The DOI matches its Crossref record; 92 of the 92 references it cites were found in a registry or an index.
Prediction of poor neurological outcome in comatose survivors of cardiac arrest: a systematic review
Open accessAbstract
PURPOSE: To assess the ability of clinical examination, blood biomarkers, electrophysiology, or neuroimaging assessed within 7 days from return of spontaneous circulation (ROSC) to predict poor neurological outcome, defined as death, vegetative state, or severe disability (CPC 3-5) at hospital discharge/1 month or later, in comatose adult survivors from cardiac arrest (CA). METHODS: PubMed, EMBASE, Web of Science, and the Cochrane Database of Systematic Reviews (January 2013-April 2020) were searched. Sensitivity and false-positive rate (FPR) for each predictor were calculated. Due to heterogeneities in recording times, predictor thresholds, and definition of some predictors, meta-analysis was not performed. RESULTS: Ninety-four studies (30,200 patients) were included. Bilaterally absent pupillary or corneal reflexes after day 4 from ROSC, high blood values of neuron-specific enolase from 24 h after ROSC, absent N20 waves of short-latency somatosensory-evoked potentials (SSEPs) or unequivocal seizures on electroencephalogram (EEG) from the day of ROSC, EEG background suppression or burst-suppression from 24 h after ROSC, diffuse cerebral oedema on brain CT from 2 h after ROSC, or reduced diffusion on brain MRI at 2-5 days after ROSC had 0% FPR for poor outcome in most studies. Risk of bias assessed using the QUIPS tool was high for all predictors. CONCLUSION: In comatose resuscitated patients, clinical, biochemical, neurophysiological, and radiological tests have a potential to predict poor neurological outcome with no false-positive predictions within the first week after CA. Guidelines should consider the methodological concerns and limited sensitivity for individual modalities. (PROSPERO CRD42019141169).
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Cited by
Nolan, J. P., Sandroni, C., Böttiger, B. W., Cariou, A., Cronberg, T., Friberg, H., Genbrugge, C., Haywood, K., Lilja, G., Moulaert, V. R. M., et al. (2021) · Intensive Care Medicine · doi:10.1007/s00134-021-06368-4 · Cited by 1,078
Self-citationNolan, J. P., Sandroni, C., Böttiger, B. W., Cariou, A., Cronberg, T., Friberg, H., Genbrugge, C., Haywood, K., Lilja, G., Moulaert, V. R. M., et al. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.02.012 · Cited by 707
Self-citationSoar, J., Berg, K. M., Andersen, L. W., Böttiger, B. W., Cacciola, S., Callaway, C. W., Couper, K., Cronberg, T., D’Arrigo, S., Deakin, C. D., et al. (2020) · Resuscitation · doi:10.1016/j.resuscitation.2020.09.012 · Cited by 616
Self-citationBrain injury after cardiac arrest: pathophysiology, treatment, and prognosis
Sandroni, C., Cronberg, T., & Sekhon, M. (2021) · Intensive Care Medicine · doi:10.1007/s00134-021-06548-2 · Cited by 532
Self-citationRohaut, B., Calligaris, C., Hermann, B., Perez, P., Faugeras, F., Raimondo, F., King, J. R., Engemann, D., Marois, C., Le Guennec, L., et al. (2024) · Nature Medicine · doi:10.1038/s41591-024-03019-1 · Cited by 62
Metadata
- Authors
- Sandroni, C., D’Arrigo, S., Cacciola, S., Hoedemaekers, C. W. E., Kamps, M. J. A., Oddo, M., Taccone, F. S., Di Rocco, A., Meijer, F. J. A., Westhall, E., Antonelli, M., Soar, J., Nolan, J. P., & Cronberg, T.
- Venue
- Intensive Care Medicine
- Published
- 2020-09-11
- Volume
- 46
- Issue
- 10
- Pages
- 1803-1851
- ISSN
- 0342-4642 (ISSN-L)
- 1432-1238
- OpenAlex
- W3085509199
- Cited by
- 359
- References
- 92
- FWCI
- 12.78
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Sandroni, C., D’Arrigo, S., Cacciola, S., Hoedemaekers, C. W. E., Kamps, M. J. A., Oddo, M., Taccone, F. S., Di Rocco, A., Meijer, F. J. A., Westhall, E., Antonelli, M., Soar, J., Nolan, J. P., & Cronberg, T. (2020). Prediction of poor neurological outcome in comatose survivors of cardiac arrest: a systematic review. Intensive Care Medicine. https://doi.org/10.1007/s00134-020-06198-w
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