Evidence map›Paper›PMID 27729796›Full record

ArticleTherapeutics and clinical risk management2016

The effects of magnesium sulfate therapy after severe diffuse axonal injury.

Ling Zhao, Wei Wang, Jiwen Zhong, YaYun Li, YanZi Cheng, Zhenjiao Su, Wei Zheng, Xiang-Dong Guan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03475693 (A Cohort Study Evaluating the Efficacy of PO Magnesium in the Treatment of Acute Traumatic Brain Injury in Adolescents), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-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.

NCT03475693 early_phase1completednot on this mapstarted 2017, after this paper: background citation

A Cohort Study Evaluating the Efficacy of PO Magnesium in the Treatment of Acute Traumatic Brain Injury in Adolescents

TypeinterventionalSponsorCorewell Health SouthRan2017 to 2019Enrolled17ConditionsConcussion Post SyndromeArmsMagnesium Oxide, Acetaminophen, Zofran ODT 4 MG Disintegrating Oral Tablet
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
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.

Ling ZhaoDepartment of Critical Care Medicine, Zhuhai People's Hospital, Zhuhai, Guangdong.
Wei WangDepartment of Critical Care Medicine, Zhuhai People's Hospital, Zhuhai, Guangdong.
Jiwen ZhongDepartment of Critical Care Medicine, Zhuhai People's Hospital, Zhuhai, Guangdong.
YaYun LiDepartment of Critical Care Medicine, Zhuhai People's Hospital, Zhuhai, Guangdong.
YanZi ChengDepartment of Critical Care Medicine, Zhuhai People's Hospital, Zhuhai, Guangdong.
Zhenjiao SuDepartment of Critical Care Medicine, Zhuhai People's Hospital, Zhuhai, Guangdong.
Wei ZhengDepartment of Critical Care Medicine, Zhuhai People's Hospital, Zhuhai, Guangdong.
Xiang-Dong GuanDepartment of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, People's Republic of China.
Zhuhai People's Hospital · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the clinical effects of magnesium sulfate in the treatment of diffuse axonal injury (DAI). PATIENTS AND

methodsThis study was a randomized, double-blind, placebo-controlled trial conducted in the First Affiliated Hospital of Sun Yat-sen University, Guangzhou and Zhuhai People's Hospital, Zhuhai, two trauma center hospitals. A total of 128 patients suffered from DAI, with initial Glasgow coma scale (GCS) scores of 3-8. They were randomly divided into two groups: magnesium sulfate treatment (MST) group (n=64) and control group (n=64). The MST group received 250 μmol/kg magnesium sulfate intravenously 20 minutes after admission, followed by 750 μmol/kg magnesium sulfate intravenously daily for 5 days. The control group received standard management without MST. GCS scores and serum neuron-specific enolase values were measured and recorded at admission, and on days 3 and 7 after injury. Outcomes were determined by Glasgow outcome scale scores at discharge and at 3 months' follow-up, respectively.

resultsAfter the 7-day treatment, patients in the MST group, compared with those in the control group, had a lower serum neuron-specific enolase level (25.40±6.66 vs 29.58±7.32, respectively,

conclusionEarly treatment with magnesium sulfate resulted in a significant improvement in DAI outcome. Further studies are needed to confirm the clinical significance of treatment of DAI patients with magnesium sulfate.

Indexed as

diffuse axonal injurymagnesium sulfateoutcome

Identifiers

PMID27729796
PMCPMC5045904
OpenAlexW2525898904

What OpenQuestion holds

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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.