ArticleResuscitation plus2026
Feasibility of multi-domain data acquisition in patients at risk for hypoxic-ischemic brain injury following cardiac arrest: a prospective cohort study.
Article in Resuscitation plus, 2026. 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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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.
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23 authors.
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Abstract
Introduction: Hypoxic-ischemic brain injury is a determinant of neurologic injury and death among survivors of cardiac arrest. While neurophysiologic and biomarker changes may improve prognostication, the feasibility of acquiring multimodal physiologic, biologic, imaging, and patient-centered outcome data across the continuum of care is not established. Objective: To evaluate the feasibility of (1) patient recruitment; (2) acquiring multi-domain variables; and (3) six-month post-discharge outcomes in a cohort of patients with hypoxic-ischemic brain injury after cardiac arrest. Methods: We conducted a feasibility study of adults admitted to a critical care unit following cardiac arrest. In-hospital data collection included serum biomarkers, transcranial Doppler, neuroimaging, and electroencephalography. Post-discharge outcomes were assessed in-person or remotely at 6-months, and included outcome assessments, biomarkers, and MRI brain. Feasibility was defined a priori. Results: Thirty participants were enrolled (June 2022-May 2023). Biomarker samples were obtained in 29/30 (97%) participants on Day 1, 28/29 (97%) evaluable participants on Day 2, 21/25 (84%) on Day 3, and 12/17 (71%) on Day 7. Transcranial Doppler was completed in 23/30 (77%) participants, limited by inadequate acoustic windows and technical failures. All participants underwent either CT or MRI, and 23/30 (77%) had electroencephalography. Modified Rankin Scale was obtained in 27/30 (90%) participants. At least one six-month follow-up assessment was completed in 9/12 (75%) hospital survivors, while the complete in-person multidomain battery was completed in 4/12 (33%). Follow-up MRI was completed in 1/4 in-person follow-up attendees. Conclusions: Early serum biomarker specimen acquisition was feasible, and remote or proxy-assisted approaches increased six-month outcome ascertainment. However, serial transcranial Doppler, later biomarker sampling, systematic MRI acquisition, and full multidomain follow-up were limited by operational and patient-related barriers, particularly the challenges of in-person assessment.
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