Evidence map›Paper›PMID 36895782›Full record

SynthesisTrauma surgery & acute care open2023

Beta blockers in traumatic brain injury: a systematic review and meta-analysis.

Shannon Hart, Melissa Lannon, Andrew Chen, Amanda Martyniuk, Sunjay Sharma, Paul T Engels

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Trauma surgery & acute care open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. 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

6 authors at 2 institutions in 1 country.

Shannon HartDivision of Neurosurgery, Hamilton Health Sciences, Hamilton, Ontario, Canada.ORCID 0000-0002-0251-1184
Melissa LannonDivision of Neurosurgery, Hamilton Health Sciences, Hamilton, Ontario, Canada.
Andrew ChenFaculty of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-0396-9960
Amanda MartyniukDivision of Neurosurgery, Hamilton Health Sciences, Hamilton, Ontario, Canada.
Sunjay SharmaDivision of Neurosurgery, Hamilton Health Sciences, Hamilton, Ontario, Canada.
Paul T EngelsDepartments of Surgery and Critical Care, Hamilton Health Sciences, Hamilton, Ontario, Canada.
Hamilton Health Sciences · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traumatic brain injury (TBI) is a major cause of death and disability worldwide. Beta blockers have shown promise in improving mortality and functional outcomes after TBI. The aim of this article is to synthesize the available clinical data on the use of beta blockers in acute TBI. Methods: A systematic search was conducted through MEDLINE, Embase, and Cochrane Central Register of Controlled Trials for studies including one or more outcomes of interest associated with use of beta blockers in TBI. Independent reviewers evaluated the quality of the studies and extracted data on all patients receiving beta blockers during their hospital stay compared with placebo or non-intervention. Pooled estimates, CIs, and risk ratios (RRs) or ORs were calculated for all outcomes. Results: 13 244 patients from 17 studies were eligible for analysis. Pooled analysis demonstrated a significant mortality benefit of overall use of beta blocker (RR 0.8, 95% CI 0.68 to 0.94, Conclusions: Use of beta blockers is associated with decreased mortality at acute care discharge as well as improved functional outcome at long-term follow-up. Lack of high-quality evidence limits definitive recommendations for use of beta blockers in TBI; therefore, high-quality randomized trials are needed to further elucidate the utility of beta blockers in TBI. PROSPERO registration number: CRD42021279700.

Indexed as

brain injuryFUNCTIONAL OUTCOMEmortalityTBI

Identifiers

PMID36895782
PMCPMC9990673
OpenAlexW4323808780

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.