ArticleIntensive care medicine2005
Transcranial Doppler to detect on admission patients at risk for neurological deterioration following mild and moderate brain trauma.
Article in Intensive care medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.
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.
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.
Prospective, Multicentre, Observational Study
eFast Diagnosis Performance in Guiding First Aid Resuscitation at the Admission of Severe Trauma Injuries
Who cites it
12 citing papers in PubMed.
- Multimodal and autoregulation monitoring in the neurointensive care unit.Frontiers in neurology · 2023Review
- Early changes in cerebral autoregulation among youth hospitalized after sports-related traumatic brain injury.Brain injury · 2018Article
- The accuracy of transcranial Doppler in excluding intracranial hypertension following acute brain injury: a multicenter prospective pilot study.Critical care (London, England) · 2017Article
- Moderate Traumatic Brain Injury: The Grey Zone of Neurotrauma.Neurocritical care · 2016Review
- Cerebral Hemodynamics in the Elderly: A Transcranial Doppler Study in the Einstein Aging Study Cohort.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2016Article
- Detecting traumatic internal carotid artery dissection using transcranial Doppler in head-injured patients.Intensive care medicine · 2010Article
- Variation in cerebral blood flow velocity with cerebral perfusion pressure >40 mm Hg in 42 children with severe traumatic brain injury.Critical care medicine · 2009Article
- Ultrasonography of the optic nerve sheath may be useful for detecting raised intracranial pressure after severe brain injury.Intensive care medicine · 2007Article
- Transcranial Doppler ultrasound goal-directed therapy for the early management of severe traumatic brain injury.Intensive care medicine · 2007Article
- Year in review in intensive care medicine, 2005. II. Infection and sepsis, ventilator-associated pneumonia, ethics, haematology and haemostasis, ICU organisation and scoring, brain injury.Intensive care medicine · 2006Article
- Recently published papers: an ancient debate, novel monitors and post ICU outcome in the elderly.Critical care (London, England) · 2005Article
- Noninvasive brain stimulation in traumatic brain injury.The Journal of head trauma rehabilitationReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the contribution of transcranial Doppler measurements obtained in the emergency room for detecting patients with secondary neurological deterioration after mild or moderate brain trauma. DESIGN AND
settingProspective cohort study in the emergency room in a university teaching hospital. PATIENTS: Seventy-eight adult patients admitted to the emergency room after a traumatic brain injury (TBI), including 42 patients with Glasgow Coma Score 14-15 and 36 with 9-13. MEASUREMENTS AND
resultsAll patients had transcranial Doppler measurements on both middle cerebral arteries and computed tomography on admission. Neurological outcome was assessed 7 days after trauma. Of the patients included 7 and 10 had secondary neurological deterioration after mild and moderate TBI, respectively. On admission these groups of patients had significantly more injuries on computed tomography using the Trauma Coma Data Bank classification and higher pulsatility index using transcranial Doppler than the patients having no subsequent neurological worsening.
conclusionsIncreased pulsatility index after mild or moderate TBI is a reason for concern about the possibility of further neurological deterioration. Computed tomography and Doppler measurements could be combined to detect on admission patients at risk for secondary neurological deterioration in order to improve their initial disposition.
Indexed as
Identifiers
15834704What OpenQuestion holds
Registered trials
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.