Evidence map›Paper›PMID 40327124›Full record

Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Neuroimaging and neuromonitoring access in Mexico, where to focus?

Julio C Mijangos-Méndez, Lucia Rivera-Lara, Teresa Mejia-Martínez, Jose J Elizalde-González, Guadalupe Aguirre-Avalos, Aarti Sarwal, NeurocareMex Group collaborators, on behalf of the Colegio Mexicano de Medicina Crítica

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. 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
–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

1 citing paper in PubMed.

  1. Methinks AI software for identifying large vessel occlusion in non-contrast head CT: A pilot retrospective study in American population.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    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.

Julio C Mijangos-MéndezDepartment of Medical Clinics, Centro Universitario de Ciencias de La Salud, Universidad de Guadalajara, Hospital 320, CP 44200, Guadalajara, Jalisco, Mexico. julio.mijangos@academicos.udg.mx.
Lucia Rivera-LaraDepartment of Neurology, Division of Neurocritical Care, Stanford University, Palo Alto, CA, USA.
Teresa Mejia-MartínezHospital General de México, Secretaría de Salud México, Ciudad de Mexico, Mexico.
Jose J Elizalde-GonzálezDepartment of Pulmonology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de Mexico, Mexico.
Guadalupe Aguirre-AvalosDepartment of Medical Clinics, Centro Universitario de Ciencias de La Salud, Universidad de Guadalajara, Hospital 320, CP 44200, Guadalajara, Jalisco, Mexico.
Aarti SarwalDepartment of Neurology, Division of Neurocritical Care, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
NeurocareMex Group collaborators, on behalf of the Colegio Mexicano de Medicina Crítica

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeuromonitoring plays an integral part of neurocritical care decision making in patients with acute brain injury, as it facilitates detection of physiological changes with the goal to mitigate further neurological deterioration and prevent secondary brain injury. There are increasing efforts being made to understand how the care of neurocritical patients is delivered globally, but there is little information about the use of neuroimaging and neuromonitoring in Lower Middle-Income Country. We aimed to investigate the availability of different neuromonitoring tools in intensive care units in Mexico.

methodsThis was a prospective observational survey focused on gathering current neuroimaging and neuromonitoring practices in Mexico. We used a web-based survey using Google Forms (©2024 Google) to query practicing intensive care physicians in all states in Mexico. The questionnaire consisted of two sections with 27 questions.

resultsA total of 66 responses were included in the final analysis, that represent 65% of the states in Mexico (21 out of 32 states). Most ICUs reported not having access to a neurointensivist (79%, 52/66). Computed Tomography (CT) was available around the clock in 97% of ICUs (64/66), while CT angiography (CTA) was available 24/7 in 20% of ICUs (13/66) with only daytime availability in 35% (23/66) of ICUs. The most available invasive monitor in Mexico was the jugular bulb oximetry, which was available in 62% of ICUs (41/66). One third of ICUs (34%, 29/66) reported the use of invasive ICP monitoring. Of those, ventriculostomy was the most commonly use type of catheter, followed by the intraparenchymal ICP monitor, epidural and subdural ICP monitors. Brain tissue oxygen monitor (pbtO

conclusionThe availability of neuroimaging and neuromonitoring is limited in ICUs in Mexico, despite a sizeable proportion of neurocritical care patients. This may be in part driven by resources constraints, as well as lack of neurocritical care and neurosurgical access in many centers. There is an unmet need for recruiting and training in neurocritical care and neurosurgery.

Indexed as

Brain InjuriesCritical CareHealth Services AccessibilityIntensive Care UnitsNeuroimagingNeurophysiological MonitoringHumansMexicoProspective StudiesSurveys and QuestionnairesTomography, X-Ray ComputedIntensive care in MexicoNeurocritical careNeurocritical care in low- and middle-income countriesNeuromonitoringNeurosurgery

Identifiers

PMID40327124

What OpenQuestion holds

Textmetadata
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.