Evidence map›Paper›PMID 35997419›Full record

ArticlePediatric reports2022

Impact of Intracranial Hypertension on Outcome of Severe Traumatic Brain Injury Pediatric Patients: A 15-Year Single Center Experience.

Christos Tsitsipanis, Marianna Miliaraki, Konstantinos Ntotsikas, Dimitrios Baldounis, Emmanouil Kokkinakis, George Briassoulis, Maria Venihaki, Antonios Vakis, Stavroula Ilia

Open access · goldAbstract read
In one paragraph

Article in Pediatric reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
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 at 3 institutions in 1 country.

Christos TsitsipanisDepartment of Neurosurgery, School of Medicine, University of Crete, 70013 Heraklion, Greece.
Marianna MiliarakiPediatric Intensive Care Unit, School of Medicine, University of Crete, 70013 Heraklion, Greece.ORCID 0000-0001-7622-202X
Konstantinos NtotsikasDepartment of Neurosurgery, School of Medicine, University of Crete, 70013 Heraklion, Greece.
Dimitrios BaldounisDepartment of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
Emmanouil KokkinakisDepartment of Health Sciences, National and Kapodistrian University of Athens, 11527 Athens, Greece.
George BriassoulisPediatric Intensive Care Unit, School of Medicine, University of Crete, 70013 Heraklion, Greece.
Maria VenihakiDepartment of Clinical Chemistry, School of Medicine, University of Crete, 70013 Heraklion, Greece.ORCID 0000-0002-3789-8032
Antonios VakisDepartment of Neurosurgery, School of Medicine, University of Crete, 70013 Heraklion, Greece.
Stavroula IliaPediatric Intensive Care Unit, School of Medicine, University of Crete, 70013 Heraklion, Greece.ORCID 0000-0002-0936-368X
University of Crete · GRNational and Kapodistrian University of Athens · GRSotiria General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intracranial hypertension (IC-HTN) is significantly associated with higher risk for an unfavorable outcome in pediatric trauma. Intracranial pressure (ICP) monitoring is widely becoming a standard of neurocritical care for children. Methods: The present study was designed to evaluate influences of IC-HTN on clinical outcomes of pediatric TBI patients. Demographic, injury severity, radiologic characteristics were used as possible predictors of IC-HTN or of functional outcome. Results: A total of 118 pediatric intensive care unit (PICU) patients with severe TBI (sTBI) were included. Among sTBI cases, patients with GCS < 5 had significantly higher risk for IC-HTN and for mortality. Moreover, there was a statistically significant positive correlation between IC-HTN and severity scoring systems. Kaplan−Meier analysis determined a significant difference for good recovery among patients who had no ICP elevations, compared to those who had at least one episode of IC-HTN (log-rank chi-square = 11.16, p = 0.001). A multivariable predictive logistic regression analysis distinguished the ICP-monitored patients at risk for developing IC-HTN. The model finally revealed that higher ISS and Helsinki CT score increased the odds for developing IC-HTN (p < 0.05). Conclusion: The present study highlights the importance of ICP-guided clinical practices, which may lead to increasing percentages of good recovery for children.

Indexed as

brain injuryICP monitoringintracranial pressurepediatrictrauma

Identifiers

PMID35997419
PMCPMC9397046
OpenAlexW4292261076

What OpenQuestion holds

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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.