Evidence map›Paper›PMID 29607441›Full record

ArticleThe Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians2017

In-Hospital Mortality Following Traumatic Brain Injury Among Older Medicare Beneficiaries, Comparing Statin Users With Nonusers.

Bilal Khokhar, Linda Simoni-Wastila, Julia F Slejko, Eleanor Perfetto, Min Zhan, Gordon S Smith

Abstract read
In one paragraph

Article in The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Inflammation in Traumatic Brain Injury.Journal of Alzheimer's disease : JAD · 2020
    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

6 authors at 4 institutions in 1 country.

Bilal KhokharGeneral Dynamics Health Solutions, Defense and Veterans Brain Injury Center, Silver Spring, MD, USA.
Linda Simoni-WastilaUniversity of Maryland, Baltimore, MD, USA.
Julia F SlejkoUniversity of Maryland, Baltimore, MD, USA.
Eleanor PerfettoUniversity of Maryland, Baltimore, MD, USA.
Min ZhanUniversity of Maryland, Baltimore, MD, USA.
Gordon S SmithUniversity of Maryland, Baltimore, MD, USA.
University of Maryland, Baltimore · USGeneral Dynamics (United States) · USNational Health Council · USWest Virginia University · US

Funding

RESEARCH TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000262 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ANN L GRUBER-BALDINI, DENISE L ORWIG · 1998 to 2026
$8.2M
Alcohol Involvement in a Cohort of Trauma Patients: Trends and Future MortalityR01AA018707 · NIAAA · UNIVERSITY OF MARYLAND BALTIMORE · PI SMITH, GORDON STEPHEN · 2010 to 2014
$1.5M
NIAAA NIH HHS R01 AA018707NIA NIH HHS T32 AG000262
6 · The paper itself

Abstract

backgroundTraumatic brain injury (TBI) is a significant public health concern for older adults. Small-scale human studies have suggested pre-TBI statin use is associated with decreased in-hospital mortality following TBI, highlighting the need for large-scale translational research.

objectiveTo investigate the relationship between pre-TBI statin use and in-hospital mortality following TBI.

methodsA retrospective study of Medicare beneficiaries 65 and older hospitalized with a TBI during 2006 to 2010 was conducted to assess the impact of pre-TBI statin use on in-hospital mortality following TBI. Exposure of interest included atorvastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin, and simvastatin. Beneficiaries were classified as current, recent, past, and nonusers of statins prior to TBI. The outcome of interest was in-hospital mortality. Logistic regression was used to obtain odds ratios (ORs) and 95% confidence intervals (CIs) comparing current, recent, and prior statin use to nonuse.

resultsMost statin users were classified as current users (90%). Current atorvastatin (OR = 0.88; 95% = CI 0.82, 0.96), simvastatin (OR = 0.84; 95% CI = 0.79, 0.91), and rosuvastatin (OR = 0.79; 95% CI = 0.67, 0.94) use were associated with a significant decrease in the risk of in-hospital mortality following TBI.

conclusionsIn addition to being the most used statins, current use of atorvastatin, rosuvastatin, and simvastatin was associated with a significant decrease in in-hospital mortality following TBI among older adults. Future research must include clinical trials to help exclude the possibility of a healthy user effect in order to better understand the impact of statin use on in-hospital mortality following TBI.

Indexed as

cardiovascular drugsgeriatricspharmacoepidemiologytraumatrauma medicine

Identifiers

PMID29607441
PMCPMC5877468
OpenAlexW2763219253

What OpenQuestion holds

Textmetadata
LicenceTDM
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.