Evidence map›Paper›PMID 32820384›Full record

ArticleNeurocritical care2020

TNF-R1 Correlates with Cerebral Perfusion and Acute Ischemia Following Subarachnoid Hemorrhage.

Isabel Fragata, Alejandro Bustamante, Ana Penalba, Patrícia Ferreira, Ana Paiva Nunes, Patrícia Canhão, Joan Montaner

Abstract read
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In one paragraph

Article in Neurocritical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
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  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Isabel FragataNeuroradiology Department, Centro Hospitalar Lisboa Central, Rua Jose Antonio Serrano, 1150-099, Lisbon, Portugal. isabelfragata@gmail.com.ORCID http://orcid.org/0000-0002-7037-7458
Alejandro BustamanteNeurovascular Research Laboratory, Vall d'Hebron Institute of Research (VHIR), Barcelona, Spain.
Ana PenalbaNeurovascular Research Laboratory, Vall d'Hebron Institute of Research (VHIR), Barcelona, Spain.
Patrícia FerreiraUnidade Cérebro-Vascular, Centro Hospitalar Lisboa Central, Lisbon, Portugal.
Ana Paiva NunesUnidade Cérebro-Vascular, Centro Hospitalar Lisboa Central, Lisbon, Portugal.
Patrícia CanhãoDepartment of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria, Lisbon, Portugal.
Joan MontanerNeurovascular Research Laboratory, Vall d'Hebron Institute of Research (VHIR), Barcelona, Spain.
Unidade Local de Saúde de São José · PTVall d'Hebron Institut de Recerca · ESHospital Universitario Virgen Macarena · ESUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly cerebral hypoperfusion and ischemia occur after subarachnoid hemorrhage (SAH) and influence clinical prognosis. Pathophysiological mechanisms possibly involve inflammatory mediators. TNF-α has been associated with complications and prognosis after SAH. We investigated the relation of perfusion parameters and ischemic lesions, with levels of TNF-α main receptor, TNF-R1, after SAH, and their association with prognosis.

methodsWe included consecutive SAH patients admitted within the first 72 h of SAH onset. Blood samples were simultaneously collected from a peripheral vein and from the parent artery of the aneurysm. Levels of TNF-R1 were measured using ELISA (R&D Systems Inc., USA). CT perfusion and MRI studies were performed in the first 72 h. Correlation and logistic regression analysis were used to identify outcome predictors.

resultsWe analyzed 41 patients. Increased levels of TNF-R1 correlated with increased T

conclusionIncreased levels of TNF-R1 in arterial and venous blood correlate with worse cerebral perfusion and with increased burden of acute ischemic lesions in the first 72 h after SAH. Venous levels of TNF-R1 and DWI lesions were associated with poor outcome at 6 months. These results highlight the pathophysiological role of TNF-α pathways in SAH and suggest a possible role of combined imaging and laboratorial markers in determining prognosis in acute SAH.

Indexed as

Brain IschemiaCerebrovascular CirculationSubarachnoid HemorrhageHumansIschemiaPerfusionReceptors, Tumor Necrosis Factor, Type IReceptors, Tumor Necrosis Factor, Type IBiomarkersCT perfusionSAH

Identifiers

PMID32820384
OpenAlexW3081157732

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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.