Evidence map›Paper›PMID 29149808›Full record

ArticleJournal of neurotrauma2018

Delayed Hypoxemia after Traumatic Brain Injury Exacerbates Long-Term Behavioral Deficits.

McKenzie Davies, Addison Jacobs, David L Brody, Stuart H Friess

Open access · greenAbstract read
In one paragraph

Article in Journal of neurotrauma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  11. Proper Partial Pressure of Arterial Oxygen for Patients with Traumatic Brain Injury.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
  12. Article
  13. Review
  14. Prevention of brain damage after traumatic brain injury by pharmacological enhancement of KCNQ (Kv7, "M-type") KJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
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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

4 authors at 1 institution in 1 country.

McKenzie Davies1 Department of Pediatrics, Washington University in St. Louis School of Medicine , Saint Louis, Missouri.
Addison Jacobs1 Department of Pediatrics, Washington University in St. Louis School of Medicine , Saint Louis, Missouri.
David L Brody2 Department of Neurology, Washington University in St. Louis School of Medicine , Saint Louis, Missouri.
Stuart H Friess1 Department of Pediatrics, Washington University in St. Louis School of Medicine , Saint Louis, Missouri.
Washington University in St. Louis · US

Funding

Mechanisms Underlying Tauopathy Following Traumatic Brain InjuryR01NS065069 · NINDS · WASHINGTON UNIVERSITY · PI BRODY, DAVID L · 2009 to 2017
$3.3M
DELAYED HYPOXEMIA FOLLOWING TRAUMATIC BRAIN INJURY: A NEW TARGET FOR NEUROPROTECTIVE THERAPEUTICSR01NS097721 · NINDS · WASHINGTON UNIVERSITY · PI FRIESS, STUART H · 2017 to 2021
$1.7M
Modulating Secondary Damage Following Traumatic Brain Injury in the ChildK08NS064051 · NINDS · WASHINGTON UNIVERSITY · PI FRIESS, STUART H · 2010 to 2014
$820k
NINDS NIH HHS K08 NS064051NINDS NIH HHS R01 NS065069NINDS NIH HHS R01 NS097721
6 · The paper itself

Abstract

Hypoxemia during initial stabilization of patients with severe traumatic brain injury (TBI) has been associated with poorer outcomes. However, the effects of delayed hypoxemia occurring during intensive care post-TBI on outcome is unclear. Pre-clinical models of TBI have rarely shown cognitive or behavioral deficits beyond 6 weeks post-injury and commonly have not included modeling of secondary insults. We have previously developed a murine model of TBI followed by delayed hypoxemia to model the secondary insult of hypoxemia and brain hypoxia occurring in the intensive care setting. Understanding long-term effects of delayed hypoxemia post-TBI in our murine model is critical for future testing of candidate therapeutics targeting secondary brain hypoxia. For this study, forty 5-week-old male mice were randomized to controlled cortical impact (CCI; N = 24) or sham surgery (N = 16). One day later, awake animals were randomized to 60 min of hypoxemia or normoxemia. Six months after initial injury, animals underwent behavior testing (Morris water maze, social interaction, and tail suspension) before euthanasia for immunohistochemistry (IHC) assessments. At 6 months post-injury, mice experiencing CCI and hypoxemia (CCI+H) had longer swim distances to the hidden platform (51 cm) compared to CCI alone (26 cm) or sham animals (22 cm). During social interaction assessments, CCI + H mice spent less time interacting with novel stimulus mice (79 sec) than CCI alone (101 sec) or sham animals (139 sec). CCI + H had larger lesion volumes compared to CCI alone (14.0% vs. 9.9%; p < 0.003). Glial fibrillary acidic protein IHC at 6 months post-injury demonstrated increased astrogliosis in the ipsilateral white matter of CCI + H compared to CCI alone. To summarize, this clinically relevant model of delayed hypoxia post-TBI resulted in long-term behavioral deficits and evidence of exacerbated structural injury.

Indexed as

AnimalsBehavior, AnimalBrain Injuries, TraumaticHypoxia, BrainMaleMaze LearningMiceMice, Inbred C57BLRandom Allocationcontrolled cortical impactdelayed hypoxemialong-term behaviorsecondary injurytraumatic brain injury

Identifiers

PMID29149808
PMCPMC5831743
OpenAlexW2769005078

What OpenQuestion holds

Textmetadata
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.