Evidence map›Paper›PMID 30550859›Full record

ReviewNeuroscience and biobehavioral reviews2019

Challenges and demand for modeling disorders of consciousness following traumatic brain injury.

John C O'Donnell, Kevin D Browne, Todd J Kilbaugh, H Isaac Chen, John Whyte, D Kacy Cullen

Open access · greenAbstract readReview
In one paragraph

Review in Neuroscience and biobehavioral reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Disorders of nomenclature.CNS neuroscience & therapeutics · 2024
    Article
  7. Review
  8. Article
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Landing a Successful R or K Grant: a Young Investigator's Journey.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2021
    Article
  15. Mechanosensation in traumatic brain injury.Neurobiology of disease · 2021
    Review
  16. Review
  17. Article
  18. Article
  19. 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

6 authors at 3 institutions in 1 country.

John C O'DonnellCenter for Brain Injury & Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Center for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, United States.
Kevin D BrowneCenter for Brain Injury & Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Center for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, United States.
Todd J KilbaughCenter for Brain Injury & Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
H Isaac ChenCenter for Brain Injury & Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Center for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, United States.
John WhyteMoss Rehabilitation Research Institute, Elkins Park, PA, United States.
D Kacy CullenCenter for Brain Injury & Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Center for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, United States; Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, United States. Electronic address: dkacy@pennmedicine.upenn.edu.
Philadelphia VA Medical Center · USChildren's Hospital of Philadelphia · USMoss Rehabilitation Hospital · US

Funding

Modeling Disorders of ConsciousnessF32NS103253 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI O'DONNELL, JOHN CHARLES · 2017 to 2020
$170k
Chronic neurodegenerative and neurophysiological sequela of closed-head TBII01RX001097 · VA · PHILADELPHIA VA MEDICAL CENTER · PI DUDA, JOHN ERIC · 2015 to 2018
–
NINDS NIH HHS F32 NS103253RRD VA I01 RX001097RRD VA IK2 RX002013
6 · The paper itself

Abstract

Following severe traumatic brain injury (TBI), many patients experience coma - an unresponsive state lacking wakefulness or awareness. Coma rarely lasts more than two weeks, and emergence involves passing through a state of wakefulness without awareness of self or environment. Patients that linger in these Disorders of Consciousness (DoC) undergo clinical assessments of awareness for diagnosis into Unresponsive Wakefulness Syndrome (no awareness, also called vegetative state) or Minimally Conscious State (periodic increases in awareness). These diagnoses are notoriously inaccurate, offering little prognostic value. Recovery of awareness is unpredictable, returning within weeks, years, or never. This leaves patients' families with difficult decisions and little information on which to base them. Clinical studies have made significant advancements, but remain encumbered by high variability, limited data output, and a lack of necessary controls. Herein we discuss the clear and present need to establish a preclinical model of TBI-induced DoC, the significant challenges involved, and how such a model can be applied to support DoC research.

Indexed as

Disease Models, AnimalAnimalsAwarenessBrainBrain Injuries, TraumaticConsciousnessHumansWakefulnessComaDisorders of consciousnessLarge animal modelsMinimally conscious statePorcineRotational accelerationSwineTraumatic brain injuryUnresponsive wakefulness syndromeVegetative state

Identifiers

PMID30550859
PMCPMC7847278
OpenAlexW2905516142

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.