Evidence map›Paper›PMID 31829226›Full record

ArticleCritical care (London, England)2019

Predicting outcome in patients with moderate to severe traumatic brain injury using electroencephalography.

Marjolein E Haveman, Michel J A M Van Putten, Harold W Hom, Carin J Eertman-Meyer, Albertus Beishuizen, Marleen C Tjepkema-Cloostermans

Registry-linked trialAbstract read
In one paragraph

Article in Critical care (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07544602 (Music Therapy for Comatose Brain Injured Patients), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing 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.

NCT07544602 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Music Therapy for Comatose Brain Injured Patients

Typeobservational_patient_registrySponsorMercy Health OhioRan2026 to 2028Enrolled35ConditionsTraumatic Brain Injury
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Observational
  4. Electroencephalography and Bispectral Index Reactivity to Predict Outcome in Unconscious Patients with Acute Severe Traumatic Brain Injury: A Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
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  7. Review
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  9. Early Continuous Electroencephalography, Clinical Parameters, and Short-Term Functional Outcomes in Pediatric Traumatic Brain Injury: Single-Center, Retrospective Cohort, 2010-2020.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Article
  10. Article
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  13. Review
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  16. Neurophysiological signatures of mild traumatic brain injury in the acute and subacute phase.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
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  18. Article
  19. Article
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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.

Marjolein E HavemanClinical Neurophysiology Group, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands. marjoleinhaveman@gmail.com.ORCID http://orcid.org/0000-0002-6030-3172
Michel J A M Van PuttenClinical Neurophysiology Group, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands.
Harold W HomIntensive Care Center, Medisch Spectrum Twente, Koningsplein 1, 7512 KZ, Enschede, the Netherlands.
Carin J Eertman-MeyerDepartment of Neurology and Clinical Neurophysiology (C2), Medisch Spectrum Twente, Koningsplein 1, 7512 KZ, Enschede, the Netherlands.
Albertus BeishuizenIntensive Care Center, Medisch Spectrum Twente, Koningsplein 1, 7512 KZ, Enschede, the Netherlands.
Marleen C Tjepkema-CloostermansClinical Neurophysiology Group, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBetter outcome prediction could assist in reliable quantification and classification of traumatic brain injury (TBI) severity to support clinical decision-making. We developed a multifactorial model combining quantitative electroencephalography (qEEG) measurements and clinically relevant parameters as proof of concept for outcome prediction of patients with moderate to severe TBI.

methodsContinuous EEG measurements were performed during the first 7 days of ICU admission. Patient outcome at 12 months was dichotomized based on the Extended Glasgow Outcome Score (GOSE) as poor (GOSE 1-2) or good (GOSE 3-8). Twenty-three qEEG features were extracted. Prediction models were created using a Random Forest classifier based on qEEG features, age, and mean arterial blood pressure (MAP) at 24, 48, 72, and 96 h after TBI and combinations of two time intervals. After optimization of the models, we added parameters from the International Mission for Prognosis And Clinical Trial Design (IMPACT) predictor, existing of clinical, CT, and laboratory parameters at admission. Furthermore, we compared our best models to the online IMPACT predictor.

resultsFifty-seven patients with moderate to severe TBI were included and divided into a training set (n = 38) and a validation set (n = 19). Our best model included eight qEEG parameters and MAP at 72 and 96 h after TBI, age, and nine other IMPACT parameters. This model had high predictive ability for poor outcome on both the training set using leave-one-out (area under the receiver operating characteristic curve (AUC) = 0.94, specificity 100%, sensitivity 75%) and validation set (AUC = 0.81, specificity 75%, sensitivity 100%). The IMPACT predictor independently predicted both groups with an AUC of 0.74 (specificity 81%, sensitivity 65%) and 0.84 (sensitivity 88%, specificity 73%), respectively.

conclusionsOur study shows the potential of multifactorial Random Forest models using qEEG parameters to predict outcome in patients with moderate to severe TBI.

Indexed as

PrognosisAdultAgedArea Under CurveBrain Injuries, TraumaticElectroencephalographyFemaleGlasgow Outcome ScaleHumansMaleMiddle AgedOutcome Assessment, Health CareROC CurveEEGICUPrognosisRandom forestTraumatic brain injury

Identifiers

PMID31829226
PMCPMC6907281

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Registered trials

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.