Evidence map›Paper›PMID 31416759›Full record

Trial reportJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2019

Cerebral Blood Flow Response During Bolus Normal Saline Infusion After Ischemic Stroke.

Michael T Mullen, Ashwin B Parthasarathy, Ali Zandieh, Wesley B Baker, Rickson C Mesquita, Caitlin Loomis, Jose Torres, Wensheng Guo, Christopher G Favilla, Steven R Messé and 3 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 20% 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, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Lossless Compressed Sensing of Photon Counts for Fast Diffuse Correlation Spectroscopy.IEEE access : practical innovations, open solutions · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Dynamic autoregulation of cerebral blood flow measured non-invasively with fast diffuse correlation spectroscopy.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2018
    Article
  11. 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

13 authors at 7 institutions in 2 countries.

Michael T MullenDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania; Leondard David Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: mmullen@pennmedicine.upenn.edu.
Ashwin B ParthasarathyDepartment of Electrical Engineering, University of South Florida.
Ali ZandiehDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania.
Wesley B BakerDepartment of Physics and Astronomy, University of Pennsylvania, Philadelphia, Pennsylvania; Department of Neurology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Rickson C MesquitaInstitute of Physics, University of Campinas, Campinas, Brazil.
Caitlin LoomisDepartment of Neurology, Yale University, New Haven, Connecticut.
Jose TorresDepartment of Neurology, New York University, New York City, New York.
Wensheng GuoDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Christopher G FavillaDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania.
Steven R MesséDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania.
Arjun G YodhDepartment of Physics and Astronomy, University of Pennsylvania, Philadelphia, Pennsylvania.
John A DetreDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania.
Scott E KasnerDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USNew York University · USUniversidade Estadual de Campinas (UNICAMP) · BRUniversity of Pennsylvania Health System · USUniversity of South Florida · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Training and DisseminationP41EB015893 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2012 to 2019
$11.3M
Diffuse Optics for Acute Stroke ManagementR01NS060653 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI YODH, ARJUN G. · 2008 to 2018
$5.5M
Research Training Program in Disease Oriented Neuroscience (R25)R25NS065745 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DETRE, JOHN A · 2009 to 2023
$3.0M
Optical Monitoring of Cerebral Hemodynamics during Mechanical ThrombectomyK23NS110993 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI FAVILLA, CHRISTOPHER G. · 2019 to 2023
$1.0M
NCATS NIH HHS UL1 TR001863NIBIB NIH HHS P41 EB015893NINDS NIH HHS K23 NS110993NINDS NIH HHS R01 NS060653NINDS NIH HHS R25 NS065745
6 · The paper itself

Abstract

goalsWe quantified cerebral blood flow response to a 500 cc bolus of 0.9%% normal saline (NS) within 96 hours of acute ischemic stroke (AIS) using diffuse correlation spectroscopy (DCS). MATERIALS AND

methodsSubjects with AIS in the anterior, middle, or posterior cerebral artery territory were enrolled within 96 hours of symptom onset. DCS measured relative cerebral blood flow (rCBF) in the bilateral frontal lobes for 15 minutes at rest (baseline), during a 30-minute infusion of 500 cc NS (bolus), and for 15 minutes after completion (post-bolus). Mean rCBF for each time period was calculated for individual subjects and median rCBF for the population was compared between time periods. Linear regression was used to evaluate for associations between rCBF and clinical features.

resultsAmong 57 subjects, median rCBF (IQR) increased relative to baseline in the ipsilesional hemisphere by 17% (-2.0%, 43.1%), P< 0.001, and in the contralesional hemisphere by 13.3% (-4.3%, 36.0%), P < .004. No significant associations were found between ipsilesional changes in rCBF and age, race, infarct size, infarct location, presence of large vessel stenosis, NIH stroke scale, or symptom duration.

conclusionA 500 cc bolus of .9% NS produced a measurable increase in rCBF in both the affected and nonaffected hemispheres. Clinical features did not predict rCBF response.

Indexed as

Cerebrovascular CirculationFluid TherapyAgedBlood Flow VelocityBrain IschemiaFemaleHumansInfusions, IntravenousMaleMiddle AgedPilot ProjectsSaline SolutionStrokeTime FactorsTreatment OutcomeSaline SolutionCerebral blood flowdiffuse correlation spectroscopysalinestroke, intravenous fluids

Identifiers

PMID31416759
PMCPMC6823150
OpenAlexW2968733691

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.