Evidence map›Paper›PMID 32172522›Full record

Trial reportClinical drug investigation2020

Neuroprotective Role of Oral Vitamin D Supplementation on Consciousness and Inflammatory Biomarkers in Determining Severity Outcome in Acute Traumatic Brain Injury Patients: A Double-Blind Randomized Clinical Trial.

Swapnil Sharma, Ashok Kumar, Ajay Choudhary, Shallu Sharma, Lipika Khurana, Neera Sharma, Vijender Kumar, Akansha Bisht

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical drug investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
4.3field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  6. Trial
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  8. Review
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  13. Article
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  16. Non-pharmacological interventions for traumatic brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Review
  17. Review
  18. Review
  19. Review
  20. Inflammatory Biomarkers of Traumatic Brain Injury.Pharmaceuticals (Basel, Switzerland) · 2022
    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 4 institutions in 1 country.

Swapnil SharmaDepartment of Pharmacy, Banasthali Vidyapith, Banasthali, 304022, Rajasthan, India.
Ashok KumarDepartment of Pharmacy, Banasthali Vidyapith, Banasthali, 304022, Rajasthan, India.
Ajay ChoudharyDepartment of Neurosurgery, PGIMER, Dr. R.M.L. Hospital, New Delhi, 110001, India. ajay7.choudhary@gmail.com.ORCID http://orcid.org/0000-0002-7153-8057
Shallu SharmaDepartment of Pharmacy, Banasthali Vidyapith, Banasthali, 304022, Rajasthan, India.
Lipika KhuranaSir Ganga Ram Hospital, Institute of Obstetrics and Gynaecology, New Delhi, 110060, India.
Neera SharmaDepartment of Biochemistry, PGIMER, Dr. R.M.L. Hospital, New Delhi, 110001, India.
Vijender KumarDepartment of Biochemistry, PGIMER, Dr. R.M.L. Hospital, New Delhi, 110001, India.
Akansha BishtDepartment of Pharmacy, Banasthali Vidyapith, Banasthali, 304022, Rajasthan, India.
Banasthali University · INPost Graduate Institute of Medical Education and Research · INHoly Family Hospital · INSir Ganga Ram Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveEarly management of traumatic brain injury (TBI) is essential. We aimed to evaluate the efficacy of vitamin D over early clinical outcome and serum cytokine levels in patients with moderate to severe brain injury.

methodsThirty-five patients with moderate to severe traumatic brain injury who were admitted to the ICU unit were recruited into the study. Subjects were randomly allocated to a treatment regimen comprising either a one-time oral dose of 120,000 IU (two tablets of 60,000 IU each) of vitamin D (n = 20) or 8 mg of saccharide (two tablets of 4 g each) as placebo (n = 15). The main parameters evaluated included duration of mechanical ventilation and ICU stay, Glasgow Coma Scale (GCS) and cytokine levels (interleukin (IL)-6, tumour necrosis factor (TNF)-α, interferon (IFN)-γ, IL-2).

resultsThe results indicated an improvement in the level of consciousness after 7 days in the vitamin D-treated group compared with placebo. An elevation in GCS score by 3.86 units in the vitamin D-treated group with a 0.19-unit descent in the control group was recorded. Duration of mechanical ventilation was reduced in the vitamin D-treated group compared with the control group (4.7 days vs. 8.2 days, p value 0.0001). A noticeable reduction was recorded in inflammatory biomarkers (cytokines) in the vitamin D-treated group (IL-6 p = 0.08, TNF-α p = 0.02, IL-2 p = 0.36) with notable elevation in IFN-γ (p = 0.65) compared to the control group.

conclusionIn the acute phase of moderate to severe traumatic brain injury, vitamin D supplementation plays a vital role and has a favourable effect on the consciousness level of patients. Clinical trial Registry (CTRI) No. CTRI/2019/05/019259.

Indexed as

Dietary SupplementsAdolescentAdultAgedBiomarkersBrain Injuries, TraumaticConsciousnessCytokinesDouble-Blind MethodFemaleGlasgow Coma ScaleHumansMaleMiddle AgedRespiration, ArtificialVitamin DBiomarkersCytokinesVitamin D

Identifiers

PMID32172522
PMCPMC7224135
OpenAlexW3010872731

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.