Evidence map›Paper›PMID 35173018›Full record

ArticleNeurology2022

Cognitive Outcome 1 Year After Mild Traumatic Brain Injury: Results From the TRACK-TBI Study.

Andrea L C Schneider, J Russell Huie, W John Boscardin, Lindsay Nelson, Jason K Barber, Kristine Yaffe, Ramon Diaz-Arrastia, Adam R Ferguson, Joel Kramer, Sonia Jain and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06927063 (Long-term Recovery and Microbiota-Gut-Brain Axis Disruption After Traumatic Brain Injury), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
11.1field-weighted citation impact, top 1% 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.

NCT06927063 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Long-term Recovery and Microbiota-Gut-Brain Axis Disruption After Traumatic Brain Injury

Typeobservational_patient_registrySponsorTurku University HospitalRan2025 to 2028Enrolled160ConditionsTraumatic Brain InjuryArmsblood-based protein biomarker assessments, blood-based metabolomic/lipidomic biomarker assessments, Diffusion-weighted magnetic resonance imaging (brain), Structural magnetic resonance imaging (brain), PET imaging (brain)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  13. Cognitive Symptoms Are Not Associated with Cognitive Performance in Post-Acute mTBI.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
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  20. Traumatic brain injury and cognitive change over 30 years among community-dwelling older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Andrea L C SchneiderFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
J Russell HuieFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
W John BoscardinFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Lindsay NelsonFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Jason K BarberFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Kristine YaffeFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Ramon Diaz-ArrastiaFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Adam R FergusonFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Joel KramerFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Sonia JainFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Nancy TemkinFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Esther YuhFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.
Geoffrey T ManleyFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla.ORCID 0000-0002-0926-3128
Raquel C GardnerFrom the Department of Neurology (A.L.C.S., R.D.-A.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurosurgery (J.R.H., A.R.F., G.T.M.), Epidemiology and Biostatistics (W.J.B., K.Y.), Neurology (K.Y., J.K., R.C.G.), Psychiatry (K.Y.), and Radiology and Biomedical Imaging (E.Y.), University of California San Francisco; Department of Neurosurgery (L.N.), Medical College of Wisconsin, Madison; Departments of Neurological Surgery (J.K.B., N.T.) and Biostatistics (N.T.), University of Washington, Seattle; and Biostatistics Research Center (S.J.), Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla. raquel.gardner@ucsf.edu.
TRACK-TBI Investigators
University of Washington · USUniversity of Pennsylvania · US

Funding

Transforming Research and Clinical Knowledge in Traumatic Brain InjuryU01NS086090 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIAZ-ARRASTIA, RAMON, GIACINO, JOSEPH THOMAS · 2013 to 2017
$19.1M
Transforming Traumatic Brain Injury Research and Clinical CareRC2NS069409 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MANLEY, GEOFFREY T · 2009 to 2011
$4.3M
NINDS NIH HHS RC2 NS069409NINDS NIH HHS U01 NS086090
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe objectives of this study were to develop and establish concurrent validity of a clinically relevant definition of poor cognitive outcome 1 year after mild traumatic brain injury (mTBI), to compare baseline characteristics across cognitive outcome groups, and to determine whether poor 1-year cognitive outcome can be predicted by routinely available baseline clinical variables.

methodsProspective cohort study included 656 participants ≥17 years of age presenting to level 1 trauma centers within 24 hours of mTBI (Glasgow Coma Scale score 13-15) and 156 demographically similar healthy controls enrolled in the Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) study. Poor 1-year cognitive outcome was defined as cognitive impairment (below the ninth percentile of normative data on ≥2 cognitive tests), cognitive decline (change score [1-year score minus best 2-week or 6-month score] exceeding the 90% reliable change index on ≥2 cognitive tests), or both. Associations of poor 1-year cognitive outcome with 1-year neurobehavioral outcomes were performed to establish concurrent validity. Baseline characteristics were compared across cognitive outcome groups, and backward elimination logistic regression was used to build a prediction model.

resultsMean age of participants with mTBI was 40.2 years; 36.6% were female; 76.6% were White. Poor 1-year cognitive outcome was associated with worse 1-year functional outcome, more neurobehavioral symptoms, greater psychological distress, and lower satisfaction with life (all DISCUSSION: Poor 1-year cognitive outcome is common, affecting 13.5% of patients with mTBI vs 4.5% of controls. These results highlight the need for better understanding of mechanisms underlying poor cognitive outcome after mTBI to inform interventions to optimize cognitive recovery.

Indexed as

Brain ConcussionBrain Injuries, TraumaticCognitive DysfunctionAdultCognitionEducational StatusFemaleGlasgow Coma ScaleHumansProspective Studies

Identifiers

PMID35173018
PMCPMC8967334
OpenAlexW4213005838

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.