Evidence map›Paper›PMID 37840243›Full record

ArticleJournal of Korean Neurosurgical Society2023

The Unique Relationship between Neuro-Critical Care and Critical Illness-Related Corticosteroid Insufficiency : Implications for Neurosurgeons in Neuro-Critical Care.

Yoon Hee Choo, Moinay Kim, Jae Hyun Kim, Hanwool Jeon, Hee-Won Jung, Eun Jin Ha, Jiwoong Oh, Youngbo Shim, Seung Bin Kim, Han-Gil Jung and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of Korean Neurosurgical Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Trial
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

15 authors at 8 institutions in 2 countries.

Yoon Hee ChooDepartment of Neurological Surgery and Critical Care Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Moinay KimDepartment of Neurological Surgery and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Jae Hyun KimDepartment of Neurological Surgery and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Hanwool JeonDepartment of Neurological Surgery and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Hee-Won JungDepartment of Neurological Surgery and Critical Care Medicine, Chungnam National University Hospital, Daejeon, Korea.
Eun Jin HaDepartment of Neurological Surgery and Critical Care Medicine, Seoul National University Hospital, Seoul, Korea.
Jiwoong OhDepartment of Neurological Surgery and Critical Care Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Youngbo ShimDepartment of Neurological Surgery and Critical Care Medicine, Kangbuk Samsung Hospital, Seoul, Korea.
Seung Bin KimDepartment of Neurological Surgery and Critical Care Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
Han-Gil JungDepartment of Neurological Surgery and Critical Care Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
So Hee ParkDepartment of Neurological Surgery and Critical Care Medicine, Yeungnam University Medical Center, Daegu, Korea.
Jung Ook KimDepartment of Neurological Surgery and Critical Care Medicine, Gachon University Gil Hospital Regional Trauma Center, Incheon, Korea.
Junhyung KimDepartment of Neurological Surgery and Critical Care Medicine, Gangnam Severance Hospital, Seoul, Korea.
Hyeseon KimDepartment of Neurological Surgery and Critical Care Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea.
Seungjoo LeeDepartment of Neurological Surgery and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Ulsan College · KRSeoul National University · KRSeoul National University Bundang Hospital · KRSeoul National University Hospital · KRThe Catholic University of Korea Incheon St. Mary's Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KRYeungnam University Medical Center · KRYonsei University · KR

Funding

NCIRD CDC HHS U01 IP000040
6 · The paper itself

Abstract

The brain houses vital hormonal regulatory structures such as the hypothalamus and pituitary gland, which may confer unique susceptibilities to critical illness-related corticosteroid insufficiency (CIRCI) in patients with neurological disorders. In addition, the frequent use of steroids for therapeutic purposes in various neurological conditions may lead to the development of steroid insufficiency. This abstract aims to highlight the significance of understanding these relationships in the context of patient care and management for physicians. Neurological disorders may predispose patients to CIRCI due to the role of the brain in hormonal regulation. Early recognition of CIRCI in the context of neurological diseases is essential to ensure prompt and appropriate intervention. Moreover, the frequent use of steroids for treating neurological conditions can contribute to the development of steroid insufficiency, further complicating the clinical picture. Physicians must be aware of these unique interactions and be prepared to evaluate and manage patients with CIRCI and steroid insufficiency in the context of neurological disorders. This includes timely diagnosis, appropriate steroid administration, and careful monitoring for potential adverse effects. A comprehensive understanding of the interplay between neurological disease, CIRCI, and steroid insufficiency is critical for optimizing patient care and outcomes in this complex patient population.

Indexed as

Adrenal insufficiencyCritical illnessHypotensionIntracranial pressureTraumatic brain injury

Identifiers

PMID37840243
PMCPMC10641414
OpenAlexW4384616356

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.