Evidence map›Paper›PMID 34046756›Full record

ArticleEmergency radiology2021

Statistical learning of blunt cerebrovascular injury risk factors using the elastic net.

Maxwell E Cooper, Benjamin Risk, Amanda Corey, Arthur J Fountain, Jason W Allen

Abstract read
PubMed Publisher
In one paragraph

Article in Emergency radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 56% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Cervical spine fracture patterns associated with blunt cerebrovascular injuries: A literature review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Pooled it
  2. Article
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

5 authors at 1 institution in 1 country.

Maxwell E CooperDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road, NE, Suite BG20, GA, Atlanta, 30222, USA.
Benjamin RiskDepartment of Biostatistics and Bioinformatics, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Amanda CoreyDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road, NE, Suite BG20, GA, Atlanta, 30222, USA.
Arthur J FountainDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road, NE, Suite BG20, GA, Atlanta, 30222, USA.
Jason W AllenDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road, NE, Suite BG20, GA, Atlanta, 30222, USA. jwallen@emory.edu.ORCID http://orcid.org/0000-0002-5274-1105
Emory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare logistic regression to elastic net for identifying and ranking clinical risk factors for blunt cerebrovascular injury (BCVI). MATERIALS AND

methodsConsecutive trauma patients undergoing screening CTA at a level 1 trauma center over a 2-year period. Each internal carotid artery (ICA) and vertebral artery (VA) was independently graded by 2 neuroradiologists using the Denver grading scale. Unadjusted odds ratios were calculated by univariate and adjusted odds ratios by multiple logistic regression with FDR correction. We applied logistic regression with the elastic net penalty and tenfold cross-validation.

resultsTotal of 467 patients; 73 patients with BCVI. Maxillofacial fracture, basilar skull fracture, and GCS had significant unadjusted odds ratios (OR) for ICA injury and C-spine fracture, spinal ligamentous injury, and age for VA injury. Only transverse foramen fracture had significant adjusted OR for VA injury, with none for ICA injury, after FDR correction. Using elastic net, ICA injury variables included maxillofacial fracture, basilar skull fracture, GCS, and carotid canal fracture. For VA injury, these included cervical spine transverse foramen fracture, ligamentous injury, C1-C3 fractures, posterior element fracture, and vertebral body fracture.

conclusionElastic net statistical learning methods identified additional risk factors and outperformed multiple logistic regression for BCVI. Elastic net allows the study of a large number of variables, and is useful when covariates are correlated.

Indexed as

Carotid Artery InjuriesCerebrovascular TraumaWounds, NonpenetratingHumansRetrospective StudiesRisk FactorsVertebral ArteryBlunt cerebrovascular injury (BCVI)Elastic netStatistical learning

Identifiers

PMID34046756
OpenAlexW3164346631

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.