Evidence map›Paper›PMID 20408766›Full record

ArticleJournal of neurotrauma2010

αII-spectrin breakdown products (SBDPs): diagnosis and outcome in severe traumatic brain injury patients.

Stefania Mondello, Steven A Robicsek, Andrea Gabrielli, Gretchen M Brophy, Linda Papa, Joseph Tepas, Claudia Robertson, Andras Buki, Dancia Scharf, Mo Jixiang and 4 more

Abstract read
In one paragraph

Article in Journal of neurotrauma, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 5 pooled it
8.8field-weighted citation impact, top 2% 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

101 citing papers in PubMed, 5 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. The role of spectrin breakdown products in patients with traumatic brain injury: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Pooled it
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  3. Potential Blood-based Biomarkers for Concussion.Sports medicine and arthroscopy review · 2016
    Pooled it
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  10. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
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41 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

14 authors at 6 institutions in 2 countries.

Stefania MondelloDepartment of Clinical Programs and Center of Innovative Research, University of Florida, Gainesville, Florida, USA.
Steven A Robicsek
Andrea Gabrielli
Gretchen M Brophy
Linda Papa
Joseph Tepas
Claudia Robertson
Andras Buki
Dancia Scharf
Mo Jixiang
Linnet Akinyi
Uwe Muller
Kevin K W Wang
Ronald L Hayes
University of Florida · USBanyan Biomarkers (United States) · USBaylor College of Medicine · USOrlando Regional Medical Center · USUniversity of Pecs · HUVirginia Commonwealth University · US

Funding

Vascular Mechanisms of Secondary Injury After Traumatic Brain InjuryP01NS038660 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI ROBERTSON, CLAUDIA S · 1999 to 2012
$12.1M
Biochemical Markers of Traumatic Brain InjuryR01NS052831 · NINDS · UNIVERSITY OF FLORIDA · PI ROBICSEK, STEVEN ANDREW · 2006 to 2010
$4.9M
Unfolded Protein Response After Traumatic Brain InjuryR01NS051431 · NINDS · UNIVERSITY OF FLORIDA · PI HAYES, RONALD L. · 2007 to 2011
$1.9M
Biochemical Basis of Axonal & Myelin Injury In Head TraumaR01NS049175 · NINDS · UNIVERSITY OF FLORIDA · PI WANG, KEVIN KA WANG · 2005 to 2008
$1.9M
NINDS NIH HHS P01-NS38660NINDS NIH HHS R01NS049175-01NINDS NIH HHS R01 NS051431-01NINDS NIH HHS R01-NS052831-01
6 · The paper itself

Abstract

In this study we assessed the clinical utility of quantitative assessments of alphaII-spectrin breakdown products (SBDP145 produced by calpain, and SBDP120 produced by caspase-3) in cerebrospinal fluid (CSF) as markers of brain damage and outcome after severe traumatic brain injury (TBI). We analyzed 40 adult patients with severe TBI (Glasgow Coma Scale [GCS] score <or=8) who underwent ventriculostomy. Patients requiring CSF drainage for other medical reasons served as controls. CSF samples were taken at admission and every 6 h thereafter for a maximum of 7 days and assessed using novel quantitative fragment-specific ELISAs for SBDPs. Outcome was assessed using the 3-month Glasgow Outcome Scale. Mean CSF levels of SBDPs were significantly higher in TBI patients than in controls at all time points examined. Different temporal release patterns of CSF SBDP145 and SBDP120 were observed. SBDP145 provided accurate diagnoses at all time points examined, while SBDP120 release was more accurate 24 h after injury. Within 24 h after injury, SBDP145 CSF concentrations significantly correlated with GCS scores, while SBDP120 levels correlated with age. SBDP levels were significantly higher in patients who died than in those who survived. SBDP145 levels (>6 ng/mL) and SBDP120 levels (>17.55 ng/mL) strongly predicted death (odds ratio 5.9 for SBDP145, and 18.34 for SBDP120). The time course of SBDPs in nonsurvivors also differed from that of survivors. These results suggest that CSF SBDP levels can predict injury severity and mortality after severe TBI, and can be useful complements to clinical assessment.

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkersBrain InjuriesFemaleHumansMaleMiddle AgedPeptide FragmentsPredictive Value of TestsPrognosisProtein IsoformsSeverity of Illness IndexSpectrinBiomarkersPeptide FragmentsProtein IsoformsSpectrin

Identifiers

PMID20408766
PMCPMC2942904
OpenAlexW1977842911

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.