Evidence map›Paper›PMID 40614040›Full record

ArticleNeurology and therapy2025

The Predictive Value of Heart Rate Variability for the Prognosis of Patients with Mild to Moderate Traumatic Brain Injury.

Chenyu Wu, Lu Liu, Du Chen, Wei Zhu, Feng Xu, Peng Yang

Registry-linked trialAbstract read
In one paragraph

Article in Neurology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07024381 (The Predictive Value of Heart Rate Variability for the Prognosis of Patients With Mild to Moderate Traumatic Brain Injury), which is not on this map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

NCT07024381 completednot on this map

The Predictive Value of Heart Rate Variability for the Prognosis of Patients With Mild to Moderate Traumatic Brain Injury

TypeobservationalSponsorPeng YangRan2017 to 2024Enrolled172ConditionsTBI
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

6 authors.

Chenyu Wu *The First Affiliated Hospital of Soochow University, Suzhou, China.
Lu Liu *The First Affiliated Hospital of Soochow University, Suzhou, China.
Du ChenThe First Affiliated Hospital of Soochow University, Suzhou, China.
Wei ZhuThe First Affiliated Hospital of Soochow University, Suzhou, China. zhuweizhuwei@suda.edu.cn.
Feng XuThe First Affiliated Hospital of Soochow University, Suzhou, China. sz_xf@suda.edu.cn.
Peng YangThe First Affiliated Hospital of Soochow University, Suzhou, China. yangpeng@suda.edu.cn.ORCID http://orcid.org/0000-0003-2967-4108

Funding

Boxi clinical research project of the First Affiliated Hospital of Soochow University BXLC021
6 · The paper itself

Abstract

introductionTraumatic brain injury (TBI) is a major cause of death and disability in adults. After the injury, patients may experience autonomic dysfunction of the heart, making heart rate variability (HRV) an important factor in predicting their prognosis. This study explored the impact of HRV upon admission on the prognosis of patients with TBI.

methodsThis was a retrospective study that collected clinical data from 172 patients with TBI. Unfavorable prognosis was defined as Glasgow Outcome Scale (GOS) scores < 4, the risk factors were investigated using multivariate logistic regression analysis, and a model for unfavorable prognosis was developed. The prediction value of several models was examined by calculating the area under the receiver operating characteristic (ROC) curve.

resultsAmong all 172 patients, those with unfavorable prognosis (31 patients) had a lower standard deviation of normal-to-normal (NN) interval (SDNN) index than those with favorable prognosis (65 vs. 86; P = 0.001). The GCS score (OR 0.295, P < 0.001), hemoglobin (OR 0.957, P = 0.002), CK-MB (OR 1.164, P = 0.022), and SDNN index (OR 0.973, P = 0.010) were identified as independent risk variables for unfavorable prognosis using multivariate logistic regression analysis, and they were utilized to build the prognosis model. The area under the ROC curve of the prognosis model was 0.939 (95% confidence interval, 0.898-0.979).

conclusionHRV can be used as an independent predictor of unfavorable prognosis in patients with TBI. Including the SDNN index in prognostic models helps to effectively predict the prognosis of adult patients with TBI.

trial registrationClinicalTrial.gov Identifier NCT07024381, retrospectively registered 16 June 2025.

Indexed as

Heart rate variabilityPrognosisSDNN indexTraumatic brain injury

Identifiers

PMID40614040
PMCPMC12450187

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