Evidence map›Paper›PMID 42778239›Full record

Observational studyBMJ open2026

Long-term recovery and microbiota-gut-brain axis disruption after traumatic brain injury (OVERCOME-TBI): protocol for a prospective, observational clinical study.

Matti Artosalo, Anna Östberg, Olli Tenovuo, Timo Roine, Mehrbod Mohammadian, Teemu Kallonen, Kimmo Salminen, Teppo Stenholm, Antti Hakanen, Teija Sainio and 12 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06927063 (Long-term Recovery and Microbiota-Gut-Brain Axis Disruption After Traumatic Brain Injury), which is not on this 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.

NCT06927063 not yet recruitingnot on this map

Long-term Recovery and Microbiota-Gut-Brain Axis Disruption After Traumatic Brain Injury

Typeobservational_patient_registrySponsorTurku University HospitalRan2025 to 2028Enrolled160ConditionsTraumatic Brain InjuryArmsblood-based protein biomarker assessments, blood-based metabolomic/lipidomic biomarker assessments, Diffusion-weighted magnetic resonance imaging (brain), Structural magnetic resonance imaging (brain), PET imaging (brain)
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

22 authors.

Matti ArtosaloAbdominal Centre - Gastroenterology, University of Turku and Turku University Hospital, Turku, Finland.
Anna ÖstbergNeurocenter, Department of Neurosurgery and Turku Brain Injury Center, Turku University Hospital, Turku, Finland.
Olli TenovuoClinical Neurosciences, University of Turku, Turku, Finland.
Timo RoineDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
Mehrbod MohammadianClinical Neurosciences, University of Turku, Turku, Finland.
Teemu KallonenDepartment of Clinical Microbiology, Turku Clinical Microbiome Bank, Turku University Hospital, Turku, Finland.
Kimmo SalminenAbdominal Centre - Gastroenterology, University of Turku and Turku University Hospital, Turku, Finland.
Teppo StenholmAbdominal Centre - Gastroenterology, University of Turku and Turku University Hospital, Turku, Finland.
Antti HakanenDepartment of Clinical Microbiology, Turku Clinical Microbiome Bank, Turku University Hospital, Turku, Finland.
Teija SainioDepartment of Medical Physics, University of Turku and Turku University Hospital, Turku, Finland.
Jussi HirvonenDepartment of Radiology, Turku University and Turku University Hospital, Turku, Finland.
Alex M DickensTurku Bioscience Centre, University of Turku and Åbo Akademi University, Turku, Finland.
Matej OrešićTurku Bioscience Centre, University of Turku and Åbo Akademi University, Turku, Finland.
András BükiSchool of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID http://orcid.org/0000-0002-2190-9278
Tuulia HyötyläinenSchool of Science and Technology, Örebro University, Örebro, Sweden.
David MenonDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-3228-9692
Virginia NewcombeDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-6044-9035
Anne-Cécile ChiollazFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Jean-Charles SanchezFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Stefania MondelloDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.ORCID http://orcid.org/0000-0002-8587-3614
Laura AirasClinical Neurosciences, University of Turku, Turku, Finland.
Jussi P PostiNeurocenter, Department of Neurosurgery and Turku Brain Injury Center, Turku University Hospital, Turku, Finland jussi.posti@utu.fi.ORCID http://orcid.org/0000-0002-5925-5193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTraumatic brain injury (TBI) is a major cause of long-term disability worldwide, but the pathophysiological mechanisms underlying its chronic sequelae remain incompletely understood. In addition to persistent neuroinflammation, evidence suggests that dysregulation of the gut microbiota influences brain recovery. The OVERCOME-TBI study investigates the long-term functional, cognitive, imaging, biochemical and gastrointestinal outcomes after TBI of all severities, with the aim of identifying biomarkers and microbiome signatures associated with progressive neurodegeneration and poor recovery. METHODS AND ANALYSIS: This is a prospective, observational study with long-term follow-up of two previously established TBI cohorts-the Evidence-based Diagnostic and Treatment Planning Solution for Traumatic Brain Injuries (TBIcare; recruited 2011-2013) and the Pathophysiological Characterisation of Severe TBI (PACoS-TBI; recruited 2020-2023). The design combines prospectively collected acute and subacute data from the original cohorts with new cross-sectional assessments performed at chronic time points (2-5 and 12-15 years post-injury). Participants are re-contacted and re-consented for these chronic-phase assessments. Up to 160 patients with TBI and 30 orthopaedic injury controls will undergo multimodal examinations: neurological and neuropsychological testing, advanced MRI including multishell diffusion and resting-state functional MRI, positron emission tomography (PET) with the radioligand [ ETHICS AND DISSEMINATION: Ethical approval has been obtained from the Ethical Committee of the Wellbeing Services County of Southwest Finland. Written informed consent will be obtained from all participants. The results will be disseminated through peer-reviewed publications, conference presentations and stakeholder engagement, with the aim of developing personalised diagnostics and novel therapeutic targets to alleviate the chronic consequences of TBI. TRIAL REGISTRATION NUMBER: NCT06927063.

Indexed as

BrainBrain-Gut AxisBrain Injuries, TraumaticGastrointestinal MicrobiomeAdultBiomarkersCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleProspective StudiesRecovery of FunctionResearch DesignBiomarkersBrain InjuriesGastrointestinal MicrobiomeMicrobiotaNEUROLOGYNEUROSURGERY

Identifiers

PMID42778239
PMCPMC13630022

What OpenQuestion holds

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Registered trials

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.