Evidence map›Paper›PMID 28398926›Full record

ArticleCritical care medicine2017

Early Systolic Dysfunction Following Traumatic Brain Injury: A Cohort Study.

Vijay Krishnamoorthy, Ali Rowhani-Rahbar, Edward F Gibbons, Frederick P Rivara, Nancy R Temkin, Crystal Pontius, Kevin Luk, Morgan Graves, Danielle Lozier, Nophanan Chaikittisilpa and 2 more

Abstract read
In one paragraph

Article in Critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Vijay Krishnamoorthy1Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA. 2Department of Epidemiology, University of Washington, Seattle, WA. 3Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA. 4Department of Medicine, Division of Cardiology, University of Washington, Seattle, WA. 5Department of Pediatrics, University of Washington, Seattle, WA. 6Department of Neurosurgery, University of Washington, Seattle, WA. 7Department of Biostatistics, University of Washington, Seattle, WA. 8Georgetown University School of Medicine, Washington, DC.
Ali Rowhani-Rahbar
Edward F Gibbons
Frederick P Rivara
Nancy R Temkin
Crystal Pontius
Kevin Luk
Morgan Graves
Danielle Lozier
Nophanan Chaikittisilpa
Taniga Kiatchai
Monica S Vavilala
University of Washington · USHarborview Injury Prevention and Research Center · US

Funding

Anesthesiology & Perioperative Medicine Training GrantT32GM086270 · NIGMS · UNIVERSITY OF WASHINGTON · PI Tonya M Palermo · 2009 to 2026
$4.3M
NIGMS NIH HHS T32 GM086270NINDS NIH HHS L30 NS084420
6 · The paper itself

Abstract

objectivePrior studies have suggested that traumatic brain injury may affect cardiac function. Our study aims were to determine the frequency, longitudinal course, and admission risk factors for systolic dysfunction in patients with moderate-severe traumatic brain injury.

designProspective cohort study.

settingLevel 1 trauma center. MEASUREMENTS: Transthoracic echocardiogram within 1 day and over the first week after moderate-severe traumatic brain injury; transthoracic echocardiogram within 1 day after mild traumatic brain injury (comparison group). MEASUREMENTS AND MAIN

resultsSystolic function was assessed by transthoracic echocardiogram, and systolic dysfunction was defined as fractional shortening less than 25%. Multivariable Poisson regression models examined admission risk factors for systolic dysfunction. Systolic function in 32 patients with isolated moderate-severe traumatic brain injury and 32 patients with isolated mild traumatic brain injury (comparison group) was assessed with transthoracic echocardiogram. Seven (22%) moderate-severe traumatic brain injury and 0 (0%) mild traumatic brain injury patients had systolic dysfunction within the first day after injury (p < 0.01). All patients with early systolic dysfunction recovered in 1 week. Younger age (relative risk, 0.87; 95% CI, 0.79-0.94; for 1 yr increase in age) and lower admission Glasgow Coma Scale score (relative risk, 0.34; 95% CI, 0.20-0.58; for one unit increase in Glasgow Coma Scale) were independently associated with the development of systolic dysfunction among moderate-severe traumatic brain injury patients.

conclusionsEarly systolic dysfunction can occur in previously healthy patients with moderate-severe traumatic brain injury, and it is reversible over the first week of hospitalization. Younger age and lower admission Glasgow Coma Scale score are independently associated with the development of systolic dysfunction after moderate-severe traumatic brain injury.

Indexed as

AdultAge FactorsBrain Injuries, TraumaticEchocardiographyFemaleGlasgow Coma ScaleHeart DiseasesHumansLength of StayMaleMiddle AgedProspective StudiesRisk FactorsSystoleTrauma Centers

Identifiers

PMID28398926
PMCPMC5433903
OpenAlexW2607066642

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.