Evidence map›Paper›PMID 29466474›Full record

Trial reportPloS one2018

Early measurement of interleukin-10 predicts the absence of CT scan lesions in mild traumatic brain injury.

Linnéa Lagerstedt, Juan José Egea-Guerrero, Ana Rodríguez-Rodríguez, Alejandro Bustamante, Joan Montaner, Amir El Rahal, Elisabeth Andereggen, Lara Rinaldi, Asita Sarrafzadeh, Karl Schaller and 1 more

Open access · goldAbstract readClinical TrialValidation Study
In one paragraph

Trial report in PloS one, 2018. 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
2.6field-weighted citation impact, top 9% 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, 54 citations in OpenAlex.

  1. Article
  2. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
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  15. Biomarkers in traumatic brain injury: new concepts.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Review
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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

11 authors at 4 institutions in 2 countries.

Linnéa LagerstedtDepartment of Human Protein Sciences, Faculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID 0000-0002-3405-9938
Juan José Egea-GuerreroNeuroCritical Care Unit, Virgen del Rocío University Hospital, Seville, Spain.
Ana Rodríguez-RodríguezNeuroCritical Care Unit, Virgen del Rocío University Hospital, Seville, Spain.
Alejandro BustamanteNeurovascular Research Laboratory, Vall d'Hebron Institute of Research (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain.
Joan MontanerNeurovascular Research Laboratory, Vall d'Hebron Institute of Research (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain.
Amir El RahalDivision of Neurosurgery, Geneva Neuroscience Center, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland.
Elisabeth AndereggenEmergency Center, Geneva University Hospitals, Geneva, Switzerland.
Lara RinaldiEmergency Center, Geneva University Hospitals, Geneva, Switzerland.
Asita SarrafzadehDivision of Neurosurgery, Geneva Neuroscience Center, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland.
Karl SchallerDivision of Neurosurgery, Geneva Neuroscience Center, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland.
Jean-Charles SanchezDepartment of Human Protein Sciences, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
University Hospital of Geneva · CHHospital Universitario Virgen del Rocío · ESUniversitat Autònoma de Barcelona · ESUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic brain injury is a common event where 70%-90% will be classified as mild TBI (mTBI). Among these, only 10% will have a brain lesion visible via CT scan. A triage biomarker would help clinicians to identify patients with mTBI who are at risk of developing a brain lesion and require a CT scan. The brain cells damaged by the shearing, tearing and stretching of a TBI event set off inflammation cascades. These cause altered concentrations of a high number of both pro-inflammatory and anti-inflammatory proteins. This study aimed to discover a novel diagnostic biomarker of mTBI by investigating a broad panel of inflammation biomarkers and their capacity to correctly identify CT-positive and CT-negative patients. Patients enrolled in this study had been diagnosed with mTBI, had a GCS score of 15 and suffered from at least one clinical symptom. There were nine patients in the discovery group, 45 for verification, and 133 mTBI patients from two different European sites in the validation cohort. All patients gave blood samples, underwent a CT scan and were dichotomised into CT-positive and CT-negative groups for statistical analyses. The ability of each protein to classify patients was evaluated with sensitivity set at 100%. Three of the 92 inflammation proteins screened-MCP-1, MIP-1alpha and IL-10 -were further investigated in the verification group, and at 100% sensitivity their specificities reached 7%, 0% and 31%, respectively. IL-10 was validated on a larger cohort in comparison to the most studied mTBI diagnostic triage protein to date, S100B. Levels of both proteins were significantly higher in CT-positive than in CT-negative patients (p < 0.001). S100B's specificity at 100% sensitivity was 18% (95% CI 10.8-25.2), whereas IL-10 reached a specificity of 27% (95% CI 18.9-35.1). These results showed that IL-10 might be an interesting and clinically useful diagnostic tool, capable of differentiating between CT-positive and CT-negative mTBI patients.

Indexed as

Tomography, X-Ray ComputedAdultAgedAged, 80 and overBiomarkersBrain Injuries, TraumaticFemaleHumansInflammation MediatorsInterleukin-10MaleMiddle AgedBiomarkersIL10 protein, humanInflammation MediatorsInterleukin-10

Identifiers

PMID29466474
PMCPMC5821397
OpenAlexW2788307230

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.