Evidence map›Paper›PMID 33318675›Full record

ReviewNature reviews. Neurology2021

Recovery from disorders of consciousness: mechanisms, prognosis and emerging therapies.

Brian L Edlow, Jan Claassen, Nicholas D Schiff, David M Greer

3 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Nature reviews. Neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 399 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
399citing papers in PubMed, 7 pooled it
39.1field-weighted citation impact, top 1% 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.

NCT06268236 narecruitingnot on this mapstarted 2024, after this paper: background citation

Electro-acupuncture to Treat Disorder of Consciousness

TypeinterventionalSponsorThe Second Affiliated Hospital, Guangzhou University of Traditional Chinese MedicineRan2024 to 2026Enrolled50ConditionsDisorder of Consciousness, ElectroacupunctureArmsElectroacupuncture, Sham electroacupuncture
NCT06321146 unknown statusnot on this mapstarted 2024, after this paper: background citation

Evaluation of EEG Power Spectrum in Patients With Traumatic Coma

TypeobservationalSponsorRenJi HospitalRan2024 to 2026Enrolled210ConditionsComa, Brain Injuries, Traumatic
NCT07537023 nacompletednot on this mapstarted 2025, after this paper: background citation

Family-Centered Affective Stimulation for Patients With Traumatic Brain Injury: Its Effects on Coma Recovery

TypeinterventionalSponsorCairo UniversityRan2025 to 2025Enrolled120ConditionsPatients With Traumatic Brain Injury, Coma, TraumaticArmsFamily-Centered Affective Stimulation (FCAS)
3 · Its place in the literature

Who cites it

399 citing papers in PubMed, 7 syntheses or guidelines pooled it, 654 citations in OpenAlex.

  1. Pooled it
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  7. Predicting outcome in disorders of consciousness: A mega-analysis.Annals of clinical and translational neurology · 2024
    Pooled it
  8. Trial
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  16. Observational
  17. Recovery from disorders of consciousness: Lesions and GABAergic modulation in a biologically inspired spiking neural network.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  18. Article
  19. Article
  20. Review

339 more citing papers are in PubMed but not listed here.

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

4 authors at 4 institutions in 1 country.

Brian L EdlowCenter for Neurotechnology and Neurorecovery, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-7235-8456
Jan ClaassenDepartment of Neurology, Columbia University Medical Center, New York Presbyterian Hospital, New York, NY, USA.
Nicholas D SchiffFeil Family Brain Mind Research Institute, Weill Cornell Medical College, New York, NY, USA.
David M GreerDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA. dgreer@bu.edu.ORCID 0000-0002-2026-8333
Boston University · USCornell University · USMassachusetts General Hospital · USNewYork–Presbyterian Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
The Late Effects of TBI (LETBI) Study: Injury Patterns and Biological Markers of Post-Traumatic NeurodegenerationRF1NS115268 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Kristen Dams-O'Connor · 2019 to 2026
$10.3M
Central thalamic stimulation for traumatic brain injuryUH3NS095554 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI BUTSON, CHRISTOPHER R, GIACINO, JOSEPH THOMAS · 2015 to 2021
$6.9M
RECONFIG - REcovery of CONsciousness Following Intracerebral hemorrhaGeR01NS106014 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLAASSEN, JAN · 2019 to 2023
$3.6M
Multimodal Network Connectivity Architecture (MOCA) of the Brain and its Role in the Recovery of Consciousness in Comatose Cardiac Arrest PatientsR01NS102574 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GREER, DAVID MATTHEW, WU, ONA · 2018 to 2022
$3.4M
A Connectome-Based Clinical Trial Platform to Promote Early Recovery of Consciousness after Traumatic ComaDP2HD101400 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI EDLOW, BRIAN L. · 2019 to 2019
$2.5M
Brainstem Connectome Mapping to Guide Targeted Stimulant Therapy in Patients with Traumatic ComaR21NS109627 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI EDLOW, BRIAN L. · 2019 to 2020
$480k
BAsIC - Brain-computer-interface practical Application in the Intensive Care unit: a pilot studyR03NS112760 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLAASSEN, JAN · 2019 to 2020
$162k
NCATS NIH HHS UL1 TR001863NICHD NIH HHS DP2 HD101400NINDS NIH HHS R01 NS102574NINDS NIH HHS R01 NS106014NINDS NIH HHS R03 NS112760NINDS NIH HHS R21 NS109627NINDS NIH HHS RF1 NS115268NINDS NIH HHS UH3 NS095554
6 · The paper itself

Abstract

Substantial progress has been made over the past two decades in detecting, predicting and promoting recovery of consciousness in patients with disorders of consciousness (DoC) caused by severe brain injuries. Advanced neuroimaging and electrophysiological techniques have revealed new insights into the biological mechanisms underlying recovery of consciousness and have enabled the identification of preserved brain networks in patients who seem unresponsive, thus raising hope for more accurate diagnosis and prognosis. Emerging evidence suggests that covert consciousness, or cognitive motor dissociation (CMD), is present in up to 15-20% of patients with DoC and that detection of CMD in the intensive care unit can predict functional recovery at 1 year post injury. Although fundamental questions remain about which patients with DoC have the potential for recovery, novel pharmacological and electrophysiological therapies have shown the potential to reactivate injured neural networks and promote re-emergence of consciousness. In this Review, we focus on mechanisms of recovery from DoC in the acute and subacute-to-chronic stages, and we discuss recent progress in detecting and predicting recovery of consciousness. We also describe the developments in pharmacological and electrophysiological therapies that are creating new opportunities to improve the lives of patients with DoC.

Indexed as

Electric Stimulation TherapyBrainConsciousnessConsciousness DisordersHumansNeuroimagingRecovery of Function

Identifiers

PMID33318675
PMCPMC7734616
OpenAlexW3113180287

What OpenQuestion holds

Textmetadata
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.