Evidence map›Paper›PMID 27793208›Full record

Trial reportScandinavian journal of trauma, resuscitation and emergency medicine2016

Myocardial function at the early phase of traumatic brain injury: a prospective controlled study.

Adrien Cuisinier, Claire Maufrais, Jean-François Payen, Stephane Nottin, Guillaume Walther, Pierre Bouzat

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02380482 (Myocardial Dysfunction at Early Phase of Traumatic Brain Injury), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 10% 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.

NCT02380482 nacompletednot on this map

Myocardial Dysfunction at Early Phase of Traumatic Brain Injury : Evaluation by Two Dimensional and Speckle Tracking Transthoracic Echocardiography

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2014 to 2015Enrolled40ConditionsTraumatic Brain InjuryArmsTransthoracic echocardiography on TBI patients, Transthoracic echocardiography on control patients
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Neural-Cardiac Inflammasome Axis after Traumatic Brain Injury.Pharmaceuticals (Basel, Switzerland) · 2023
    Article
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Observational
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

6 authors at 4 institutions in 2 countries.

Adrien CuisinierPôle Anesthésie Réanimation, Hôpital Albert Michallon, BP 217, Centre Hospitalier Universitaire de Grenoble, CS 10217, F-38043, Grenoble, France.
Claire MaufraisLaboratory of Integrative Cardiovascular and Metabolic Physiology, Division of Physiology, Department of Medicine, University of Fribourg, Fribourg, Switzerland.
Jean-François PayenPôle Anesthésie Réanimation, Hôpital Albert Michallon, BP 217, Centre Hospitalier Universitaire de Grenoble, CS 10217, F-38043, Grenoble, France.
Stephane NottinAvignon University, LAPEC EA4278, F-84000, Avignon, France.
Guillaume WaltherAvignon University, LAPEC EA4278, F-84000, Avignon, France.
Pierre BouzatPôle Anesthésie Réanimation, Hôpital Albert Michallon, BP 217, Centre Hospitalier Universitaire de Grenoble, CS 10217, F-38043, Grenoble, France. PBouzat@chu-grenoble.fr.
Université d'Avignon et des Pays de Vaucluse · FRUniversité Grenoble Alpes · FRGrenoble Institute of Neurosciences · FRUniversity of Fribourg · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe concept of brain-heart interaction has been described in several brain injuries. Traumatic brain injury (TBI) may also lead to cardiac dysfunction but evidences are mainly based upon experimental and clinical retrospective studies.

methodsWe conducted a prospective case-control study in a level I trauma center. Twenty consecutive adult patients with severe TBI were matched according to age and gender with 20 control patients. The control group included adult patients undergoing a general anesthesia for a peripheral trauma surgery. Conventional and Speckle Tracking Echocardiography (STE) was performed within the first 24 post-traumatic hours in the TBI group and PRE/PER-operative in the control group. The primary endpoint was the left ventricle ejection fraction (LVEF) measured by the Simpson's method. Secondary endpoints included the diastolic function and the STE analysis.

resultsWe found similar LVEF between the TBI group and the PER-operative control group (61 % [56-76]) vs. 62 % [52-70]). LV morphological parameters and the systolic function were also similar between the two groups. Regarding the diastolic function, the isovolumic relaxation time was significantly higher in the TBI cohort (125 s [84-178] versus 107 s [83-141], p = 0.04), suggesting a subclinical diastolic dysfunction. Using STE parameters, we observed a trend toward higher strains in the TBI group but only the apical circumferential strain and the basal rotation reached statistical significance. STE-derived parameters of the diastolic function tended to be lower in TBI patients. DISCUSSION: No systematic myocardial depression was found in a cohort of severe TBI patients.

conclusionsSTE revealed a correct adaptation of the left systolic function, while the diastolic function slightly impaired.

trial registrationNCT02380482.

Indexed as

AdolescentAdultBrain Injuries, TraumaticCase-Control StudiesEchocardiographyFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisProspective StudiesSingle-Blind MethodStroke VolumeTime FactorsVentricular Dysfunction, Left

Identifiers

PMID27793208
PMCPMC5084439
OpenAlexW2515559481

What OpenQuestion holds

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LicenceCC BY
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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.