Evidence map›Paper›PMID 40713822›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025

Interleukin-6 and its association with outcome in traumatic brain injury: a prospective cohort.

Eder Cáceres, Afshin A Divani, Juan Olivella-Gomez, Mario Di Napoli, Luis F Reyes

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. 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

5 authors.

Eder CáceresBioscience PhD. School of Engineering, Universidad de La Sabana, Chía, Colombia. edercare@unisabana.edu.co.
Afshin A DivaniDepartment of Neurology, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Juan Olivella-GomezDepartment of Critical Care, Clínica Universidad de La Sabana, Chía, Colombia.
Mario Di NapoliNeurological Service, Dell'Annunziata Hospital, Sulmona, L'Aquila, Italy.
Luis F ReyesUnisabana Center for Translational Science, School of Medicine, Universidad de La Sabana, Chía, Colombia. luis.reyes5@unisabana.edu.co.

Funding

Universidad de La Sabana MED-351-2023
6 · The paper itself

Abstract

backgroundTraumatic brain injury (TBI) continues to be a major cause of death and disability worldwide. Biomarkers for treatment and prognostication are needed for counseling and clinical management.

objectiveIn this study, we evaluated the ability of serum IL-6 to predict mortality and disability in a population whith moderate and severe TBI (msTBI).

methodsAdult patients with msTBI were included consecutively from December 2019 to August 2023. Clinical data were collected during hospital stays and functional outcome was established at 6 months using GOSE. Serum IL-6 levels were measured on day 0, day 3 and day 7 after injury.

resultsEighty-eight patients were recruited and completed 6-month follow-up. Clinical variables associated with the 6-month adverse outcome were admission GCS (OR 0.77 95% CI 0.67-0.87, p < 0.001), age (OR 1.10 95% CI 1.03-1.1, p = 0.001), Rotterdam score (OR 2.8 95% CI 1.7-5.0, p < 0.001), hospital infections (OR 4.7 95% CI 1.9-12.1, p < 0.001) and day-0 IL-6 (OR 1.1 95% CI 1.08-1.13, p < 0.001). When adjusted for age, severity of injury,and the presence of a hospital infection, day-0 IL-6 was significantly associated with the adverse outcome at 6 months (OR 1.15 95% CI 1.1-1.2, p = 0.031). Area under the curve (AUC) of 89% (95% CI 82%-96%). Calculated sensitivity and specificity were 75% and 89%, respectively, at a cut-off point of 59 pg/ml.

conclusionIn a population of msTBI, levels of serum interleukin-6 within the first 24 h after injury is an independent predictor of 6-month mortality and disability with a net benefit in clinical decision-making across relevant threshold probabilities.

Indexed as

Brain Injuries, TraumaticInterleukin-6AdultBiomarkersFemaleHumansMaleMiddle AgedPrognosisProspective StudiesBiomarkersInterleukin-6BiomarkerInflammationInflammatory responseInterleukinPrognosticationTraumaTraumatic brain injury

Identifiers

PMID40713822
PMCPMC12296603

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.