Evidence map›Paper›PMID 35329911›Full record

ReviewJournal of clinical medicine2022

Hypothermia Therapy for Traumatic Spinal Cord Injury: An Updated Review.

Seth C Ransom, Nolan J Brown, Zachary A Pennington, Nikita Lakomkin, Anthony L Mikula, Mohamad Bydon, Benjamin D Elder

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Critical Care of Spinal Cord Injury.Current neurology and neuroscience reports · 2024
    Review
  11. Review
  12. Bridging the gap: a translational perspective in spinal cord injury.Experimental biology and medicine (Maywood, N.J.) · 2024
    Review
  13. Review
  14. Review
  15. Regulation of axonal regeneration after mammalian spinal cord injury.Nature reviews. Molecular cell biology · 2023
    Review
  16. Review
  17. Article
  18. 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

7 authors at 2 institutions in 1 country.

Seth C RansomDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Nolan J BrownDepartment of Neurological Surgery, University of California, Irvine, CA 92093, USA.ORCID 0000-0002-6025-346X
Zachary A PenningtonDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Nikita LakomkinDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Anthony L MikulaDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Mohamad BydonDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Benjamin D ElderDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Mayo Clinic in Florida · USUniversity of California, Irvine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although hypothermia has shown to protect against ischemic and traumatic neuronal death, its potential role in neurologic recovery following traumatic spinal cord injury (TSCI) remains incompletely understood. Herein, we systematically review the safety and efficacy of hypothermia therapy for TSCI. The English medical literature was reviewed using PRISMA guidelines to identify preclinical and clinical studies examining the safety and efficacy of hypothermia following TSCI. Fifty-seven articles met full-text review criteria, of which twenty-eight were included. The main outcomes of interest were neurological recovery and postoperative complications. Among the 24 preclinical studies, both systemic and local hypothermia significantly improved neurologic recovery. In aggregate, the 4 clinical studies enrolled 60 patients for treatment, with 35 receiving systemic hypothermia and 25 local hypothermia. The most frequent complications were respiratory in nature. No patients suffered neurologic deterioration because of hypothermia treatment. Rates of American Spinal Injury Association (AIS) grade conversion after systemic hypothermia (35.5%) were higher when compared to multiple SCI database control studies (26.1%). However, no statistical conclusions could be drawn regarding the efficacy of hypothermia in humans. These limited clinical trials show promise and suggest therapeutic hypothermia to be safe in TSCI patients, though its effect on neurological recovery remains unclear. The preclinical literature supports the efficacy of hypothermia after TSCI. Further clinical trials are warranted to conclusively determine the effects of hypothermia on neurological recovery as well as the ideal means of administration necessary for achieving efficacy in TSCI.

Indexed as

hypothermiarecoveryspinetrauma

Identifiers

PMID35329911
PMCPMC8949322
OpenAlexW4220750884

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.