Evidence map›Paper›PMID 30051755›Full record

ArticleJournal of neurotrauma2019

Inhaled Nitric Oxide Protects Cerebral Autoregulation and Reduces Hippocampal Neuronal Cell Necrosis after Traumatic Brain Injury in Newborn and Juvenile Pigs.

Hugh Hekierski, Philip Pastor, Victor Curvello, William M Armstead

RetractedAbstract readRetracted Publication
PubMed Publisher
In one paragraph

Article in Journal of neurotrauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Journal of neurotrauma · 2022
    Article
  4. Journal of neurotrauma · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Review
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4 · The record

Corrections and comments

  • Retraction · 2022-04-29Author Unresponsive · Concerns/Issues about Data · Concerns/Issues about Results and/or Conclusions · · this notice lists three articles as being retracted; William Armstead has ORI finding of misconduct; see https://ori.hhs.gov/content/case-summary-armstead-william-m
  • Retracted
    2022
5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Hugh Hekierski1 Department of Anesthesiology and Critical Care, University of Pennsylvania , Philadelphia, Pennsylvania.
Philip Pastor1 Department of Anesthesiology and Critical Care, University of Pennsylvania , Philadelphia, Pennsylvania.
Victor Curvello1 Department of Anesthesiology and Critical Care, University of Pennsylvania , Philadelphia, Pennsylvania.
William M Armstead1 Department of Anesthesiology and Critical Care, University of Pennsylvania , Philadelphia, Pennsylvania.
University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic brain injury (TBI) contributes to morbidity in children, and boys are disproportionately represented. Cerebral blood flow (CBF) is reduced and autoregulation is impaired after TBI, contributing to poor outcome. Cerebral perfusion pressure (CPP) is often normalized by use of vasoactive agents to increase mean arterial pressure (MAP). In prior studies of male and female newborn and juvenile pigs, we observed that phenylephrine, norepinephrine, epinephrine, and dopamine demonstrated different sex- and age-dependent abilities to prevent impairment of cerebral autoregulation and limit histopathology after TBI, despite equivalent CPP values. This observation complicated treatment choice. Alternatively, administration of a cerebral vasodilator may improve cerebral hemodynamics after TBI by increasing CBF. In prior studies, intravenous sodium nitroprusside, a nitric oxide (NO) releaser, elevated CBF after TBI but failed to prevent impairment of cerebral autoregulation due to a confounding decrease in MAP, which lowered CPP. We presently test the hypothesis that inhaled NO (iNO) will protect cerebral autoregulation and prevent hippocampal histopathology after TBI. Results show that iNO administered at 30 min or 2 h after TBI protected cerebral autoregulation and prevented neuronal cell necrosis in CA1 and CA3 hippocampus equivalently in male and female newborn and juvenile pigs without change in MAP. Protection lasted for at least 2 h after iNO administration was stopped. Papaverine-induced dilation was unchanged by TBI and iNO. These data indicate that iNO offers the opportunity to have a single therapeutic that uniformly protects autoregulation and limits hippocampal neuronal cell necrosis across both ages and sexes.

Indexed as

AnimalsAnimals, NewbornBrainBrain Injuries, TraumaticCerebrovascular CirculationFemaleHomeostasisMaleNecrosisNeuronsNitric OxideSwineVasodilator AgentsNitric OxideVasodilator Agentsagebrain injurycerebral autoregulationhistopathologynitric oxidesex

Identifiers

PMID30051755
OpenAlexW2883680318

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.