Evidence map›Paper›PMID 25834671›Full record

ArticleThe western journal of emergency medicine2015

Long-term neurological outcomes in adults with traumatic intracranial hemorrhage admitted to ICU versus floor.

Daniel K Nishijima, Joy Melnikow, Daniel J Tancredi, Kiarash Shahlaie, Garth H Utter, Joseph M Galante, Nancy Rudisill, James F Holmes

Open access · goldAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The western journal of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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 2 institutions in 1 country.

Daniel K NishijimaUniversity of California, Davis, Department of Emergency Medicine, Davis, California.
Joy MelnikowUniversity of California, Davis, Center for Healthcare Policy and Research, Davis, California.
Daniel J TancrediUniversity of California, Davis, Center for Healthcare Policy and Research, Davis, California.
Kiarash ShahlaieUniversity of California, Davis, Department of Neurological Surgery, Davis, California.
Garth H UtterUniversity of California, Davis, Department of Surgery, Davis, California.
Joseph M GalanteUniversity of California, Davis, Department of Surgery, Davis, California.
Nancy RudisillUniversity of California, Davis, Department of Neurological Surgery, Davis, California.
James F HolmesUniversity of California, Davis, Department of Emergency Medicine, Davis, California.
University of California, Davis · USNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of this study was to compare long-term neurological outcomes in low-risk patients with traumatic intracranial hemorrhage (tICH) admitted to the ICU (intensive care unit) versus patients admitted to the floor.

methodsThis retrospective study was conducted at a Level 1 trauma center from October 1, 2008, to February 1, 2013. We defined low-risk patients as age less than 65 years, isolated head injury, normal admission mental status, and no shift or swelling on initial head CT (computed tomography). Clinical data were abstracted from a trauma registry and linked to a brain injury database. We compared the Extended Glasgow Outcome Scale (GOS-E) score at six months between patients admitted to the ICU and patients admitted to the floor. We did a risk-adjusted analysis of the influence of floor admission on a normal GOS-E.

resultsWe identified 151 patients; 45 (30%) were admitted to the floor and 106 (70%) to the ICU. Twenty-three (51%; 95% CI [36-66%]) patients admitted to the floor and 55 (52%; 95% CI [42-62%]) patients admitted to the ICU had a normal GOS-E. On adjusted analysis; the odds ratio for floor admission was 0.77 (95% CI [0.36-1.64]) for a normal GOS-E at six months.

conclusionLong-term neurological outcomes in low-risk patients with tICH were not markedly different between patients admitted to the ICU and those admitted to the floor. However, we were unable to demonstrate non-inferiority on adjusted analysis. Future work aimed at a larger, prospective cohort may better evaluate the relative impacts of admission type on outcomes.

Indexed as

Intensive Care UnitsAdultCohort StudiesFemaleHumansIntracranial Hemorrhage, TraumaticMaleMiddle AgedNervous System DiseasesRetrospective StudiesTime FactorsTreatment Outcome

Identifiers

PMID25834671
PMCPMC4380380
OpenAlexW2067695957

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.