Evidence map›Paper›PMID 22571223›Full record

ArticleBrain injury2012

Persistent hypogonadism influences estradiol synthesis, cognition and outcome in males after severe TBI.

Amy K Wagner, Christopher A Brett, Emily H McCullough, Christian Niyonkuru, Tammy L Loucks, C Edward Dixon, Joseph Ricker, Patricia Arenth, Sarah L Berga

Abstract read
In one paragraph

Article in Brain injury, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 47 citations in OpenAlex.

  1. Neuroendocrine Disruptions Following Head Injury.Current neurology and neuroscience reports · 2023
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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

9 authors at 3 institutions in 2 countries.

Amy K WagnerDepartment of Physical Medicine and Rehabilitation. wagnerak@upmc.edu
Christopher A Brett
Emily H McCullough
Christian Niyonkuru
Tammy L Loucks
C Edward Dixon
Joseph Ricker
Patricia Arenth
Sarah L Berga
Pain and Rehabilitation Medicine · USFoundation for Physical Medicine and Rehabilitation · USEmory University · US

Funding

TBI, Amyloid Metabolism and Statin TherapyP01NS030318 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KOCHANEK, PATRICK M · 2008 to 2010
$3.7M
Intramural NIH HHSNINDS NIH HHS 5P01NS030318-16NINDS NIH HHS P01 NS030318PHS HHS R49/CCR323155
6 · The paper itself

Abstract

objectiveAcute hypogonadotropic hypogonadism (AHH) occurs frequently after TBI, as does chronic hypogonadotropic hypogonadism. However, AHH and persistent hypogonadotropic hypogonadism (PHH) after TBI are not well studied. The objective of this study was to characterize longitudinal hormone profiles and the impact of AHH and PHH on outcome.

methodsIn this prospective cohort study, men with severe TBI (n = 38) had serum gonadal and gonadotropic hormones measured during weeks 1-52 post-injury. AHH, PHH and/or early resolving hypogonadotropic hypogonadism (ERHH) were based on temporal hormone assessments. PHH and hormone profiles were then compared to multiple outcome measures 6-12 months post-TBI.

resultsAHH affected 100% of the population, while 37% subsequently developed PHH. Acute testosterone (TEST) and estradiol/testosterone (E2/TEST) ratios were associated with PHH and outcome. Over time, post-acute TEST and E2 levels for the ERHH group approached normal range, while levels for the PHH group remained low. Post-acute gonadotrophin levels were within the normal range for both groups. PHH, along with lower post-acute TEST and E2 profiles, was associated with worse functional and cognitive outcomes at 6 and 12 months post-injury.

conclusionsThese results support screening for post-acute secondary hypogonadism and further research to assess the mechanisms underlying PHH and associated functional and cognitive deficits.

Indexed as

CognitionAdolescentAdultAgedBrain InjuriesCognition DisordersEstradiolGlasgow Outcome ScaleHumansHypogonadismMaleMiddle AgedProspective StudiesStress, PhysiologicalSurveys and QuestionnairesYoung AdultEstradiol

Identifiers

PMID22571223
PMCPMC13045844
OpenAlexW1996125219

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.