Evidence map›Paper›PMID 31752052›Full record

SynthesisThe Cochrane database of systematic reviews2019

Indomethacin for intracranial hypertension secondary to severe traumatic brain injury in adults.

Carlos Martín-Saborido, Jesús López-Alcalde, Agustín Ciapponi, Carlos Enrique Sánchez Martín, Elena Garcia Garcia, Gema Escobar Aguilar, Maria Carolina Palermo, Fernando G Baccaro

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Viral hepatitis-induced acute liver failure.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  4. Article
  5. 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

8 authors at 7 institutions in 2 countries.

Carlos Martín-SaboridoSan Juan De Dios Foundation, Health Sciences University Centre, Antonio de Nebrija University, Research on Evidence and Decision Making Group, Paseo de la Habana 70 bis, Madrid, Comunidad de Madrid, Spain, 28036.
Jesús López-AlcaldeCochrane Associate Centre of Madrid, Ctra. Colmenar Km. 9,100, Madrid, Madrid, Spain, 28034.
Agustín CiapponiInstitute for Clinical Effectiveness and Health Policy (IECS-CONICET), Argentine Cochrane Centre, Dr. Emilio Ravignani 2024, Buenos Aires, Capital Federal, Argentina, C1414CPV.
Carlos Enrique Sánchez MartínSan Carlos Clinical Hospital, Department of Anesthesiology, Madrid, Madrid, Spain.
Elena Garcia GarciaSan Juan De Dios Foundation, Health Services Research Department, C/Herreros de Tejada, Madrid, Spain, 3-28016.
Gema Escobar AguilarSan Juan de Dios Foundation/San Rafael-Nebrija Health Sciences Center, Nebrija University, Health Services Research Unit, Herreros de Tejada, 5, Madrid, Spain, 28036.
Maria Carolina PalermoUniversity of Buenos Aires, Institute for Clinical Effectiveness and Health Policy (IECS-CONICET), Buenos Aires, Argentina.
Fernando G BaccaroJuan A Fernández Hospital, Intensive Care Unit, Cerviño 3356, Buenos Aires, Argentina, 1425.
Consejo Nacional de Investigaciones Científicas y Técnicas · ARComunidad de Madrid · ESHospital Clínico San Carlos · ESHospital Fernández · ARInstituto Ramón y Cajal de Investigación Sanitaria · ESMadrid Health Service · ESUniversidad Nebrija · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmong people who have suffered a traumatic brain injury, increased intracranial pressure continues to be a major cause of early death; it is estimated that about 11 people per 100 with traumatic brain injury die. Indomethacin (also known as indometacin) is a powerful cerebral vasoconstrictor that can reduce intracranial pressure and, ultimately, restore cerebral perfusion and oxygenation. Thus, indomethacin may improve the recovery of a person with traumatic brain injury.

objectivesTo assess the effects of indomethacin for adults with severe traumatic brain injury. SEARCH

methodsWe ran the searches from inception to 23 August 2019. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2019, Issue 8) in the Cochrane Library, Ovid MEDLINE, Ovid Embase, CINAHL Plus (EBSCO), four other databases, and clinical trials registries. We also screened reference lists and conference abstracts, and contacted experts in the field. SELECTION CRITERIA: Our search criteria included randomised controlled trials (RCTs) that compared indomethacin with any control in adults presenting with severe traumatic brain injury associated with elevated intracranial pressure, with no previous decompressive surgery. DATA COLLECTION AND ANALYSIS: Two review authors independently decided on the selection of the studies. We followed standard Cochrane methods. MAIN

resultsWe identified no eligible studies for this review, either completed or ongoing. AUTHORS'

conclusionsWe found no studies, either completed or ongoing, that assessed the effects of indomethacin in controlling intracranial hypertension secondary to severe traumatic brain injury. Thus, we cannot draw any conclusions about the effects of indomethacin on intracranial pressure, mortality rates, quality of life, disability or adverse effects. This absence of evidence should not be interpreted as evidence of no effect for indomethacin in controlling intracranial hypertension secondary to severe traumatic brain injury. It means that we have not identified eligible research for this review.

Indexed as

Brain Injuries, TraumaticCardiovascular AgentsHumansIndomethacinIntracranial HypertensionIntracranial PressureRandomized Controlled Trials as TopicCardiovascular AgentsIndomethacin

Identifiers

PMID31752052
PMCPMC6872435
OpenAlexW2991320186

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.