Evidence map›Paper›PMID 18452739›Full record

ArticleArchives of physical medicine and rehabilitation2008

Impact of age on long-term recovery from traumatic brain injury.

Carlos D Marquez de la Plata, Tessa Hart, Flora M Hammond, Alan B Frol, Anne Hudak, Caryn R Harper, Therese M O'Neil-Pirozzi, John Whyte, Mary Carlile, Ramon Diaz-Arrastia

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 4 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

73 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  6. Long-term cognitive and psychological outcomes in the awakening and breathing controlled trial.American journal of respiratory and critical care medicine · 2010
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13 more citing papers are in PubMed but not listed here.

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

10 authors.

Carlos D Marquez de la PlataDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Tessa Hart
Flora M Hammond
Alan B Frol
Anne Hudak
Caryn R Harper
Therese M O'Neil-Pirozzi
John Whyte
Mary Carlile
Ramon Diaz-Arrastia

Funding

Traumatic Brain Injury Clinical Trials NetworkU01HD042652 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI DIAZ-ARRASTIA, RAMON · 2003 to 2012
$2.8M
Genetic factors in outcome from traumatic brain injuryR01HD048179 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI DIAZ-ARRASTIA, RAMON · 2004 to 2008
$1.8M
NICHD NIH HHS R01 HD048179NICHD NIH HHS R01 HD48179NICHD NIH HHS U01 HD042652NICHD NIH HHS U01 HD42652PHS HHS H133 A020526
6 · The paper itself

Abstract

objectiveTo determine whether older persons are at increased risk for progressive functional decline after traumatic brain injury (TBI).

designLongitudinal cohort study.

settingTraumatic Brain Injury Model Systems (TBIMS) rehabilitation centers.

participantsSubjects enrolled in the TBIMS national dataset.

interventionsNot applicable.

main outcome measuresDisability Rating Scale (DRS), FIM instrument cognitive items, and the Glasgow Outcome Scale-Extended.

resultsParticipants were separated into 3 age tertiles: youngest (16-26y), intermediate (27-39y), and oldest (> or =40y). DRS scores were comparable across age groups at admission to a rehabilitation center. The oldest group was slightly more disabled at discharge from rehabilitation despite having less severe acute injury severity than the younger groups. Although DRS scores for the 2 younger groups improved significantly from year 1 to year 5, the greatest magnitude of improvement in disability was seen among the youngest group. In addition, after dividing patients into groups according to whether their DRS scores improved (13%), declined (10%), or remained stable (77%) over time, the likelihood of decline was found to be greater for the 2 older groups than for the youngest group. A multiple regression model showed that age has a significant negative influence on DRS score 5 years post-TBI after accounting for the effects of covariates.

conclusionsThis study supported our primary hypothesis that older patients show greater decline over the first 5 years after TBI than younger patients. In addition, the greatest amount of improvement in disability was observed among the youngest group of survivors. These results suggest that TBI survivors, especially older patients, may be candidates for neuroprotective therapies after TBI.

Indexed as

Recovery of FunctionAdolescentAdultAgedAged, 80 and overAge FactorsAnalysis of VarianceBrain InjuriesDisability EvaluationFemaleGlasgow Outcome ScaleHumansInjury Severity ScoreLongitudinal StudiesMaleMiddle Aged

Identifiers

PMID18452739
PMCPMC2600417

What OpenQuestion holds

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Registered trials

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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.