Evidence map›Paper›PMID 23055087›Full record

ArticleNeurocritical care2013

Intracranial pressure dose and outcome in traumatic brain injury.

Kevin N Sheth, Deborah M Stein, Bizhan Aarabi, Peter Hu, Joseph A Kufera, Thomas M Scalea, Daniel F Hanley

3 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Neurocritical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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.

NCT04459806 recruitingnot on this mapstarted 2023, after this paper: background citation

Evaluation of Intracranial Pressure Time Dose by the New Integra CereLink ICP Monitor

TypeobservationalSponsorUniversity of Milano BicoccaRan2023 to 2026Enrolled250ConditionsIntracranial Hypertension, Traumatic Brain Injury, Subarachnoid Hemorrhage, Intracranial HemorrhagesArmsintracranial pressure monitoring
NCT05045105 unknown statusnot on this mapstarted 2021, after this paper: background citation

Timing of Invasive Intracranial Pressure Monitoring Between Neurosurgeons and Intensive Care Physicians

TypeobservationalSponsorUniversità degli Studi di BresciaRan2021 to 2022Enrolled64ConditionsIntracranial Hypertension, Timing of Invasive Intracranial Pressure MonitoringArmsTime necessary for ICP catheter placement by Intensive Care Physician vs Neurosurgeon following indication
NCT06429657 phase4suspendednot on this mapstarted 2024, after this paper: background citation

Ketamine for Sedation in Severe Traumatic Brain Injury

TypeinterventionalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2024 to 2027Enrolled50ConditionsSevere Traumatic Brain Injury, Intracranial Hypertension, Intracranial Hemorrhage, HypertensiveArmsKetamine with propofol, Standard of Care propofol, fentanyl, dexmedetomidine, morphine, hydromorphone, midazolam, or lorazepam
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Kevin N ShethDepartment of Neurology, University of Maryland School of Medicine, Baltimore, MD 21201, USA. ksheth@som.umaryland.edu
Deborah M Stein
Bizhan Aarabi
Peter Hu
Joseph A Kufera
Thomas M Scalea
Daniel F Hanley
University of Maryland, Baltimore · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDetecting and treating elevated intracranial pressure (ICP) is a cornerstone of management in patients with severe traumatic brain injury. The aim of this study was to determine the association between area under the curve measurement of elevated ICP and clinical outcome.

methodsSingle center observational study using prospectively collected data at a University hospital, level one-trauma center. Sixty prospective patients with severe traumatic brain injury were prospectively enrolled over a 2-year period. Intracranial pressure measurements were captured using a real-time automated, high resolution vital signs data recording system. Mortality and functional outcome were assessed at 30 days, 3 and 6 months using Extended Glasgow Outcome Scale.

resultsIncreasing elevated intracranial pressure time dose was associated with mortality (OR 1.08; 95 % confidence interval [CI], 1.01-1.15, p = 0.03) and poor functional outcome at 3 (OR 1.04; CI 1.00-1.07, p = 0.03) and 6 months (1.04; CI 1.01-1.08, p = 0.02). However, there was no association between episodic ICP data and outcome.

conclusionsThese results suggest that pressure time dose measurement of intracranial pressure may be used to predict outcome in severe traumatic brain injury and may be a candidate biomarker in this disease.

Indexed as

AdolescentAdultAgedAged, 80 and overArea Under CurveBrain InjuriesFemaleGlasgow Outcome ScaleHumansIntracranial HypertensionMaleMiddle AgedPrognosisProspective StudiesSeverity of Illness IndexTreatment Outcome

Identifiers

PMID23055087
OpenAlexW2062773866

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.