Evidence map›Paper›PMID 37072538›Full record

ArticleScientific reports2023

Modeling outcome trajectories in patients with acquired brain injury using a non-linear dynamic evolution approach.

Simona Panunzi, Lucia Francesca Lucca, Antonio De Tanti, Francesca Cava, Annamaria Romoli, Rita Formisano, Federico Scarponi, Anna Estraneo, Diana Frattini, Paolo Tonin and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06162091 (Modeling Trajectories of Functional Outcome in Patients With Severe Acquired Brain Injuries Using a Non-Linear Dynamic Evolution Approach.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06162091 recruitingnot on this mapstarted 2024, after this paper: background citation

Modeling Trajectories of Functional Outcome in Patients With Severe Acquired Brain Injuries Using a Non-Linear Dynamic Evolution Approach.

TypeobservationalSponsorIstituto per la Ricerca e l'Innovazione BiomedicaRan2024 to 2025Enrolled190ConditionsBrain InjuriesArmsData collection
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

14 authors.

Simona Panunzi *CNR-IASI, Laboratorio di Biomatematica, Consiglio Nazionale delle Ricerche, Istituto di Analisi dei Sistemi ed Informatica, Rome, Italy.
Lucia Francesca Lucca *S. Anna Institute, Crotone, Italy.
Antonio De TantiCardinal Ferrari Rehabilitation Centre, Fontanellato, PR, Italy.
Francesca CavaRehabilitation Institute Montecatone, Montecatone, Imola, BO, Italy.
Annamaria RomoliIRCCS- Don Carlo Gnocchi Foundation, Florence, Italy.
Rita FormisanoNeurorehabilitation 2 Unit, IRCCS Fondazione Santa Lucia, Rome, Italy.
Federico ScarponiDepartment of Rehabilitation, San Giovanni Battista Hospital, Foligno, PG, Italy.
Anna EstraneoIRCCS- Don Carlo Gnocchi Foundation, Florence, Italy.
Diana FrattiniDepartment of Rehabilitation, Vimercate Hospital, Vimercate, MB, Italy.
Paolo ToninS. Anna Institute, Crotone, Italy.
Ilaria PiergentilliCNR-IASI, Laboratorio di Biomatematica, Consiglio Nazionale delle Ricerche, Istituto di Analisi dei Sistemi ed Informatica, Rome, Italy.
Giovanni PioggiaIRIB-CNR, Institute for Biomedical Research and Innovation, National Research Council, 98164, Messina, Italy.
Andrea De GaetanoCNR-IASI, Laboratorio di Biomatematica, Consiglio Nazionale delle Ricerche, Istituto di Analisi dei Sistemi ed Informatica, Rome, Italy.
Antonio CerasaS. Anna Institute, Crotone, Italy. antonio.cerasa76@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study describes a dynamic non-linear mathematical approach for modeling the course of disease in acquired brain injury (ABI) patients. Data from a multicentric study were used to evaluate the reliability of the Michaelis-Menten (MM) model applied to well-known clinical variables that assess the outcome of ABI patients. The sample consisted of 156 ABI patients admitted to eight neurorehabilitation subacute units and evaluated at baseline (T0), 4 months after the event (T1) and at discharge (T2). The MM model was used to characterize the trend of the first Principal Component Analysis (PCA) dimension (represented by the variables: feeding modality, RLAS, ERBI-A, Tracheostomy, CRS-r and ERBI-B) in order to predict the most plausible outcome, in terms of positive or negative Glasgow outcome score (GOS) at discharge. Exploring the evolution of the PCA dimension 1 over time, after day 86 the MM model better differentiated between the time course for individuals with a positive and negative GOS (accuracy: 85%; sensitivity: 90.6%; specificity: 62.5%). The non-linear dynamic mathematical model can be used to provide more comprehensive trajectories of the clinical evolution of ABI patients during the rehabilitation period. Our model can be used to address patients for interventions designed for a specific outcome trajectory.

Indexed as

Brain InjuriesNonlinear DynamicsHospitalizationHumansPatient DischargeReproducibility of Results

Identifiers

PMID37072538
PMCPMC10113248

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Registered trials

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.