Evidence map›Paper›PMID 15864546›Full record

ArticleIntensive care medicine2005

A prospective study of outcome predictors after severe brain injury in children.

B G Carter, W Butt

Abstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Outcome prediction by motor and pupillary responses in children treated with therapeutic hypothermia after cardiac arrest.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2012
    Article
  9. Article
  10. Article
  11. Review
  12. Controversies in the care of children with acute brain injury.Current neurology and neuroscience reports · 2006
    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

2 authors.

B G CarterPaediatric Intensive Care Unit, Royal Children's Hospital, 3052 Parkville, Melbourne, VIC, Australia. icu.tech@rch.org.au
W Butt

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo directly compare the predictive powers of somatosensory evoked potentials (SEPs) to those of motor and pupillary responses. DESIGN AND

settingProspective clinical study in a paediatric intensive care unit. PATIENTS AND

participants102 severely brain-injured children less than 15 years of age. MEASUREMENTS AND

resultsSEPs and motor and pupillary responses were serially recorded during the first 9 days after admission. Initial, last and those tests performed on or after day 2 were analysed. Outcome was assessed 5 years after injury. SEPs had equal or superior predictive statistics and ROC curves compared to the other tests with few exceptions. Pupillary responses had higher sensitivity for favourable outcome prediction while for unfavourable outcome prediction the last motor responses had higher sensitivity, and the last pupillary responses had slightly higher specificity. Combining SEPs and motor responses provided the best combination for predicting unfavourable outcome.

conclusionsSEPs are the best overall predictor of outcome while motor and pupillary responses have advantages in some specific areas. The routine use of SEPs should be considered in the prediction of outcome of severely brain-injured patients.

Indexed as

Evoked Potentials, SomatosensoryAdolescentBrain InjuriesChildChild, PreschoolFemaleHumansInfantMaleNeurologic ExaminationPredictive Value of TestsPrognosisProspective StudiesReflex, PupillaryROC Curve

Identifiers

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.