Evidence map›Paper›PMID 20110094›Full record

ArticleJournal of the neurological sciences2010

Brain interstitial fluid TNF-alpha after subarachnoid hemorrhage.

Khalid A Hanafy, Bartosz Grobelny, Luis Fernandez, Pedro Kurtz, E S Connolly, Stephan A Mayer, Christian Schindler, Neeraj Badjatia

Abstract read
In one paragraph

Article in Journal of the neurological sciences, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% of its field
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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  13. Cerebral artery myogenic reactivity: The next frontier in developing effective interventions for subarachnoid hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2018
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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

8 authors at 1 institution in 1 country.

Khalid A HanafyDivision of Critical Care Neurology, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA. kh2401@columbia.edu
Bartosz Grobelny
Luis Fernandez
Pedro Kurtz
E S Connolly
Stephan A Mayer
Christian Schindler
Neeraj Badjatia
Columbia University · US

Funding

Characterization of the Innate Immune Response to Crystalline SilicaR21ES016835 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCHINDLER, CHRISTIAN W · 2009 to 2010
$434k
NIEHS NIH HHS R21 ES016835
6 · The paper itself

Abstract

objectiveTNF-alpha is an inflammatory cytokine that plays a central role in promoting the cascade of events leading to an inflammatory response. Recent studies have suggested that TNF-alpha may play a key role in the formation and rupture of cerebral aneurysms, and that the underlying cerebral inflammatory response is a major determinate of outcome following subrarachnoid hemorrhage (SAH).

methodsWe studied 14 comatose SAH patients who underwent multimodality neuromonitoring with intracranial pressure (ICP) and cerebral microdialysis as part of their clinical care. Continuous physiological variables were time-locked every 8h and recorded at the same point that brain interstitial fluid TNF-alpha was measured in brain microdialysis samples. Significant associations were determined using generalized estimation equations.

resultsEach patient had a mean of 9 brain tissue TNF-alpha measurements obtained over an average of 72h of monitoring. TNF-alpha levels rose progressively over time. Predictors of elevated brain interstitial TNF-alpha included higher brain interstitial fluid glucose levels (beta=0.066, p<0.02), intraventricular hemorrhage (beta=0.085, p<0.021), and aneurysm size >6mm (beta=0.14, p<0.001). There was no relationship between TNF-alpha levels and the burden of cisternal SAH; concurrent measurements of serum glucose, or lactate-pyruvate ratio.

interpretationBrain interstitial TNF-alpha levels are elevated after SAH, and are associated with large aneurysm size, the burden of intraventricular blood, and elevation brain interstitial glucose levels.

Indexed as

AdultBlood GlucoseBrainCohort StudiesComaExtracellular FluidFemaleGlucoseHumansIntracranial PressureLactic AcidMaleMicrodialysisMiddle AgedPyruvic AcidSubarachnoid HemorrhageBlood GlucoseGlucoseLactic AcidPyruvic AcidTumor Necrosis Factor-alpha

Identifiers

PMID20110094
PMCPMC2834870
OpenAlexW2074012786

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.