Evidence map›Paper›PMID 34689657›Full record

ArticleNeurorehabilitation and neural repair2021

Acute Cortisol Profile Associations With Cognitive Impairment After Severe Traumatic Brain Injury.

David J Barton, Raj G Kumar, Alexandria A Schuster, Shannon B Juengst, Byung-Mo Oh, Amy K Wagner

Open access · greenAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Patient-Centered Approaches to Cognitive Assessment in Acute TBI.Current neurology and neuroscience reports · 2023
    Review
  7. Article
  8. Alzheimer's & dementia (Amsterdam, Netherlands)
    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 2 countries.

David J BartonDepartment of Emergency Medicine, 6614University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0003-0976-0383
Raj G KumarDepartment of Physical Medicine & Rehabilitation, 6614University of Pittsburgh, Pittsburgh, PA, USA.
Alexandria A SchusterDepartment of Physical Medicine & Rehabilitation, 6614University of Pittsburgh, Pittsburgh, PA, USA.
Shannon B JuengstDepartment of Physical Medicine & Rehabilitation, University of Texas Southwestern, Dallas, TX, USA.
Byung-Mo OhDepartment of Rehabilitation Medicine, 26725Seoul National University, Seoul, KR.ORCID 0000-0001-9353-7541
Amy K WagnerDepartment of Physical Medicine & Rehabilitation, 6614University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0003-3245-6523
University of Pittsburgh · USSeoul National University · KRSouthwestern University · US

Funding

NRSA Training CoreTL1TR001858 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RADOMSKI, THOMAS, RUBIO, DORIS M · 2016 to 2025
$11.1M
Emergency Medicine Research TrainingT32HL134615 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Clifton W. Callaway, DONALD M YEALY · 2017 to 2026
$2.4M
Southwest Center for Community Health PromotionU48DP000041 · DP · UNIVERSITY OF ARIZONA · PI STATEN, LISA K · 2004 to 2008
$2.2M
NCATS NIH HHS TL1 TR001858NCCDPHP CDC HHS U48 DP000041NHLBI NIH HHS T32 HL134615
6 · The paper itself

Abstract

backgroundCognitive impairments commonly occur after traumatic brain injury (TBI) and affect daily functioning. Cortisol levels, which are elevated during acute hospitalization for most individuals after severe TBI, can influence cognition, but this association has not been studied previously in TBI.

objectiveWe hypothesized that serum and cerebral spinal fluid (CSF) cortisol trajectories over days 0-5 post-injury are associated with cognition 6-month post-injury.

methodsWe examined 94 participants with severe TBI, collected acute serum and/or CSF samples over days 0-5 post-injury, and compared cortisol levels to those in 17 healthy controls. N = 88 participants had serum, and n = 84 had CSF samples available for cortisol measurement and had neuropsychological testing 6 months post-injury. Group based trajectory analysis (TRAJ) was used to generate temporal serum and CSF cortisol profiles which were examined for associations with neuropsychological performance. We used linear regression to examine relationships between cortisol TRAJ groups and both overall and domain-specific cognition.

resultsTRAJ analysis identified a

conclusionsHigh acute cortisol trajectories are associated with poorer cognition 6 months post-TBI.

Indexed as

AdolescentAdultAgedBrain Injuries, TraumaticCognitive DysfunctionFemaleFollow-Up StudiesHumansHydrocortisoneMaleMiddle AgedPatient AcuityYoung AdultHydrocortisonecognitioncortisolhormoneneuropsychological testingoutcome assessmenttraumatic brain injury

Identifiers

PMID34689657
PMCPMC8688285
OpenAlexW3211028743

What OpenQuestion holds

Textmetadata
LicenceTDM
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.