Evidence map›Paper›PMID 41043845›Full record

ArticleBMJ open2025

Brain tissue oxygen monitoring for severe traumatic brain injury: the international multicentre randomised controlled BONANZA-GT study protocol.

Andrew Alexander Udy, Toby Jeffcote, Camila R Battistuzzo, Aideen Sharry, Alexios A Adamides, Kate Ainscough, Patricia V Alliegro, James Anstey, Michael Bailey, Jesús Abelardo Barea-Mendoza and 27 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

37 authors.

Andrew Alexander UdyAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia Andrew.Udy@monash.edu.ORCID http://orcid.org/0000-0002-6284-2022
Toby JeffcoteAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
Camila R BattistuzzoAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0009-0005-7141-4432
Aideen SharryClinical Research Centre, University College Dublin, Dublin, Ireland.
Alexios A AdamidesDepartment of Neurosurgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Kate AinscoughClinical Research Centre, University College Dublin, Dublin, Ireland.
Patricia V AlliegroAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
James AnsteyDepartment of Intensive Care, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
Michael BaileyAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
Jesús Abelardo Barea-MendozaIntensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Comunidad de Madrid, Spain.
Judith BellapartRoyal Brisbane and Women's Hospital, Metro North Health, Queensland, Australia.
Pierre BouzatDepartment of Anaesthesia and Intensive Care, Centre Hospitalier Universitaire de Grenoble, Grenoble, France.ORCID http://orcid.org/0000-0003-4667-6738
Kathleen ByrneDepartment of Intensive Care, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
Anthony DelaneyCritical Care Program, The George Institute for Global Health, Sydney, New South Wales, Australia.
Katharine J DrummondDepartment of Neurosurgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Matthias HaenggiInstitute of Intensive Care Medicine, University Hospital Zurich, Zürich, Switzerland.
Leanne M HaysClinical Research Centre, University College Dublin, Dublin, Ireland.
Alisa HigginsAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
Olivier HuetDepartment of Anaesthesia and Critical Care, Brest University Hospital Centre, Brest, Brittany, France.
Martin K HunnDepartment of Neurosurgery, Alfred Hospital, Melbourne, Victoria, Australia.
Stephan M JakobUniversity of Bern, Bern, Switzerland.
Philip M LewisDepartment of Surgery, Monash University, Melbourne, Victoria, Australia.
Kuan-Ying LuAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
David MenonDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-3228-9692
James MooreIntensive Care Unit, Wellington Hospital, Wellington, New Zealand.
Patrick T MurraySchool of Medicine, University College Dublin, Dublin, Ireland.ORCID http://orcid.org/0000-0001-8516-1839
John PorterIntensive Care Unit, University Hospitals Sussex NHS Foundation Trust, Worthing, UK.
Benjamin ReddiIntensive Care Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Jeffrey V RosenfeldDepartment of Neurosurgery, Alfred Hospital, Melbourne, Victoria, Australia.
Jonathon D TaylorDepartment of Critical Care Medicine, Auckland City Hospital, Auckland, New Zealand.
Anthony TrapaniAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
Shirley VallanceAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
Stefan WolfDepartment of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jean-Francois PayenDepartment of Anaesthesia and Intensive Care, Centre Hospitalier Universitaire de Grenoble, Grenoble, France.
Fabio Silvio TacconeDepartment of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Bruxelles, Belgium.
Alistair NicholAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
D James CooperAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe management of severe traumatic brain injury (sTBI) in the intensive care unit (ICU) is focused on preventing secondary brain insults, by ensuring adequate cerebral perfusion, oxygenation and substrate delivery. Despite optimisation of intracranial pressure (ICP) and cerebral perfusion pressure (CPP) using evidence-based guidelines, brain tissue hypoxia can still occur and is strongly associated with adverse functional outcomes post sTBI. METHODS AND ANALYSIS: The Brain Oxygen Neuromonitoring in Australia and New Zealand Assessment - Global Trial (BONANZA-GT) is an international, two-arm, open-label, parallel group, randomised controlled trial comparing sTBI management incorporating early brain tissue oxygen (PbtO ETHICS AND DISSEMINATION: Approval has been obtained from relevant ethics boards in every jurisdiction that is participating in the trial. Inclusion of adults who lack capacity for informed consent will be governed in accordance with the legal requirements of each participating site. Study findings will be presented at scientific meetings and disseminated via peer-review publications. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trials Registry (ACTRN 12619001328167).

Indexed as

BrainBrain Injuries, TraumaticOxygenAdultAustraliaClinical Trials, Phase III as TopicGlasgow Outcome ScaleHumansIntensive Care UnitsIntracranial PressureMonitoring, PhysiologicMulticenter Studies as TopicNew ZealandRandomized Controlled Trials as TopicOxygenBrain hypoxiaIntensive CareIntracranial pressureSurgeryTraumatic Brain Injury

Identifiers

PMID41043845
PMCPMC12496108

What OpenQuestion holds

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LicenceCC BY
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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.