Evidence map›Paper›PMID 32933176›Full record

ReviewMedicina (Kaunas, Lithuania)2020

Pathomechanisms of Non-Traumatic Acute Brain Injury in Critically Ill Patients.

Wojciech Dabrowski, Dorota Siwicka-Gieroba, Malgorzata Gasinska-Blotniak, Sami Zaid, Maja Jezierska, Cezary Pakulski, Shawniqua Williams Roberson, Eugene Wesley Ely, Katarzyna Kotfis

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06677502 (The Usefulness of Cerebrolysin in Alleviating the Severity of Delirium in Critically Ill Patients), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 19% 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.

NCT06677502 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

The Usefulness of Cerebrolysin in Alleviating the Severity of Delirium in Critically Ill Patients

TypeinterventionalSponsorMedical University of LublinRan2024 to 2025Enrolled500ConditionsCognitive ImpairmentArmsCerebrolysin, Saline Solution - IV
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Efficacy ofEvidence-based complementary and alternative medicine : eCAM · 2021
    Article
  9. 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

9 authors at 5 institutions in 3 countries.

Wojciech DabrowskiDepartment of Anaesthesiology and Intensive Care, Medical University of Lublin, 20-954 Lublin, Poland.ORCID 0000-0003-0449-2375
Dorota Siwicka-GierobaDepartment of Anaesthesiology and Intensive Care, Medical University of Lublin, 20-954 Lublin, Poland.ORCID 0000-0002-1001-0080
Malgorzata Gasinska-BlotniakDepartment of Anaesthesiology and Intensive Care, Medical University of Lublin, 20-954 Lublin, Poland.
Sami ZaidDepartment of Anaesthesia, Al-Emadi-Hospital Doha, P.O. Box 5804 Doha, Qatar.ORCID 0000-0002-2193-1512
Maja JezierskaDepartment of Anaesthesiology and Intensive Care, Medical University of Lublin, 20-954 Lublin, Poland.
Cezary PakulskiDepartment of Anaesthesiology, Intensive Therapy and Emergency Medicine, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland.ORCID 0000-0002-0618-2488
Shawniqua Williams RobersonCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, 1211, Nashville, TN 37232, USA.
Eugene Wesley ElyCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, 1211, Nashville, TN 37232, USA.
Katarzyna KotfisDepartment of Anaesthesiology, Intensive Therapy and Acute Intoxications, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0001-8430-1369
Medical University of Lublin · PLPomeranian Medical University · PLAl Emadi Hospital · QAGeriatric Research Education and Clinical Center · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Delirium, an acute alteration in mental status characterized by confusion, inattention and a fluctuating level of arousal, is a common problem in critically ill patients. Delirium prolongs hospital stay and is associated with higher mortality. The pathophysiology of delirium has not been fully elucidated. Neuroinflammation and neurotransmitter imbalance seem to be the most important factors for delirium development. In this review, we present the most important pathomechanisms of delirium in critically ill patients, such as neuroinflammation, neurotransmitter imbalance, hypoxia and hyperoxia, tryptophan pathway disorders, and gut microbiota imbalance. A thorough understanding of delirium pathomechanisms is essential for effective prevention and treatment of this underestimated pathology in critically ill patients.

Indexed as

Brain InjuriesDeliriumCritical IllnessHumansIntensive Care UnitsLength of StayTryptophanTryptophancritical illnessdeliriumgastrointestinal microbiomehyperoxiahypoxiakynurenine pathwayneuroinflammationneurotransmitter agentstryptophan

Identifiers

PMID32933176
PMCPMC7560040
OpenAlexW3085945253

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.