Evidence map›Paper›PMID 33839822›Full record

ArticleActa neurochirurgica. Supplement2021

A Comparative Study of the Effects of Early Versus Late Cranioplasty on Cognitive Function.

Carla B Rynkowski, Chiara Robba, Ricardo Vigolo de Oliveira, Rodrigo Fabretti, Thais Malickovski Rodrigues, Angelos G Kolias, Guilherme Finger, Marek Czosnyka, Marino Muxfeldt Bianchin

Abstract read
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In one paragraph

Article in Acta neurochirurgica. Supplement, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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 6 institutions in 3 countries.

Carla B RynkowskiGraduate Program in Medical Science, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. rynkodi@gmail.com.
Chiara RobbaDepartment of Anaesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology, Genoa, Italy.
Ricardo Vigolo de OliveiraPsychology Department, Hospital Cristo Redentor, Porto Alegre, Brazil.
Rodrigo FabrettiPsychology Department, Hospital Cristo Redentor, Porto Alegre, Brazil.
Thais Malickovski RodriguesGraduate Program, Medical School, Universidade Luterana do Brasil, São José, Brazil.
Angelos G KoliasNeurosurgical Division, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Guilherme FingerDepartment of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Brazil.
Marek CzosnykaNeurosurgical Division, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Marino Muxfeldt BianchinGraduate Program in Medical Science, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Faculdade Redentor · BRUniversity of Cambridge · GBHospital de Clínicas de Porto Alegre · BROspedale Policlinico San Martino · ITUniversidade Federal do Rio Grande do Sul · BRUniversidade Luterana do Brasil · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cranioplasty (CP) after decompressive craniectomy (DC) is associated with neurological improvement. We evaluated neurological recovery in patients who underwent late CP (more than 6 months after DC) in comparison with early CP. This prospective study of 51 patients investigated neurological function using the Addenbrooke's Cognitive Examination Revised (ACE-R), Mini-Mental State Examination (MMSE), Barthel Index (BI), and Modified Rankin Scale (mRS) prior to and after CP. Most patients with traumatic brain injury (74%) were young (mean age 33.4 ± 12.2 years) and male (33/51; 66%). There were general improvements in the patients' cognition and functional status, especially in the late-CP group. The ACE-R score increased from the time point before CP to 3 days after CP (51 ± 28.94 versus 53.1 ± 30.39, P = 0.016) and 90 days after CP (51 ± 28.94 versus 58.10 ± 30.43, P = 0.0001). In the late-CP group, increments also occurred from the time point before CP to 90 days after CP in terms of the MMSE score (18.54 ± 1.51 versus 20.34 ± 1.50, P = 0.003), BI score (79.84 ± 4.66 versus 85.62 ± 4.10, P = 0.028), and mRS score (2.07 ± 0.22 versus 1.74 ± 0.20, P = 0.015). CP is able to improve neurological outcomes even more than 6 months after DC.

Indexed as

Decompressive CraniectomyPlastic Surgery ProceduresAdultCognitionHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesCerebral hemodynamicsCognitionCranioplastyFunctional recovery

Identifiers

PMID33839822
OpenAlexW3156313777

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.