Evidence map›Paper›PMID 25641509›Full record

Trial reportMicrocirculation (New York, N.Y. : 1994)2015

Are transcutaneous oxygen and carbon dioxide determinations of value in pulmonary arterial hypertension?

Adriano R Tonelli, Laith Alkukhun, Frank Cikach, Mostafa Ahmed, Raed A Dweik

Abstract readClinical Trial
In one paragraph

Trial report in Microcirculation (New York, N.Y. : 1994), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Treprostinil Iontophoresis in Idiopathic Pulmonary Arterial Hypertension.American journal of respiratory and critical care medicine · 2015
    Trial
  3. Review
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

5 authors.

Adriano R TonelliDepartment of Pulmonary, Allergy and Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Laith Alkukhun
Frank Cikach
Mostafa Ahmed
Raed A Dweik

Funding

Tissue Processing and Cell Culture COreP01HL081064 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI STUEHR, DENNIS J · 2006 to 2019
$17.8M
VERSICAN PROTEOLYSIS AND REGULATION OF VASCULAR SMOOTH MUSCLEP01HL107147 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI HASCALL, VINCENT CHARLES · 2011 to 2017
$16.1M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Laser spectroscopic instrumentation for isotopic sensing of biogenic Nitric OxideR21RR026231 · NCRR · PRINCETON UNIVERSITY · PI WYSOCKI, GERARD · 2010 to 2011
$380k
NCATS NIH HHS KL2 TR000440NCATS NIH HHS KL2TR000440NCRR NIH HHS R21 RR026231NCRR NIH HHS RR026231NHLBI NIH HHS HL081064NHLBI NIH HHS HL107147NHLBI NIH HHS P01 HL081064NHLBI NIH HHS P01 HL107147
6 · The paper itself

Abstract

backgroundWe hypothesized that transcutaneous gas determinations of O2 and CO2 (TcPO2 and TcPCO2 ) are associated with the severity of PAH.

methodsIn this cross-sectional study, we included consecutive patients with PAH (group 1 PH; n = 34). Transcutaneous gas determinations were compared to those of age- and gender-matched healthy controls (n = 14), nongroup 1 PH (n = 19) or patients with high estimated RVSP on echocardiography but without hemodynamic evidence of PH (n = 12).

resultsIn patients with PAH, TcPO2 , and TcPCO2 were significantly associated with PaO2 (R = 0.44, p = 0.03) and PaCO2 (R = 0.77, p < 0.001), respectively. TcPO2 /FiO2 (mean difference: -65.0 [95% CI: -121.3, -8.7]) and TcPCO2 (mean difference: -7.4 [95% CI: -11.6, -3.1]) were significantly lower in patients with PAH than healthy controls. TcPCO2 was useful in discriminating PAH patients from other individuals (AUC: 0.74 [95% CI: 0.62, 0.83]). TcPO2 /FiO2 ratio was significantly associated with mean PAP, TPG, PVR, CI, SVI, DLCO, six-minute walk distance and components of the CAMPHOR questionnaire.

conclusionsTranscutaneous pressure of CO2 was lower in patients with PAH. Transcutaneous pressure of O2 over inspired fraction of O2 ratio was inversely associated with severity of disease in patients with PAH.

Indexed as

AdultAgedBlood Gas Monitoring, TranscutaneousCarbon DioxideCross-Sectional StudiesFemaleHumansHypertension, PulmonaryMaleMiddle AgedOxygenCarbon DioxideOxygenarterial blood gasescarbon dioxidemicrocirculationoxygenpulmonary arterial hypertensiontranscutaneous oxygenationvascular function

Identifiers

PMID25641509
PMCPMC4411192

What Socratic holds

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LicenceTDM
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 Socratic graph.