Evidence map›Paper›PMID 36447875›Full record

ArticleSurgical neurology international2022

External validation of the Glasgow coma scale-pupils in low- to middle-income country patients with traumatic brain injury: Could "motor score-pupil" have higher prognostic value?

Matheus Rodrigues De Souza, Leonardo Zumerkorn Pipek, Caroline Ferreira Fagundes, Davi J Fontoura Solla, Gustavo Carlos Lucena da Silva, Daniel Agustin Godoy, Angelos G Kolias, Robson Luis Oliveira Amorim, Wellingson Silva Paiva

Open access · hybridAbstract read
In one paragraph

Article in Surgical neurology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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  8. A rare case of schwannomatosis with meningioma: a case report.Annals of medicine and surgery (2012) · 2024
    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

9 authors at 5 institutions in 3 countries.

Matheus Rodrigues De SouzaDepartment of Medicine, State University of Mato Grosso, Cáceres, Mato Grosso Brazil.
Leonardo Zumerkorn PipekDepartment of Neurology, HCFMUSP, São Paulo, Brazil.
Caroline Ferreira FagundesDepartment of Medicine, University of the State of Mato Grosso, Cáceres, Brazil.
Davi J Fontoura SollaDepartment of Neurology, HCFMUSP, São Paulo, Brazil.
Gustavo Carlos Lucena da SilvaDepartment of Neurology, HCFMUSP, São Paulo, Brazil.
Daniel Agustin GodoyIntensive Care Unit, San Juan Bautista Hospital, Catamarca, Argentina.
Angelos G KoliasCambridge Biomedical Campus, Addenbrooke's Hospital, Cambridge, United Kingdom.
Robson Luis Oliveira AmorimDepartment of Neurology, Robson Luis Oliveira de Amorim, Manaus, Brazil.
Wellingson Silva PaivaDepartment of Neurology, University of Sao Paulo, Sao Paulo, Brazil.
Universidade do Estado de Mato Grosso · BRAddenbrooke's Hospital · GBCentro Científico Tecnológico - San Juan · ARUniversidade de São Paulo · BRUniversidade Salgado de Oliveira · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The objective of this study is to validate the admission Glasgow coma scale (GCS) associated with pupil response (GCS-P) to predict traumatic brain injury (TBI) patient's outcomes in a low- to middle-income country and to compare its performance with that of a simplified model combining the better motor response of the GCS and the pupilar response (MS-P). Methods: This is a prospective cohort of patients with TBI in a tertiary trauma reference center in Brazil. Predictive values of the GCS, GCS-P, and MS-P were evaluated and compared for 14 day and in-hospital mortality outcomes and length of hospital stay (LHS). Results: The study enrolled 447 patients. MS-P demonstrated better discriminative ability than GCS to predict mortality (AUC 0.736 × 0.658; Conclusion: The predictive value of the GCS, GCS-P, and MS-P scales was demonstrated, thus contributing to its external validation in low- to middle-income country.

Indexed as

External validationGlasgow coma scaleMotor scorePrognostic factorTraumatic brain injury

Identifiers

PMID36447875
PMCPMC9699856
OpenAlexW4308335758

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.