Evidence map›Paper›PMID 32556856›Full record

ArticleNeurocritical care2021

Assessment of Dynamic Intracranial Compliance in Children with Severe Traumatic Brain Injury: Proof-of-Concept.

Michael S Wolf, Jaskaran Rakkar, Christopher M Horvat, Dennis W Simon, Patrick M Kochanek, Gilles Clermont, Robert S B Clark

Open access · bronzeAbstract read
In one paragraph

Article in Neurocritical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Observational
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
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 1 institution in 1 country.

Michael S WolfSafar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jaskaran RakkarDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Christopher M HorvatSafar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Dennis W SimonSafar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Patrick M KochanekSafar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Gilles ClermontDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Robert S B ClarkSafar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. clarkrs@upmc.edu.ORCID http://orcid.org/0000-0002-0806-8005
University of Pittsburgh · US

Funding

PEDIATRIC NEUROINTENSIVE CARE AND RESUSCITATION RESEARCHT32HD040686 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Robert S B Clark, PATRICK M KOCHANEK · 2000 to 2026
$7.1M
Innovative Method for Real-time Assessment of Intracranial ComplianceR21NS115174 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CLARK, ROBERT S B, CLERMONT, GILLES · 2020 to 2020
$430k
NICHD NIH HHS T32 HD040686NINDS NIH HHS R21 NS115174
6 · The paper itself

Abstract

BACKGROUND AND

aimsIntracranial compliance refers to the relationship between a change in intracranial volume and the resultant change in intracranial pressure (ICP). Measurement of compliance is useful in managing cardiovascular and respiratory failure; however, there are no contemporary means to assess intracranial compliance. Knowledge of intracranial compliance could complement ICP and cerebral perfusion pressure (CPP) monitoring in patients with severe traumatic brain injury (TBI) and may enable a proactive approach to ICP management. In this proof-of-concept study, we aimed to capitalize on the physiologic principles of intracranial compliance and vascular reactivity to CO

methodsContinuous ICP and end-tidal CO

resultsA total of 978 h of ICP and ETCO

conclusionsIndirect assessment of dynamic intracranial compliance in TBI patients using standard-of-care monitoring appears feasible and suggests a prolonged period of derangement out to 5 days post-injury. Further study is ongoing to determine if the PCI-a new physiologic index, complements utility of ICP and/or CPP in guiding management of patients with severe TBI.

Indexed as

Brain InjuriesBrain Injuries, TraumaticCerebrovascular CirculationChildGlasgow Coma ScaleHumansIntracranial PressureMaleMonitoring, PhysiologicCerebral blood volumeCO2 reactivityHead injuryIntracranial pressurePressure–volume index

Identifiers

PMID32556856
PMCPMC7299131
OpenAlexW3036260659

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.