Evidence map›Paper›PMID 31072225›Full record

Observational studyJournal of neurotrauma2019

A Serum Protein Biomarker Panel Improves Outcome Prediction in Human Traumatic Brain Injury.

Eric Thelin, Faiez Al Nimer, Arvid Frostell, Henrik Zetterberg, Kaj Blennow, Harriet Nyström, Mikael Svensson, Bo-Michael Bellander, Fredrik Piehl, David W Nelson

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of neurotrauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 4 pooled it
9.2field-weighted citation impact, top 1% 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

104 citing papers in PubMed, 4 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Review
  10. Observational
  11. Observational
  12. Review
  13. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
    Review
  14. Article
  15. Article
  16. Review
  17. Serum Biomarkers in Paediatric Neurosurgery: Traumatic Brain Injury and Beyond.Advances and technical standards in neurosurgery · 2026
    Article
  18. Article
  19. Article
  20. Article

44 more citing papers are in PubMed but not listed here.

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

10 authors at 3 institutions in 2 countries.

Eric ThelinDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Faiez Al NimerDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Arvid FrostellDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Henrik ZetterbergClinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.
Kaj BlennowClinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.
Harriet NyströmDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Mikael SvenssonDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Bo-Michael BellanderDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Fredrik PiehlDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
David W NelsonDepartment of Physiology and Pharmacology, Section of Perioperative Medicine and Intensive Care, Karolinska Institutet, Stockholm, Sweden.
Karolinska University Hospital · SEKarolinska Institutet · SESahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain-enriched protein biomarkers of tissue fate are being introduced clinically to aid in traumatic brain injury (TBI) management. The aim of this study was to determine how concentrations of six different protein biomarkers, measured in samples collected during the first weeks after TBI, relate to injury severity and outcome. We included neurocritical care TBI patients that were prospectively enrolled from 2007 to 2013, all having one to three blood samples drawn during the first 2 weeks. The biomarkers analyzed were S100 calcium-binding protein B (S100B), neuron-specific enolase (NSE), glial fibrillary acidic protein (GFAP), ubiquitin carboxy-terminal hydrolase-L1 (UCH-L1), tau, and neurofilament-light (NF-L). Glasgow Outcome Score (GOS) was assessed at 12 months. In total, 172 patients were included. All serum markers were associated with injury severity as classified on computed tomography scans at admission. Almost all biomarkers outperformed other known outcome predictors with higher levels the first 5 days, correlating with unfavorable outcomes, and UCH-L1 (0.260, pseduo-

Indexed as

AdultBiomarkersBrain Injuries, TraumaticFemaleGlial Fibrillary Acidic ProteinHumansMaleMiddle AgedPhosphopyruvate HydratasePredictive Value of TestsProspective StudiesS100 Calcium Binding Protein beta Subunittau ProteinsTreatment OutcomeUbiquitin ThiolesteraseBiomarkersGFAP protein, humanGlial Fibrillary Acidic ProteinMAPT protein, humanPhosphopyruvate HydrataseS100B protein, humanS100 Calcium Binding Protein beta Subunittau ProteinsUbiquitin ThiolesteraseUCHL1 protein, humanfunctional outcomeinjury severity assessmentneuroradiologyprotein biomarkersserum analysistraumatic brain injury

Identifiers

PMID31072225
PMCPMC6761606
OpenAlexW2944160948

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.