Evidence map›Paper›PMID 40141704›Full record

ArticleLife (Basel, Switzerland)2025

Assessment of the Sex Hormone Profile and Its Predictive Role in Consciousness Recovery Following Severe Traumatic Brain Injury.

Seyed Ahmad Naseri Alavi, Sajjad Pourasghary, Amir Rezakhah, Mohammad Amin Habibi, Aydin Kazempour, Ata Mahdkhah, Andrew Kobets

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2025. 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
–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.

  1. Article
  2. Article
  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

7 authors.

Seyed Ahmad Naseri AlaviDepartment of Neurosurgery, School of Medicine, Emory University, Atlanta, GA 30332, USA.ORCID 0000-0002-3602-4966
Sajjad PourasgharyFaculty of Medicine, Urmia University of Medical Sciences, Urmia 5714783734, Iran.
Amir RezakhahFaculty of Medicine, Urmia University of Medical Sciences, Urmia 5714783734, Iran.
Mohammad Amin HabibiDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran 1474833163, Iran.ORCID 0000-0001-7600-6925
Aydin KazempourFaculty of Medicine, Urmia University of Medical Sciences, Urmia 5714783734, Iran.
Ata MahdkhahFaculty of Medicine, Urmia University of Medical Sciences, Urmia 5714783734, Iran.ORCID 0000-0001-9185-3997
Andrew KobetsDepartment of Neurological Surgery, Montefiore Medical, Bronx, NY 10467, USA.ORCID 0000-0001-9169-2230

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTraumatic brain injuries (TBIs) are conditions affecting brain function caused by blunt or penetrating forces to the head. Symptoms may include confusion, impaired consciousness, coma, seizures, and focal or sensory neurological motor injuries.

objectiveThis study evaluated sex hormone profiles and their predictive role in returning consciousness after severe traumatic brain injury. MATERIALS AND

methodsWe included 120 patients with TBIs and collected comprehensive information about each patient, including the cause of the trauma, age, gender, Glasgow Coma Scale (GCS) score, Injury Severity Score (ISS), and neuroradiological imaging data. The ISS was used to assess the severity of the trauma. At the same time, the lowest GCS score was recorded either before sedation and intubation in the emergency room or by emergency medical services personnel. For female participants, samples were collected during the luteal phase of the menstrual cycle (days 18 to 23).

resultsThe mean age of male patients was 33.40 years, ranging from 23 to 45 years, while female patients had an average age of 34.25 years, ranging from 25 to 48 years. The primary cause of injury for both genders was motor vehicle accidents. In male patients, testosterone levels were significantly higher in those classified as responsive (RC) compared to those non-responsive (NRC), with levels of 2.56 ± 0.47 ng/mL versus 0.81 ± 0.41 ng/mL (

conclusionsWe can conclude that sex hormone levels in the acute phase of TBIs can vary between males and females. Notably, serum testosterone levels in males and progesterone levels in females with TBIs are significant prognostic factors for assessing the likelihood of regaining consciousness after such injuries. These findings underscore the importance of considering sex hormone profiles in TBI recovery prognosis.

Indexed as

brain injuryconsciousness disordergender differencerecoverysevere brain traumasex hormones

Identifiers

PMID40141704
PMCPMC11943621

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.