Evidence map›Paper›PMID 31553988›Full record

ArticleDevelopmental neuroscience2019

Plasma Levels, Temporal Trends and Clinical Associations between Biomarkers of Inflammation and Vascular Homeostasis after Pediatric Traumatic Brain Injury.

Abhijit V Lele, Bhunyawee Alunpipatthanachai, Qian Qiu, Crystalyn Clark-Bell, Arraya Watanitanon, Anne Moore, Randall M Chesnut, William Armstead, Monica S Vavilala

Abstract read
In one paragraph

Article in Developmental neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
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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

9 authors.

Abhijit V LeleDepartment of Anesthesiology and Pain Medicine, Harborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA, abhijit2@uw.edu.
Bhunyawee AlunpipatthanachaiHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA.
Qian QiuDepartment of Anesthesiology and Pain Medicine, Harborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.
Crystalyn Clark-BellHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA.
Arraya WatanitanonHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA.
Anne MooreDepartment of Neurological Surgery and Orthopedics, Harborview Medical Center, Seattle, Washington, USA.
Randall M ChesnutDepartment of Neurological Surgery and Orthopedics, Harborview Medical Center, Seattle, Washington, USA.
William ArmsteadDepartment of Anethesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Monica S VavilalaDepartment of Anesthesiology and Pain Medicine, Harborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.

Funding

Vasoactive Agents and Cerebral Outcomes in Brain InjuryR21NS095321 · NINDS · UNIVERSITY OF WASHINGTON · PI VAVILALA, MONICA S · 2015 to 2016
$462k
NINDS NIH HHS R21 NS095321
6 · The paper itself

Abstract

Expression of inflammatory (interleukin-6 [IL-6]) and vascular homeostatic (angiopoietin-2 [AP-2], endothelin-1 [ET-1], endocan-2 [EC-2]) biomarkers in pediatric traumatic brain injury (TBI) was examined in this prospective, observational cohort study of 28 children hospitalized with mild, moderate, and severe TBI by clinical measures (age, sex, Glasgow Coma Scale score [GCS], Injury Severity Score [ISS], and cerebral autoregulation status). Biomarker patterns suggest an inverse relationship between GCS and AP-2, GCS and IL-6, ISS and ET-1, but a direct relationship between GCS and ET-1 and ISS and AP-2. Biomarker patterns suggest an inverse relationship between AP-2 and ET-1, AP-2 and EC-2, but a direct relationship between AP-2 and IL-6, IL-6 and EC-2, and IL-6 and ET-1. Plasma concentrations of inflammatory and vascular homeostatic biomarkers suggest a role for inflammation and disruption of vascular homeostasis during the first 10 days across the severity spectrum of pediatric TBI. Although not statistically significant, without impact on cerebral autoregulation, biomarker patterns suggest a relationship between inflammation and alterations in vascular homeostasis. The large variation in biomarker levels within TBI severity and age groups, and by sex suggests other contributory factors to biomarker expression.

Indexed as

AdolescentBiomarkersBrain InjuriesBrain Injuries, TraumaticChildChild, PreschoolCohort StudiesFemaleHomeostasisHumansInfantInflammationMalePrognosisProspective StudiesBiomarkersAngiopoietin-2ChildrenEndocan-1Endothelin-1EndotheliumInterleukin-6Traumatic brain injury

Identifiers

PMID31553988
PMCPMC7196955

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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.