Evidence map›Paper›PMID 31642374›Full record

ArticleJournal of neurotrauma2020

Assessing a Blast-Related Biomarker in an Operational Community: Glial Fibrillary Acidic Protein in Experienced Breachers.

Anna E Tschiffely, Jonathan K Statz, Katie A Edwards, Carl Goforth, Stephen T Ahlers, Walter S Carr, Jessica M Gill

Open access · greenAbstract read
In one paragraph

Article in Journal of neurotrauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Anna E TschiffelyDepartment of Neurotrauma, Naval Medical Research Center, Silver Spring, Maryland.
Jonathan K StatzDepartment of Neurotrauma, Naval Medical Research Center, Silver Spring, Maryland.
Katie A EdwardsNational Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland.
Carl GoforthDepartment of Neurotrauma, Naval Medical Research Center, Silver Spring, Maryland.
Stephen T AhlersDepartment of Neurotrauma, Naval Medical Research Center, Silver Spring, Maryland.
Walter S CarrDepartment of Behavioral Biology, Walter Reed Army Institute of Research, Silver Spring, Maryland.
Jessica M GillNational Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland.
Naval Medical Research Command · USNational Institutes of Health · USHenry M. Jackson Foundation · USWalter Reed Army Institute of Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mild traumatic brain injury (mTBI) is a risk for military personnel due to blast overpressures, which may result from a variety of sources, including artillery and improvised explosive devices. Much research has gone into the search for a biomarker to identify patients with a TBI. The FDA recently identified two proteins, glial fibrillary acidic protein (GFAP) and ubiquitin C-terminal hydrolase-L1 (UCH-L1), as biomarkers to evaluate suspected brain injury. Our group previously observed changes in UCH-L1 in a military population exposed to repeated blast. In our current study we assessed GFAP protein levels in a military population exposed to repeated blast during a 2-week training protocol. We observed GFAP levels were reduced in the moderate blast cases on days 6 and 7 during the training. Specifically, moderate blast cases showed a 24.07% reduction from baseline on day 6 and a 29.61% reduction on day 7. Further, GFAP levels were negatively correlated with cumulative blast experienced during training and with duration of military service. We observed that repeated blast exposure at low levels may impact acute changes in GFAP. Additionally subacute cumulative blast exposure or duration of service was also a factor in influencing GFAP levels.

Indexed as

AdultBiomarkersBlast InjuriesBrain Injuries, TraumaticGlasgow Coma ScaleGlial Fibrillary Acidic ProteinHumansMaleMilitary PersonnelUbiquitin ThiolesteraseBiomarkersGlial Fibrillary Acidic ProteinUbiquitin ThiolesterasebiomarkerblastGFAPmilitaryoverpressuretraumatic brain injury

Identifiers

PMID31642374
PMCPMC7364308
OpenAlexW2981669416

What OpenQuestion holds

Textmetadata
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.