Evidence map›Paper›PMID 36857200›Full record

ReviewPrehospital emergency care2024

Prehospital Electroencephalography to Detect Traumatic Brain Injury during Helicopter Transport: A Pilot Observational Cohort Study.

David J Barton, Patrick J Coppler, Nadine N Talia, Alexi Charalambides, Brian Stancil, Ava M Puccio, David O Okonkwo, Clifton W Callaway, Francis X Guyette, Jonathan Elmer

Open access · greenAbstract readReview
In one paragraph

Review in Prehospital emergency care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. 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

10 authors at 1 institution in 1 country.

David J BartonDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0003-0976-0383
Patrick J CopplerDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-0731-7989
Nadine N TaliaDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Alexi CharalambidesLifeware Labs, LLC, Pittsburgh, Pennsylvania.
Brian StancilLifeware Labs, LLC, Pittsburgh, Pennsylvania.
Ava M PuccioDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
David O OkonkwoDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Clifton W CallawayDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-3309-1573
Francis X GuyetteDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-9151-4896
Jonathan ElmerDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
University of Pittsburgh · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Emergency Medicine Research TrainingT32HL134615 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Clifton W. Callaway, DONALD M YEALY · 2017 to 2026
$2.4M
Quantitative electroencephalography after cardiac arrestK23NS097629 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ELMER, JONATHAN · 2017 to 2021
$945k
NCATS NIH HHS UL1 TR001857NHLBI NIH HHS T32 HL134615NINDS NIH HHS K23 NS097629
6 · The paper itself

Abstract

objectiveEarly recognition of traumatic brain injury (TBI) is important to facilitate time-sensitive care. Electroencephalography (EEG) can identify TBI, but feasibility of EEG has not been evaluated in prehospital settings. We tested the feasibility of obtaining single-channel EEG during air medical transport after trauma. We measured association between quantitative EEG features, early blood biomarkers, and abnormalities on head computerized tomography (CT).

methodsWe performed a pilot prospective, observational study enrolling consecutive patients transported by critical care air ambulance from the scene of trauma to a Level I trauma center. During transport, prehospital clinicians placed a sensor on the patient's forehead to record EEG. We reviewed EEG waveforms and selected 90 seconds of recording for quantitative analysis. EEG data processing included fast Fourier transform to summarize component frequency power in the delta (0-4 Hz), theta (4-8 Hz), and alpha (8-13 Hz) ranges. We collected blood samples on day 1 and day 3 post-injury and measured plasma levels of two brain injury biomarkers (ubiquitin C-terminal hydrolase L1 [UCH-L1] and glial fibrillary acidic protein [GFAP]). We compared predictors between individuals with and without CT-positive TBI findings.

resultsForty subjects were enrolled, with EEG recordings successfully obtained in 34 (85%). Reasons for failure included uncharged battery (

conclusionsPrehospital EEG acquisition is feasible during air transport after trauma.

Indexed as

Air AmbulancesBrain Injuries, TraumaticEmergency Medical ServicesBiomarkersCohort StudiesFemaleHumansMaleMiddle AgedObservational Studies as TopicProspective StudiesUbiquitin ThiolesteraseBiomarkersUbiquitin Thiolesterase

Identifiers

PMID36857200
PMCPMC10497709
OpenAlexW4322720138

What OpenQuestion holds

Textmetadata
LicenceTDM
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.