Evidence map›Paper›PMID 34639206›Full record

ReviewInternational journal of molecular sciences2021

Diffuse Axonal Injury: Clinical Prognostic Factors, Molecular Experimental Models and the Impact of the Trauma Related Oxidative Stress. An Extensive Review Concerning Milestones and Advances.

Mauro Palmieri, Alessandro Frati, Antonio Santoro, Paola Frati, Vittorio Fineschi, Alessandro Pesce

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Glymphatic System a Window on TBI Pathophysiology: A Systematic Review.International journal of molecular sciences · 2022
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Inpatient outcomes in pediatric diffuse axonal injury: high mortality in severe TBI and limited impact of Grade III DAI.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  11. Observational
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Genes in Axonal Regeneration.Molecular neurobiology · 2024
    Review
  18. Article
  19. Article
  20. 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

6 authors at 3 institutions in 1 country.

Mauro PalmieriNeurosurgery Division, A.O.U. "Policlinico Umberto I", Human Neuroscience Department, "Sapienza" University, Viale Del Policlinico 155, 00161 Rome, Italy.ORCID 0000-0001-5131-1392
Alessandro FratiNeurosurgery Division, A.O.U. "Policlinico Umberto I", Human Neuroscience Department, "Sapienza" University, Viale Del Policlinico 155, 00161 Rome, Italy.
Antonio SantoroNeurosurgery Division, A.O.U. "Policlinico Umberto I", Human Neuroscience Department, "Sapienza" University, Viale Del Policlinico 155, 00161 Rome, Italy.
Paola FratiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences SAIMLAL, "Sapienza" University, Viale Regina Elena 336, 00185 Rome, Italy.ORCID 0000-0002-0358-7965
Vittorio FineschiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences SAIMLAL, "Sapienza" University, Viale Regina Elena 336, 00185 Rome, Italy.ORCID 0000-0002-1686-3236
Alessandro PesceNeurosurgery Division, Santa Maria Goretti Hospital, Via Lucia Scaravelli, 04100 Latina, Italy.
Policlinico Umberto I · ITSapienza University of Rome · ITOspedale Santa Maria Goretti · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic brain injury (TBI) is a condition burdened by an extremely high rate of morbidity and mortality and can result in an overall disability rate as high as 50% in affected individuals. Therefore, the importance of identifying clinical prognostic factors for diffuse axonal injury (DAI) in (TBI) is commonly recognized as critical. The aim of the present review paper is to evaluate the most recent contributions from the relevant literature in order to understand how each single prognostic factor determinates the severity of the clinical syndrome associated with DAI. The main clinical factors with an important impact on prognosis in case of DAI are glycemia, early GCS, the peripheral oxygen saturation, blood pressure, and time to recover consciousness. In addition, the severity of the lesion, classified on the ground of the cerebral anatomical structures involved after the trauma, has a strong correlation with survival after DAI. In conclusion, modern findings concerning the role of reactive oxygen species (ROS) and oxidative stress in DAI suggest that biomarkers such as GFAP, pNF-H, NF-L, microtubule associated protein tau, Aβ42, S-100β, NSE, AQP4, Drp-1, and NCX represent a possible critical target for future pharmaceutical treatments to prevent the damages caused by DAI.

Indexed as

Oxidative StressBiomarkersBrain Injuries, TraumaticDiffuse Axonal InjuryHumansPrognosisReactive Oxygen SpeciesBiomarkersReactive Oxygen Speciesbiomarkersdiffuse axonal injuryoxidative stressreactive oxygen speciestraumatic brain injury

Identifiers

PMID34639206
PMCPMC8509530
OpenAlexW3203260606

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.