Evidence map›Paper›PMID 42667033›Full record

ReviewBrain circulation

Reframing the "mild" in mild traumatic brain injury: A comprehensive narrative review of diagnosis and treatment paradigms.

Shibu Sasidharan, François Mathieu, Nidhi Patil, Puja Rani, Sunali Nanayakkara, Sean Y W Tan, Juranuch Rojprasitporn

Abstract readReview
In one paragraph

Review in Brain circulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Shibu SasidharanDepartment of Anaesthesiology, Critical Care Medicine, and Emergency Medicine, Base Hospital, Delhi Cantt, New Delhi, India.
François MathieuDepartment of Surgery, Division of Neurosurgery, and Interdepartmental Division of Critical Care, St. Michael's Hospital, Unity Health Toronto, University of Toronto, Toronto, Canada.
Nidhi PatilDepartment of Emergency, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, United Kingdom.
Puja RaniDepartment of Intensive Care, Charing Cross Hospital, London, United Kingdom.
Sunali NanayakkaraThe Neurosciences Critical Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Sean Y W TanDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.
Juranuch RojprasitpornThe Neurosciences Critical Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mild traumatic brain injury (mTBI) constitutes a pervasive yet often overlooked public health challenge with far-reaching implications for individual well-being and healthcare systems globally. This review synthesizes contemporary evidence on diagnosis, management, and emerging treatment paradigms for mTBI using a structured, comprehensive literature search strategy. Through comprehensive literature analysis spanning multiple databases-PubMed, Cochrane Library, EMBASE, and Web of Science-from January 2018 to January 2025. A total of 183 studies met inclusion criteria, comprising 42 systematic reviews and meta-analyses, 58 randomized controlled trials, and 83 observational studies. We have identified transformative advances in biomarker research, neuroimaging techniques, and targeted interventions while uncovering persistent challenges in standardizing diagnostic and treatment protocols. Recent randomized controlled trials and meta-analyses reveal promising outcomes for early intervention strategies, cognitive rehabilitation approaches, and novel pharmacological treatments. However, methodological limitations-including heterogeneous mTBI definitions, inconsistent outcome measures, and insufficient long-term follow-up-underscore the need for large-scale trials using standardized definitions and common data elements. Future research must prioritize personalized treatment approaches, integration of cutting-edge technology in assessment and monitoring, and addressing the troubling disparities in access to specialized care for mTBI patients-particularly among vulnerable populations.

Indexed as

Biomarkersclinical decision rulescognitive rehabilitationconcussionexercise therapymild traumatic brain injuryneuroimagingreturn-to-play

Identifiers

PMID42667033
PMCPMC13524404

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.