Evidence map›Paper›PMID 33839823›Full record

ArticleActa neurochirurgica. Supplement2021

Effects of Cranioplasty After Decompressive Craniectomy on Neurological Function and Cerebral Hemodynamics in Traumatic Versus Nontraumatic Brain Injury.

Carla B Rynkowski, Chiara Robba, Melina Loreto, Ana Carolina Wickert Theisen, 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
9.0field-weighted citation impact, top 2% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Craniectomy and Cranioplasty Effects on Balance and Gait in Rehabilitation: A Retrospective Study.Archives of rehabilitation research and clinical translation · 2024
    Article
  3. Article
  4. Review
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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

8 authors at 6 institutions in 3 countries.

Carla B RynkowskiGraduate Program in Medical Science, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. carlarynkowski@gmail.com.
Chiara RobbaDepartment of Anaesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology, Genoa, Italy.
Melina LoretoAdult Critical Care Unit, Hospital Divina Providência, Porto Alegre, Brazil.
Ana Carolina Wickert TheisenGraduate Program, Medical School, Universidade Luterana do Brasil, Canoas, 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.
University of Cambridge · GBFaculdade Redentor · BRHospital 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

After decompressive craniectomy (DC), cranioplasty (CP) can help to normalize vascular and cerebrospinal fluid circulation besides improving the patient's neurological status. The aim of this study was to investigate the effects of CP on cerebral hemodynamics and on cognitive and functional outcomes in patients with and without a traumatic brain injury (TBI). Over a period of 3 years, 51 patients were included in the study: 37 TBI patients and 14 non-TBI patients. The TBI group was younger (28.86 ± 9.71 versus 45.64 ± 9.55 years, P = 0.0001), with a greater proportion of men than the non-TBI group (31 versus 6, P = 0.011). Both groups had improved cognitive outcomes (as assessed by the Mini-Mental State Examination) and functional outcomes (as assessed by the Barthel Index and Modified Rankin Scale) 90 days after CP. In the TBI group, the mean velocity of blood flow in the middle cerebral artery ipsilateral to the cranial defect increased between the time point before CP and 90 days after CP (34.24 ± 11.02 versus 42.14 ± 10.19 cm/s, P = 0.0001). In conclusion, CP improved the neurological status in TBI and non-TBI patients, but an increment in cerebral blood flow velocity after CP occurred only in TBI patients.

Indexed as

Brain InjuriesBrain Injuries, TraumaticDecompressive CraniectomyPlastic Surgery ProceduresHemodynamicsHumansMaleSkullCerebral hemodynamicsCognitionCranioplastyFunctional recoveryTranscranial DopplerTraumatic brain injury

Identifiers

PMID33839823
OpenAlexW3152928486

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.