Evidence map›Paper›PMID 41182259›Full record

ArticleJournal of neurotrauma2026

Multimodal Biomarkers of Consciousness in Acute Severe Traumatic Brain Injury.

Yelena G Bodien, Matteo Fecchio, Natalie Gilmore, Holly J Freeman, William R Sanders, Anogue Meydan, Phoebe K Lawrence, Alexander S Atalay, John Kirsch, Brian C Healy and 1 more

Abstract read
In one paragraph

Article in Journal of neurotrauma, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Covert brain complexity in the intensive care unit.Cortex; a journal devoted to the study of the nervous system and behavior · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Preservation of anticorrelated brain networks predicts recovery after traumatic brain injury.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Yelena G BodienCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-4858-2903
Matteo FecchioCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Natalie GilmoreCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-2935-8386
Holly J FreemanCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.
William R SandersCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Anogue MeydanCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Phoebe K LawrenceCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Alexander S AtalayCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.
John KirschAthinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts, USA.
Brian C HealyDepartment of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Brian L EdlowCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-7235-8456

Funding

A Connectome-Based Clinical Trial Platform to Promote Early Recovery of Consciousness after Traumatic ComaDP2HD101400 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI EDLOW, BRIAN L. · 2019 to 2019
$2.5M
Brainstem Connectome Mapping to Guide Targeted Stimulant Therapy in Patients with Traumatic ComaR21NS109627 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI EDLOW, BRIAN L. · 2019 to 2020
$480k
NICHD NIH HHS DP2 HD101400NINDS NIH HHS R21 NS109627
6 · The paper itself

Abstract

Predicting outcome for patients with acute severe traumatic brain injury (TBI) is imprecise, relying on neurological examination, structural neuroimaging, and resting-state electroencephalography (EEG) to serve as proxies for brain function. We implemented a multimodal assessment protocol to determine whether detection of consciousness using advanced tools, including standardized behavioral evaluation, advanced EEG, and functional magnetic resonance imaging (fMRI), is associated with functional outcome in patients with acute severe TBI admitted to the intensive care unit (ICU). We tested the association between 6-month Disability Rating Scale (DRS) scores and acute level of consciousness on the Coma Recovery Scale-Revised (CRS-R); responses to active-motor-imagery and passive-language EEG and fMRI; and resting-state fMRI default mode network (DMN) connectivity. We consecutively enrolled 55 patients with acute severe TBI. Six-month outcome was available in 45 (45.2 ± 20.7 years old, 70% male), of whom 10 died, all due to withdrawal of life-sustaining treatment (WLST). All deaths occurred in participants who were not behaviorally following commands. Lower (i.e., better) 6-month DRS scores were observed in participants who were younger (ρ = 0.401; 95% confidence interval [CI: 0.078, 0.649];

Indexed as

Brain Injuries, TraumaticConsciousnessAdultAgedBiomarkersConsciousness DisordersElectroencephalographyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedBiomarkerscognitive motor dissociationcomaconsciousnessdisorders of consciousnessEEGfunctional MRIintensive care unittraumatic brain injury

Identifiers

PMID41182259
PMCPMC13191150

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.