Evidence map›Paper›PMID 33762387›Full record

ArticleClinical medicine (London, England)2021

Management of traumatic brain injury (TBI): a clinical neuroscience-led pathway for the NHS.

Lucia M Li, Michael D Dilley, Alan Carson, Jaq Twelftree, Peter J Hutchinson, Antonio Belli, Shai Betteridge, Paul N Cooper, Colette M Griffin, Peter O Jenkins and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Clinical medicine (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 1 country.

Lucia M LiImperial College London, London, UK and UK DRI Care Research & Technology Centre, London, UK.
Michael D DilleyAtkinson Morley Regional Neuroscience Centre, London, UK and Royal College of Psychiatrists, London, UK.
Alan CarsonCentre for Clinical Brain Sciences, Edinburgh, UK.
Jaq TwelftreeHomerton University Hospital NHS Foundation Trust, London, UK.
Peter J HutchinsonUniversity of Cambridge, Cambridge, UK and Royal College of Surgeons, London, UK.
Antonio BelliNational Institute for Health Research Surgical Reconstruction Research Centre, Birmingham, UK and Institute of Inflammation and Ageing, Birmingham, UK.
Shai BetteridgeSt George's University Hospitals NHS Foundation Trust, London, UK.
Paul N CooperManchester Centre for Clinical Neurosciences, Manchester, UK.
Colette M GriffinSt George's University Hospitals NHS Foundation Trust, London, UK.
Peter O JenkinsEpsom and St Helier University Hospitals NHS Trust, London, UK, St George's University Hospitals NHS Foundation Trust, London, UK and Imperial College London, London, UK.
Clarence LiuHomerton Hospital, London, UK and Barts Health NHS Trust, London, UK.
David J SharpImperial College London, London, UK and UK DRI Care Research & Technology Centre, London, UK.
Richard SylvesterNational Hospital for Neurology and Neurosurgery, London, UK.
Mark H WilsonImperial College Healthcare NHS Trust, London, UK and Imperial College London, London, UK.
Martha S TurnerHomerton University Hospital NHS Foundation Trust, London, UK.
Richard GreenwoodNational Hospital for Neurology and Neurosurgery, London, UK and Homerton University Hospital NHS Foundation Trust, London, UK richard.greenwood2@nhs.net.
Homerton University Hospital NHS Foundation Trust · GBSt George’s University Hospitals NHS Foundation Trust · GBUK Dementia Research Institute · GBUniversity College London · GBBarts Health NHS Trust · GBEpsom and St Helier University Hospitals NHS Trust · GBImperial College London · GBNational Institute for Health Research · GBNIHR Manchester Biomedical Research Centre · GBRoyal College of Psychiatrists · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Following hyperacute management after traumatic brain injury (TBI), most patients receive treatment which is inadequate or inappropriate, and delayed. This results in suboptimal rehabilitation outcome and avoidable detrimental chronic effects on patients' recovery. This worsens long-term disability, and magnifies costs to the individual and society. We believe that accurate diagnosis (at the level of pathology, impairment and function) of the causes of disability is a prerequisite for appropriate care and for accessing effective rehabilitation. An expert-led, integrated care pathway is needed to deliver accurate and timely diagnosis and optimal treatment at all stages during a TBI patient's care.We propose the introduction of a specialist interdisciplinary traumatic brain injury team, led by a neurosciences-trained brain injury consultant. This team would engage acutely and for a longer term after TBI to provide accurate diagnoses, which guides subsequent management and rehabilitation. This approach would also encourage more efficient collaboration between research and the clinic. We propose that the current major trauma network is leveraged to introduce and evaluate this proposal. Improvements to patient outcomes through this approach would lead to reduced personal, societal and economic impact of TBI.

Indexed as

Brain InjuriesBrain Injuries, TraumaticNeurosciencesHumansState MedicineTreatment Outcomeneurologyneurosciencepathwayrehabilitationtraumatic brain injury

Identifiers

PMID33762387
PMCPMC8002793
OpenAlexW3138487099

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.