Evidence map›Paper›PMID 25688381›Full record

ArticleSOJ neurology

Elevation of Cardiac Troponins in Prolonged Status Epilepticus: A Retrospective Chart Analysis.

Ng Soundarya, Dm Lawrence, Jb Samip, Av Stacy, Jc Robert, Rt Leroy, Rt Alan

Open access · diamondAbstract read
In one paragraph

Article in SOJ neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
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 1 institution in 1 country.

Ng SoundaryaDepartment of Neurology, Virginia Commonwealth University, USA.
Dm LawrenceDepartment of Neurology, Virginia Commonwealth University, USA.
Jb SamipDepartment of Neurology, Virginia Commonwealth University, USA.
Av StacyDepartment of Biostatistics, Virginia Commonwealth University, USA.
Jc RobertDepartment of Biostatistics, Virginia Commonwealth University, USA.
Rt LeroyDepartment of Biostatistics, Virginia Commonwealth University, USA.
Rt AlanDepartment of Neurology, Virginia Commonwealth University, USA.
Virginia Commonwealth University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR031990 · NCRR · VIRGINIA COMMONWEALTH UNIVERSITY · PI CLORE, JOHN N. · 2010 to 2011
$7.7M
PATHOPHYSIOLOGY AND MORTALITY OF STATUS EPILEPTICUSR01NS051505 · NINDS · VIRGINIA COMMONWEALTH UNIVERSITY · PI DELORENZO, ROBERT JOHN · 2006 to 2010
$2.7M
NCRR NIH HHS UL1 RR031990NINDS NIH HHS R01 NS051505
6 · The paper itself

Abstract

introductionTo determine the clinical significance of elevation of Troponin-I [cTn-I] during prolonged status epilepticus [pSE] SE is known to be accompanied by an increase in sympathetic outflow. Elevation of cTn-I has been linked to myocardial stress. We hypothesize that in patients with risk factors for coronary artery disease[CAD], pSE may lead to myocardial stress and an elevation of cTn-I.

methodsThis is a retrospective study of patients over the age of 18 years who were presented to Virginia Commonwealth University with SE between 2005 and 2010. Data was evaluated using the 30-minute definition for SE and 30 day mortality. Risk factors for CAD and cTn-I levels within the first 24 hours of diagnosis of pSE were analyzed. KEY

findingsThere were a total of 435 patients with a confirmed diagnosis of pSE, of which 266 had cTn-I concentrations reported. Statistical analysis showed a significant association between CAD risk factors and cTn-I elevation (χ

conclusionsIn patients with pSE values, elevated cTn-I values are seen four to five time more often in those with CAD risk factors, as opposed to those without the risks. An elevation of cTn-I in this subgroup of patients with CAD risk factors was associated with an eight to nine fold increase in their 30 day mortality as compared to patients with pSE, who did not have an elevation of cTn-I.

Indexed as

Cardiac injuryMortalityProlonged status epilepticus

Identifiers

PMID25688381
PMCPMC4327831
OpenAlexW2371162081

What OpenQuestion holds

Textmetadata
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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.