Evidence map›Paper›PMID 35226180›Full record

ReviewInternational journal of legal medicine2022

Forensic biomarkers of lethal traumatic brain injury.

Johann Zwirner, Rachel Kulakofsky, Antonia Fitzek, Ann Sophie Schröder, Simone Bohnert, Heike Franke, Thomas Renné, Rexson Tse, Benjamin Ondruschka

Abstract readReview
In one paragraph

Review in International journal of legal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Old and Promising Markers Related to Autophagy in Traumatic Brain Injury.International journal of molecular sciences · 2022
    Pooled it
  2. Article
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  19. Forensic neuropathology in the past decade: a scoping literature review.Forensic science, medicine, and pathology · 2024
    Article
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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.

Johann ZwirnerDepartment of Anatomy, University of Otago, Dunedin, New Zealand. medijo@gmx.de.ORCID http://orcid.org/0000-0002-3560-3915
Rachel KulakofskyDepartment of Anatomy, University of Otago, Dunedin, New Zealand.
Antonia FitzekInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ann Sophie SchröderInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Simone BohnertInstitute of Forensic Medicine, University of Wuerzburg, Wuerzburg, Germany.
Heike FrankeRudolf Boehm Institute of Pharmacology and Toxicology, University of Leipzig, Leipzig, Germany.
Thomas RennéInstitute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Rexson TseDepartment of Forensic Pathology, LabPLUS, Auckland City Hospital, Auckland, New Zealand.
Benjamin OndruschkaInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. b.ondruschka@uke.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic brain injury (TBI) is a major cause of death and its accurate diagnosis is an important concern of daily forensic practice. However, it can be challenging to diagnose TBI in cases where macroscopic signs of the traumatic head impact are lacking and little is known about the circumstances of death. In recent years, several post-mortem studies investigated the possible use of biomarkers for providing objective evidence for TBIs as the cause of death or to estimate the survival time and time since death of the deceased. This work systematically reviewed the available scientific literature on TBI-related biomarkers to be used for forensic purposes. Post-mortem TBI-related biomarkers are an emerging and promising resource to provide objective evidence for cause of death determinations as well as survival time and potentially even time since death estimations. This literature review of forensically used TBI-biomarkers revealed that current markers have low specificity for TBIs and only provide limited information with regards to survival time estimations and time since death estimations. Overall, TBI fatality-related biomarkers are largely unexplored in compartments that are easily accessible during autopsies such as urine and vitreous humor. Future research on forensic biomarkers requires a strict distinction of TBI fatalities from control groups, sufficient sample sizes, combinations of currently established biomarkers, and novel approaches such as metabolomics and mi-RNAs.

Indexed as

Brain Injuries, TraumaticBiomarkersHumansBiomarkersBiomarkerCause of deathForensic biochemistryPost-mortemSurvival timeTime since deathTraumatic brain injury

Identifiers

PMID35226180
PMCPMC9005436

What OpenQuestion holds

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Registered trials

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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.