. Patients were predominantly young (median age 24). Symptoms overwhelmingly presented pre-hospital (93%). Glasgow Coma Scale (GCS) on admission was low (median 6), and the overall mortality rate was 40% (6/15). Adjunctive therapies were reported to be administered more frequently in survivors than in non-survivors, including diuretics (55.6% vs. 16.7%) and corticosteroids (44.4% vs. 16.7%), representing a potential clinical signal.

conclusionPOPE following strangulation is associated with high mortality in young, otherwise healthy populations. This review identified a tentative association between adjunctive diuretic or corticosteroid therapy and improved survival. While these hypothesis-generating findings require cautious interpretation due to the low-level evidence, they represent a potential clinical signal necessitating further prospective evaluation and standardized reporting.

Indexed as

Acute upper airway obstructionAfricaNear-hangingNPPEPOPEPulmonary edemaStrangulation

Identifiers

PMID42069531
PMCPMC13137625

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.