Gray matter to white matter ratio for predicting neurological outcomes in patients treated with target temperature management after cardiac arrest: A systematic review and meta-analysis
DC Field | Value | Language |
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dc.contributor.author | Na, Min Kyun | - |
dc.contributor.author | Kim, Wonhee | - |
dc.contributor.author | Lim, Tae Ho | - |
dc.contributor.author | Jang, Bohyoung | - |
dc.contributor.author | Cho, Youngsuk | - |
dc.contributor.author | Choi, Kyu-Sun | - |
dc.contributor.author | Shin, Hyun-Goo | - |
dc.contributor.author | Ahn, Chiwon | - |
dc.contributor.author | Lee, Juncheol | - |
dc.contributor.author | Kim, Jae Guk | - |
dc.date.accessioned | 2024-01-18T05:01:15Z | - |
dc.date.available | 2024-01-18T05:01:15Z | - |
dc.date.issued | 2018-11 | - |
dc.identifier.issn | 0300-9572 | - |
dc.identifier.issn | 1873-1570 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/71045 | - |
dc.description.abstract | Aims: This study aimed to evaluate the prognostic accuracy of the gray matter to white matter ratio (GWR) in predicting neurological outcomes in post-cardiac arrest patients treated with target temperature management. Data sources: We systematically searched MEDLINE and EMBASE (Search date: 09/13/2017). Included studies were those evaluating neurological outcomes using the cerebral performance categories scale. We performed a subgroup analysis based on the location of the measurement. The Quality Assessment of Diagnostic Accuracy Studies-2 tool was used to assess the risk of bias. Results: In total, 1150 patients from 10 observational studies were included. GWR of the basal ganglia (BG) average showed the highest value (area under the curve [AUC] 0.96, SE 0.02, Q 0.90) compared with the putamen/posterior limb of internal capsule (AUC 0.93, SE 0.05, Q 0.87), overall average (AUC 0.91, SE 0.02, Q 0.85), and cerebrum (AUC 0.89, SE 0.05, Q 0.82) for prognostic accuracy. Furthermore, the highest pooled diagnostic odd ratio of GWR for predicting poor neurological outcomes was shown for the BG average (21.00, 95% CI 6.85-64.40) followed by the overall average (20.71, 95% CI 9.53-44.98), putamen/posterior limb of internal capsule (16.08, 95% CI 4.36-59.23), and cerebrum (13.96, 95% CI 4.26-45.76). Conclusions: GWR in the early cranial computed tomography scan had high prognostic value in predicting poor neurological outcomes in post-cardiac arrest patients. The BG GWR had the highest prognostic accuracy when compared to other locations of the brain. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.title | Gray matter to white matter ratio for predicting neurological outcomes in patients treated with target temperature management after cardiac arrest: A systematic review and meta-analysis | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.resuscitation.2018.08.024 | - |
dc.identifier.bibliographicCitation | RESUSCITATION, v.132, pp 21 - 28 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000446854900011 | - |
dc.identifier.scopusid | 2-s2.0-85052620155 | - |
dc.citation.endPage | 28 | - |
dc.citation.startPage | 21 | - |
dc.citation.title | RESUSCITATION | - |
dc.citation.volume | 132 | - |
dc.type.docType | Review | - |
dc.publisher.location | 아일랜드 | - |
dc.subject.keywordAuthor | Heart arrest | - |
dc.subject.keywordAuthor | Patient outcome assessment | - |
dc.subject.keywordAuthor | Hypothermia | - |
dc.subject.keywordAuthor | Induced | - |
dc.subject.keywordAuthor | Gray matter | - |
dc.subject.keywordPlus | BRAIN COMPUTED-TOMOGRAPHY | - |
dc.subject.keywordPlus | NEURON-SPECIFIC ENOLASE | - |
dc.subject.keywordPlus | PROGNOSTIC VALUE | - |
dc.subject.keywordPlus | COMATOSE PATIENTS | - |
dc.subject.keywordPlus | REDUCED DISCRIMINATION | - |
dc.subject.keywordPlus | CT | - |
dc.subject.keywordPlus | EDEMA | - |
dc.subject.keywordPlus | GREY | - |
dc.subject.keywordPlus | HETEROGENEITY | - |
dc.subject.keywordPlus | SURVIVORS | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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