Evidence map›Paper›PMID 29182378›Full record

ArticleBrain injury2018

Early changes in cerebral autoregulation among youth hospitalized after sports-related traumatic brain injury.

Monica S Vavilala, Carly K Farr, Arraya Watanitanon, Bs Crystalyn Clark-Bell, Theerada Chandee, Anne Moore, William Armstead

Open access · greenAbstract read
In one paragraph

Article in Brain injury, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Cerebral autoregulation in pediatric and neonatal intensive care: A scoping review.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  3. Article
  4. Sports audiology: Ear hygiene practices of gym users who wear earphones.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2021
    Article
  5. Review
  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

7 authors at 2 institutions in 1 country.

Monica S Vavilalaa Department of Anesthesiology and Pain Medicine , University of Washington , Seattle , WA, USA.
Carly K Farra Department of Anesthesiology and Pain Medicine , University of Washington , Seattle , WA, USA.ORCID 0000-0003-2267-8181
Arraya Watanitanona Department of Anesthesiology and Pain Medicine , University of Washington , Seattle , WA, USA.
Bs Crystalyn Clark-Bella Department of Anesthesiology and Pain Medicine , University of Washington , Seattle , WA, USA.
Theerada Chandeea Department of Anesthesiology and Pain Medicine , University of Washington , Seattle , WA, USA.
Anne Moorec Department of Neurological Surgery, Harborview Medical Center , University of Washington , Seattle , WA, USA.
William Armsteadd Department of Anesthesiology , University of Pennsylvania , Philadelphia , PA, USA.
University of Washington · USUniversity of Pennsylvania · US

Funding

Vasoactive Agents and Cerebral Outcomes in Brain InjuryR21NS095321 · NINDS · UNIVERSITY OF WASHINGTON · PI VAVILALA, MONICA S · 2015 to 2016
$462k
NINDS NIH HHS R21 NS095321
6 · The paper itself

Abstract

objectiveTo examine early cerebral haemodynamic changes among youth hospitalized with sports-related traumatic brain injury (TBI). STUDY

designYouth 0-18 years admitted to a level one trauma centre with sports-related TBI were enrolled. Daily measures included clinical symptoms and Glasgow Coma Scale (GCS) score. Using Transcranial Doppler (TCD) ultrasonography and tilt testing, we measured middle cerebral artery flow velocity (Vmca) and cerebral autoregulation index (ARI).

resultsSix previously healthy males age 14 (IQR 12-16) years with headache and abnormal head CT were admitted with median admission GCS 15. Six patients underwent 12 TCD examinations between hospital days 0-9. Low Vmca occurred in 3/6 patients and on the side of TBI, whereas high Vmca occurred in 2/6 patients. Five patients had at least one measurement of impaired and five patients had absent cerebral autoregulation of at least one hemisphere; all these five patients had GCS 15 and headache during TCD examinations. Three patients were discharged with absent cerebral autoregulation. Five (83%) patients were discharged to home and one patient was discharged to a rehabilitation facility.

conclusionHeadache, abnormal Vmca and impaired cerebral autoregulation occur after sports-related TBI, despite normal GCS. Headache may signal underlying neurovascular abnormality in sports-related TBI.

Indexed as

AdolescentAthletic InjuriesBrain Injuries, TraumaticCerebrovascular CirculationChildCohort StudiesFemaleGlasgow Coma ScaleHomeostasisHumansMaleMiddle Cerebral ArteryTilt-Table TestUltrasonography, Doppler, TranscranialSports-related concussiontraumatic brain injury

Identifiers

PMID29182378
PMCPMC6178930
OpenAlexW2769133632

What OpenQuestion holds

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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.