Evidence map›Paper›PMID 29644406›Full record

ArticleActa neurochirurgica2018

The Wessex modified Richmond Sedation Scale as a novel tool for monitoring patients at risk of malignant MCA syndrome.

Tayyib T A Hayat, Matthew A Myers, John Hell, Matthew Cordingly, Diederik O Bulters, Nicolas Weir, George Pengas

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Acta neurochirurgica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 95% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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 1 institution in 1 country.

Tayyib T A HayatWessex Neurological Centre, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK. tayyib2784@gmail.com.
Matthew A MyersWessex Neurological Centre, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
John HellWessex Neurological Centre, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Matthew CordinglyWessex Neurological Centre, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Diederik O BultersWessex Neurological Centre, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Nicolas WeirWessex Neurological Centre, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
George PengasWessex Neurological Centre, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
University Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Wessex Modified Richmond Sedation Scale (WMRSS) has been developed with the aim of improving the early identification of patients requiring decompressive hemicraniectomy for malignant middle cerebral artery syndrome (MMS). The objective of this study was to evaluate the WMRSS against the Glasgow Coma Scale (GCS).

methodsA retrospective study was conducted of patients admitted to our unit for observation of MMS. Data were obtained on WMRSS and GCS recordings from admission up to 120-h post-ictus. Patients' meeting inclusion criteria were recommended for theatre based on subsequent deteriorations in consciousness on either WMRSS or GCS from a 6-h post-stroke baseline, after ruling out non-neurological causes.

resultsApproximately, 60% of those eligible for monitoring were not recommended for theatre, and none died; however, these patients continued to demonstrate some variability in recorded conscious level. Patients requiring surgical intervention showed earlier drops in WMRSS compared to GCS. Neither the GCS nor the WMRSS on admission predicted the subsequent need for decompressive surgery. There was no increase in mortality with the introduction of WMRSS.

conclusionsWMRSS adds value to monitoring MMS by indicating need for surgery prior to GCS. Early reduction in consciousness may not be sufficient for proceeding to surgical intervention, but subsequent reduction in consciousness may be a more appropriate criterion for surgery.

Indexed as

Glasgow Coma ScaleAdultAgedConsciousnessDecompression, SurgicalFemaleHumansInfarction, Middle Cerebral ArteryMaleMiddle AgedMonitoring, PhysiologicGlasgow coma scaleMalignant MCA syndromeStroke

Identifiers

PMID29644406
OpenAlexW2797856594

What OpenQuestion holds

Textmetadata
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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.