Evidence map›Paper›PMID 35768114›Full record

ArticleBMJ open2022

Towards PErsonalised PRognosis for children with traumatic brain injury: the PEPR study protocol.

Cece C Kooper, Jaap Oosterlaan, Hilgo Bruining, Marc Engelen, Petra J W Pouwels, Arne Popma, Job B M van Woensel, Dennis R Buis, Marjan E Steenweg, Maayke Hunfeld and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Cece C KooperDepartment of Pediatrics, Emma Neuroscience Group, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands c.c.kooper@amsterdamumc.nl.ORCID 0000-0002-8406-5199
Jaap OosterlaanDepartment of Pediatrics, Emma Neuroscience Group, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.
Hilgo BruiningAmsterdam Reproduction and Development Research Institute, Amsterdam, The Netherlands.
Marc EngelenDepartment of Pediatric Neurology, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.
Petra J W PouwelsAmsterdam Neuroscience Research Institute, Amsterdam, The Netherlands.
Arne PopmaAmsterdam Reproduction and Development Research Institute, Amsterdam, The Netherlands.
Job B M van WoenselAmsterdam Reproduction and Development Research Institute, Amsterdam, The Netherlands.
Dennis R BuisAmsterdam Reproduction and Development Research Institute, Amsterdam, The Netherlands.ORCID 0000-0002-7411-5383
Marjan E SteenwegDepartment of Pediatric Neurology, OLVG, Amsterdam, The Netherlands.
Maayke HunfeldDepartment of Pediatric Neurology, Erasmus MC Sophia Children Hospital, Rotterdam, The Netherlands.
Marsh KönigsDepartment of Pediatrics, Emma Neuroscience Group, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTraumatic brain injury (TBI) in children can be associated with poor outcome in crucial functional domains, including motor, neurocognitive and behavioural functioning. However, outcome varies between patients and is mediated by complex interplay between demographic factors, premorbid functioning and (sub)acute clinical characteristics. At present, methods to understand let alone predict outcome on the basis of these variables are lacking, which contributes to unnecessary follow-up as well as undetected impairments in children. Therefore, this study aims to develop prognostic models for the individual outcome of children with TBI in a range of important developmental domains. In addition, the potential added value of advanced neuroimaging data and the use of machine learning algorithms in the development of prognostic models will be assessed. METHODS AND ANALYSIS: 210 children aged 4-18 years diagnosed with mild-to-severe TBI will be prospectively recruited from a research network of Dutch hospitals. They will be matched 2:1 to a control group of neurologically healthy children (n=105). Predictors in the model will include demographic, premorbid and clinical measures prospectively registered from the TBI hospital admission onwards as well as MRI metrics assessed at 1 month post-injury. Outcome measures of the prognostic models are (1) motor functioning, (2) intelligence, (3) behavioural functioning and (4) school performance, all assessed at 6 months post-injury. ETHICS AND DISSEMINATION: Ethics has been obtained from the Medical Ethical Board of the Amsterdam UMC (location AMC). Findings of our multicentre prospective study will enable clinicians to identify TBI children at risk and aim towards a personalised prognosis. Lastly, findings will be submitted for publication in open access, international and peer-reviewed journals. TRIAL REGISTRATION NUMBER: NL71283.018.19 and NL9051.

Indexed as

Brain Injuries, TraumaticChildHumansMagnetic Resonance ImagingNeuroimagingPrognosisProspective StudiesMagnetic resonance imagingPaediatric intensive & critical carePaediatric neurologyPaediatric neurosurgeryPaediatric radiology

Identifiers

PMID35768114
PMCPMC9244717

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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.