Evidence map›Paper›PMID 28355608›Full record

ArticleDevelopmental neuroscience2017

New Wavelet Neurovascular Bundle for Bedside Evaluation of Cerebral Autoregulation and Neurovascular Coupling in Newborns with Hypoxic-Ischemic Encephalopathy.

Lina F Chalak, Rong Zhang

Open access · greenAbstract read
In one paragraph

Article in Developmental neuroscience, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.1field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  7. Review
  8. Article
  9. The INfoMATAS project: Methods for assessing cerebral autoregulation in stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Review
  10. Observational
  11. Bedside and laboratory neuromonitoring in neonatal encephalopathy.Seminars in fetal & neonatal medicine · 2021
    Review
  12. Article
  13. Neonatal NIRS monitoring: recommendations for data capture and review of analytics.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Resuscitating the Globally Ischemic Brain: TTM and Beyond.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  19. Article
  20. 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

2 authors at 1 institution in 1 country.

Lina F ChalakDepartment of Pediatrics and Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Rong Zhang
The University of Texas Southwestern Medical Center · US

Funding

A Novel Wavelet Neurovascular Bundle for Real Time Detection of Injury in Neonatal EncephalopathyR01NS102617 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI LINA F CHALAK · 2017 to 2026
$4.0M
Cerebrovascular Dysfunction in Newborns with HIE during Hypothermia and RewarmingK23HD069521 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI CHALAK, LINA F · 2012 to 2014
$368k
NICHD NIH HHS K23 HD069521NINDS NIH HHS R01 NS102617
6 · The paper itself

Abstract

Neonatal encephalopathy (NE) resulting from birth asphyxia constitutes a major global public health burden for millions of infants every year, and despite therapeutic hypothermia, half of these neonates have poor neurological outcomes. As new neuroprotective interventions are being studied in clinical trials, there is a critical need to establish physiological surrogate markers of therapeutic efficacy, to guide patient selection and/or to modify the therapeutic intervention. The challenge in the field of neonatal brain injury has been the difficulty of clinically discerning NE severity within the short therapeutic window after birth or of analyzing the dynamic aspects of the cerebral circulation in sick NE newborns. To address this roadblock, we have recently developed a new "wavelet neurovascular bundle" analytical system that can measure cerebral autoregulation (CA) and neurovascular coupling (NVC) at multiple time scales under dynamic, nonstationary clinical conditions. This wavelet analysis may allow noninvasive quantification at the bedside of (1) CA (combining metrics of blood pressure and cerebral near-infrared spectroscopy, NIRS) and (2) NVC (combining metrics obtained from NIRS and EEG) in newborns with encephalopathy without mathematical assumptions of linear and stationary systems. In this concept paper, we present case examples of NE using the proposed physiological wavelet metrics of CA and NVC. The new approach, once validated in large NE studies, has the potential to optimize the selection of candidates for therapeutic decision-making, and the prediction of neurocognitive outcomes.

Indexed as

Point-of-Care SystemsAsphyxia NeonatorumCerebrovascular CirculationElectroencephalographyFemaleHomeostasisHumansHypoxia-Ischemia, BrainInfant, NewbornMaleMonitoring, PhysiologicNeurologic ExaminationNeurovascular CouplingSpectroscopy, Near-InfraredAmplitude-integrated electroencephalographyHypothermiaNear-infrared spectroscopyNeurovascular coupling

Identifiers

PMID28355608
PMCPMC5519424
OpenAlexW2603288150

What OpenQuestion holds

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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.