Evidence map›Paper›PMID 31633256›Full record

ArticleHuman brain mapping2020

Functional outcome is tied to dynamic brain states after mild to moderate traumatic brain injury.

Harm J van der Horn, Victor M Vergara, Flor A Espinoza, Vince D Calhoun, Andrew R Mayer, Joukje van der Naalt

Abstract read
In one paragraph

Article in Human brain mapping, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

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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

6 authors.

Harm J van der HornDepartment of Neurology, University of Groningen, University Medical Center, Groningen, The Netherlands.
Victor M VergaraThe Mind Research Network, Albuquerque, New Mexico.ORCID 0000-0001-9404-0924
Flor A EspinozaThe Mind Research Network, Albuquerque, New Mexico.
Vince D CalhounThe Mind Research Network, Albuquerque, New Mexico.
Andrew R MayerThe Mind Research Network, Albuquerque, New Mexico.ORCID 0000-0003-2396-5609
Joukje van der NaaltDepartment of Neurology, University of Groningen, University Medical Center, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current study set out to investigate the dynamic functional connectome in relation to long-term recovery after mild to moderate traumatic brain injury (TBI). Longitudinal resting-state functional MRI data were collected (at 1 and 3 months postinjury) from a prospectively enrolled cohort consisting of 68 patients with TBI (92% mild TBI) and 20 healthy subjects. Patients underwent a neuropsychological assessment at 3 months postinjury. Outcome was measured using the Glasgow Outcome Scale Extended (GOS-E) at 6 months postinjury. The 57 patients who completed the GOS-E were classified as recovered completely (GOS-E = 8; n = 37) or incompletely (GOS-E < 8; n = 20). Neuropsychological test scores were similar for all groups. Patients with incomplete recovery spent less time in a segregated brain state compared to recovered patients during the second visit. Also, these patients moved less frequently from one meta-state to another as compared to healthy controls and recovered patients. Furthermore, incomplete recovery was associated with disruptions in cyclic state transition patterns, called attractors, during both visits. This study demonstrates that poor long-term functional recovery is associated with alterations in dynamics between brain networks, which becomes more marked as a function of time. These results could be related to psychological processes rather than injury-effects, which is an interesting area for further work. Another natural progression of the current study is to examine whether these dynamic measures can be used to monitor treatment effects.

Indexed as

ConnectomeAdolescentAdultBrain ConcussionBrain Injuries, TraumaticFemaleGlasgow Outcome ScaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedNerve NetRecovery of FunctionSeverity of Illness IndexYoung Adultbrain dynamicsfMRIfunctional connectivitymild traumatic brain injurynetworksoutcomerecovery

Identifiers

PMID31633256
PMCPMC7268079

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Registered trials

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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.