Evidence map›Paper›PMID 34494216›Full record

ReviewActa neurologica Belgica2021

Neuroprotective strategies of cerebrolysin for the treatment of infants with neonatal hypoxic-ischemic encephalopathy.

Brian Fiani, Daniel Chacon, Ryan Jarrah, Michaela Barthelmass, Claudia Covarrubias

Abstract readReview
PubMed Publisher
In one paragraph

Review in Acta neurologica Belgica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 40% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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 5 institutions in 3 countries.

Brian FianiDepartment of Neurosurgery, Desert Regional Medical Center, 1150 N. Indian Canyon Dr., Palm Springs, CA, 92262, USA. bfiani@outlook.com.ORCID http://orcid.org/0000-0003-1700-4633
Daniel ChaconSchool of Medicine, Ross University, Bridgetown, Barbados.
Ryan JarrahDepartment of Neuro-Informatics, Mayo Clinic, Rochester, MN, USA.
Michaela BarthelmassSchool of Medicine, California University of Sciences and Medicine, Colton, CA, USA.
Claudia CovarrubiasSchool of Medicine, Universidad Anáhuac Querétaro, Santiago de Querétaro, México.
Desert Regional Medical Center · USMayo Clinic · USRoss University School of Medicine · BBUniversidad Anáhuac Querétaro · MXUniversity of the Pacific · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerinatal asphyxia (PA) is a devastating neonatal condition characterized by a lack of oxygen supporting the organ systems. PA can lead to hypoxic-ischemic encephalopathy (HIE), a brain dysfunction due to oxygen deprivation with a complex neurological sequela. The pathophysiology of HIE and PA is not entirely understood, with therapeutic hypothermia being the standard treatment with only limited value. However, alternative neuroprotective therapies can be a potential treatment modality.

methodsIn this review, we will characterize the biochemical mechanisms of PA and HIE, while also giving insight into cerebrolysin, a neuroprotective treatment used for HIE and PA.

resultsWe found that cerebrolysin has up to 6-month treatment window post-ischemic insult. Cerebrolysin injections of 0.1 ml/kg of body weight twice per week were found to provide gross motor and speech deficit improvement.

conclusionOur literature search emphasizes the positive effects of cerebrolysin for general improvement outcomes. Nevertheless, biomarker establishment is warranted to improve patient outcomes.

Indexed as

Amino AcidsAsphyxia NeonatorumCerebrovascular CirculationHumansHypoxia-Ischemia, BrainInfant, NewbornNeuroprotective AgentsRandomized Controlled Trials as TopicTreatment OutcomeAmino AcidscerebrolysinNeuroprotective AgentsCerebrolysinHypoxic–ischemic encephalopathyPerinatal asphyxia

Identifiers

PMID34494216
OpenAlexW3198001723

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.