Evidence map›Paper›PMID 34232458›Full record

Trial reportNeurocritical care2022

Seizures and Cognitive Outcome After Traumatic Brain Injury: A Post Hoc Analysis.

Brandon Foreman, Hyunjo Lee, Moshe A Mizrahi, Jed A Hartings, Laura B Ngwenya, Michael Privitera, Frank C Tortella, Nanhua Zhang, Joel H Kramer

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Neurocritical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Management Strategies Based on Multi-Modality Neuromonitoring in Severe Traumatic Brain Injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
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 5 institutions in 1 country.

Brandon ForemanDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati Gardner Neuroscience Institute, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH, 45267-0517, USA. brandon.foreman@uc.edu.ORCID http://orcid.org/0000-0002-5418-674X
Hyunjo LeeDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati Gardner Neuroscience Institute, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH, 45267-0517, USA.
Moshe A MizrahiDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati Gardner Neuroscience Institute, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH, 45267-0517, USA.
Jed A HartingsCollaborative for Research on Acute Neurological Injuries, University of Cincinnati,, Cincinnati, OH, USA.
Laura B NgwenyaDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati Gardner Neuroscience Institute, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH, 45267-0517, USA.
Michael PriviteraDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati Gardner Neuroscience Institute, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH, 45267-0517, USA.
Frank C TortellaWalter Reed Army Institute of Research, Brain Trauma, Neuroprotection and Neurorestoration Branch, Silver Springs, MD, USA.
Nanhua ZhangDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Joel H KramerSan Francisco Memory and Aging Center, University of California, San Francisco,, CA, USA.
Sabin Vaccine Institute · USCincinnati Children's Hospital Medical Center · USUniversity of California, San Francisco · USUniversity of Cincinnati · USWalter Reed Army Institute of Research · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
The Impact of Intracranial Pressure on Cortical Functioning and Cognitive Outcome after Traumatic Brain InjuryK23NS101123 · NINDS · UNIVERSITY OF CINCINNATI · PI FOREMAN, BRANDON · 2017 to 2020
$797k
NINDS NIH HHS K23 NS101123
6 · The paper itself

Abstract

introductionSeizures and abnormal periodic or rhythmic patterns are observed on continuous electroencephalography monitoring (cEEG) in up to half of patients hospitalized with moderate to severe traumatic brain injury (TBI). We aimed to determine the impact of seizures and abnormal periodic or rhythmic patterns on cognitive outcome 3 months following moderate to severe TBI.

methodsThis was a post hoc analysis of the multicenter randomized controlled phase 2 INTREPID

results142 patients (age mean + / - standard deviation 32 + / - 13 years; 131 [92%] men) survived with a mean global cognition score of 81 + / - 15; nearly one third were considered to have poor functional outcome. 89 of 142 (63%) patients underwent cEEG, of whom 13 of 89 (15%) had severe IIC patterns. The quantitative burden of IIC patterns correlated inversely with the global cognition score (r =  - 0.57; p = 0.04). In multiple variable analysis, the log-transformed burden of severe IIC patterns was independently associated with the global cognition score after controlling for demographics, premorbid estimated intelligence, injury severity, sedatives, and antiepileptic drugs (odds ratio 0.73, 95% confidence interval 0.60-0.88; p = 0.002).

conclusionsThe burden of seizures and abnormal periodic or rhythmic patterns was independently associated with worse cognition at 3 months following TBI. Their impact on longer-term cognitive endpoints and the potential benefits of seizure detection and treatment in this population warrant prospective study.

Indexed as

Brain Injuries, TraumaticElectroencephalographyAdultCognitionHumansMaleMiddle AgedProspective StudiesSeizuresYoung AdultCognitionContinuous electroencephalographyNeurocritical careOutcomeTraumatic brain injury

Identifiers

PMID34232458
OpenAlexW3182191472

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.