Evidence map›Paper›PMID 38929280›Full record

ReviewChildren (Basel, Switzerland)2024

Investigating the Safety and Efficacy of Therapeutic Hypothermia in Pediatric Severe Traumatic Brain Injury: A Systematic Review and Meta-Analysis.

Seyed Ahmd Naseri Alavi, Mohammad Amin Habibi, Alireza Majdi, Bardia Hajikarimloo, Farhang Rashidi, Sahar Fathi Tavani, Poriya Minaee, Seyed Mohammad Eazi, Andrew J Kobets

Abstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–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.

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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  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

9 authors.

Seyed Ahmd Naseri AlaviDepartment of Neurosurgery, School of Medicine, Emory University, Atlanta, GA 30033, USA.ORCID 0000-0002-3602-4966
Mohammad Amin HabibiDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14399, Iran.ORCID 0000-0001-7600-6925
Alireza MajdiResearch Group Experimental Oto-Rhino-Laryngology, Department of Neuroscience, Leuven Brain Institute, KU Leuven, 3000 Leuven, Belgium.
Bardia HajikarimlooDepartment of Neurosurgery, Shohada Tajjrish Hospital, Shahid Beheshti University of Medical Science, Tehran 14399, Iran.
Farhang RashidiSchool of Medicine, Tehran University of Medical Sciences, Tehran 14399, Iran.ORCID 0000-0002-2174-5752
Sahar Fathi TavaniSchool of Medicine, Tehran University of Medical Sciences, Tehran 14399, Iran.ORCID 0009-0007-7511-1601
Poriya MinaeeStudent Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom 999067, Iran.
Seyed Mohammad EaziStudent Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom 999067, Iran.
Andrew J KobetsDepartment of Neurological Surgery, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, NY 10467, USA.ORCID 0000-0001-9169-2230

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrior guidelines recommended maintaining normothermia following traumatic brain injury (TBI), but recent studies suggest therapeutic hypothermia as a viable option in pediatric cases. However, some others demonstrated a higher mortality rate. Hence, the impact of hypothermia on neurological symptoms and overall survival remains contentious.

methodsWe conducted a systematic review and meta-analysis to evaluate the effects of hypothermia on neurological outcomes in pediatric TBI patients. The PubMed/Medline, Scopus, and Web of Science databases were searched until 1 January 2024 and data were analyzed using appropriate statistical methods.

resultsA total of eight studies, comprising nine reports, were included in this analysis. Our meta-analysis did not reveal significant differences in mortality (RR = 1.58; 95% CI = 0.89-2.82,

conclusionsOur findings challenge the effectiveness of therapeutic hypothermia in pediatric TBI cases. Despite expectations, it did not significantly improve key clinical outcomes. This prompts a critical re-evaluation of hypothermia's role as a standard intervention in pediatric TBI treatment.

Indexed as

hypothermiameta-analysispediatric traumatic brain injurysystematic review

Identifiers

PMID38929280
PMCPMC11201645

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Registered trials

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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.