Evidence map›Paper›PMID 33369651›Full record

Trial reportNeurosurgery2021

Disability Rating Scale in the First Few Weeks After a Severe Traumatic Brain Injury as a Predictor of 6-Month Functional Outcome.

Jose-Miguel Yamal, Imoigele P Aisiku, H Julia Hannay, Frances A Brito, Claudia S Robertson

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jose-Miguel YamalDepartment of Biostatistics and Data Science, The University of Texas School of Public Health, Houston, Texas.
Imoigele P AisikuDepartment of Emergency Medicine, Harvard Medical School/Brigham and Women's Hospital, Boston, Massachusetts.
H Julia HannayDepartment of Psychology and Texas Institute for Measurement Evaluation and Statistics (TIMES), University of Houston, Houston Texas.
Frances A BritoDepartment of Biostatistics and Data Science, The University of Texas School of Public Health, Houston, Texas.
Claudia S RobertsonDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.

Funding

Vascular Mechanisms of Secondary Injury After Traumatic Brain InjuryP01NS038660 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI ROBERTSON, CLAUDIA S · 1999 to 2012
$12.1M
NINDS NIH HHS P01 NS038660
6 · The paper itself

Abstract

backgroundAn early acute marker of long-term neurological outcome would be useful to help guide clinical decision making and therapeutic effectiveness after severe traumatic brain injury (TBI). We investigated the utility of the Disability Rating Scale (DRS) as early as 1 wk after TBI as a predictor of favorable 6-mo Glasgow Outcome Scale extended (GOS-E).

objectiveTo determine the predictability of a favorable 6-mo GOS-E using the DRS measured during weeks 1 to 4 of injury.

methodsThe study is a sub analysis of patients enrolled in the Epo Severe TBI Trial (n = 200) to train and validate L1-regularized logistic regression models. DRS was collected at weeks 1 to 4 and GOS-E at 6 mo.

resultsThe average area under the receiver operating characteristic curve was 0.82 for the model with baseline demographic and injury severity variables and week 1 DRS and increased to 0.88 when including weekly DRS until week 4.

conclusionThis study suggests that week 1 to 4 DRS may be predictors of favorable 6-mo outcome in severe TBI patients and thus useful both for clinical prognostication as well as surrogate endpoints for adaptive clinical trials.

Indexed as

Brain Injuries, TraumaticDisability EvaluationRecovery of FunctionTrauma Severity IndicesAdaptive Clinical Trials as TopicAdultBiomarkersFemaleGlasgow Outcome ScaleHumansMaleMiddle AgedPrognosisSingle-Blind MethodTime FactorsTreatment OutcomeBiomarkersClosed head injuryDisability Rating ScaleIntracranial pressurePrognosticTraumatic brain injury

Identifiers

PMID33369651
PMCPMC7884144

What OpenQuestion holds

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Registered trials

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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.