Evidence map›Paper›PMID 40528433›Full record

Observational studyActa anaesthesiologica Scandinavica2025

Relationship Between Systemic and Cerebral Microdialysate Glucose in Patients With Severe Acute Brain Injury-A Retrospective Study.

Anne-Sophie Worm Fenger, Anton Lund, Alexandra Vassilieva, Trine Hjorslev Andreasen, Søren Røddik Ebdrup, Tobias Sjørslev Bodilsen, Helene Ravnholt Jensen, Markus Harboe Olsen, Kirsten Møller

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Acta anaesthesiologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06302244 (Multimodal Neuromonitoring in Patients With Severe Acute Brain Injury), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT06302244 completednot on this map

Multimodal Neuromonitoring in Patients With Severe Acute Brain Injury

TypeobservationalSponsorRigshospitalet, DenmarkRan2017 to 2025Enrolled200ConditionsAcute Brain Injury
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Observational
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.

Anne-Sophie Worm FengerCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-6423-4549
Anton LundCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Alexandra VassilievaCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Trine Hjorslev AndreasenCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Søren Røddik EbdrupCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Tobias Sjørslev BodilsenCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Helene Ravnholt JensenCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Markus Harboe OlsenCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Kirsten MøllerCopenhagen Neurointensive Care Research Association (CONICA), Department of Neuroanaesthesiology, The Neuroscience Centre, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-3058-1072

Funding

Dagmar Marshalls FondDepartment of Neuroanaesthesiology at RigshospitaletGrosserer Jakob Ehrenreich og Hustru Grete Ehrenreichs FondLægeforeningenNovo Nordisk Fonden NNF20OC0065750Skibsreder Per Henriksen, R. og Hustrus Fond
6 · The paper itself

Abstract

backgroundMarkers of cerebral metabolism measured by microdialysis (CMD) may warn clinicians of impending neuroworsening in patients with severe acute brain injury. This retrospective study investigated the relationship between systemic glucose levels and microdialysate glucose (CMD-glucose) in patients with severe traumatic brain injury (TBI) or aneurysmal subarachnoid haemorrhage (SAH).

methodsWe retrospectively investigated patients who underwent CMD. Linear regression and correlation analysis between temporally matched values of systemic and CMD-glucose were performed. Disease severity was dichotomized using the Glasgow Coma Scale score (GCS) at admission, and patient outcome at 6 months was dichotomized using the modified Rankin Scale.

resultsData was available from 133 patients, of which 75 had SAH and 58 had TBI. The R

conclusionIn this retrospective analysis of patients with severe acute brain injury undergoing intracerebral microdialysis, changes in systemic glucose contributed to changes in CMD-glucose with no relation to functional outcome. EDITORIAL COMMENT: This study assessed microdialysis-derived brain tissue extracellular glucose levels, analysed together with serum glucose levels measured at the same time; this was in patients with acute brain injury with sampling in the less injured cerebral hemisphere. Findings demonstrated that there were predictable changes in microdialysate glucose levels when serum glucose levels changed. Neither of these glucose levels was associated with functional outcomes.

trial registrationClinicaltrials.gov identifier: NCT06302244.

Indexed as

BrainBrain InjuriesBrain Injuries, TraumaticGlucoseMicrodialysisAdultAgedBlood GlucoseFemaleGlasgow Coma ScaleHumansMaleMiddle AgedRetrospective StudiesSubarachnoid HemorrhageBlood GlucoseGlucoseglucoseintensive caremicrodialysisneurointensive caresubarachnoid haemorrhagetraumatic brain injury

Identifiers

PMID40528433
PMCPMC12174490

What OpenQuestion holds

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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.