Evidence map›Paper›PMID 33855730›Full record

ArticleAnnals of neurology2021

Cerebrovascular Neuroprotection after Acute Concussion in Adolescents.

Stacey E Aaron, Jason W Hamner, Erin D Ozturk, Danielle L Hunt, Mary Alexis Iaccarino, William P Meehan, David R Howell, Can Ozan Tan

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
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 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. A systematic review, meta-analysisJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Stacey E AaronDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA.ORCID 0000-0002-2532-8278
Jason W HamnerSpaulding Rehabilitation Hospital, Boston, MA.
Erin D OzturkSpaulding Rehabilitation Hospital, Boston, MA.
Danielle L HuntBoston Children's Hospital, Boston, MA.
Mary Alexis IaccarinoDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA.
William P MeehanBoston Children's Hospital, Boston, MA.
David R HowellBoston Children's Hospital, Boston, MA.
Can Ozan TanDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA.
Boston Children's Hospital · USHarvard University · USSpaulding Rehabilitation Hospital · US

Funding

Improving quantitative recovery outcomes from concussion with aerobic exercise trainingR03HD094560 · NICHD · UNIVERSITY OF COLORADO DENVER · PI HOWELL, DAVID R. · 2018 to 2019
$318k
Cerebrovascular Function as a Marker for Optimal Timing and Intensity of Exercise after ConcussionR03NS106444 · NINDS · SPAULDING REHABILITATION HOSPITAL · PI TAN, CAN OZAN · 2018 to 2019
$174k
Eunice Kennedy Shriver National Institute of Child Health and Human Development R03HD094560NICHD NIH HHS R03 HD094560NINDS NIH HHS R03 NS106444NINDS NIH HHS R03NS106444
6 · The paper itself

Abstract

objectiveTo assess acute cerebrovascular function in concussed adolescents (14-21 years of age), whether it is related to resting cerebral hemodynamics, and whether it recovers chronically.

methodsCerebral vasoreactivity and autoregulation, based on middle cerebral artery blood flow velocity, was assessed in 28 concussed participants (≤14 days of injury) and 29 matched controls. The participants in the concussion group returned for an 8-week follow-up assessment. Over the course of those 8-weeks, participants recorded aerobic exercise frequency and duration.

resultsBetween groups, demographic, clinical, and hemodynamic variables were not significantly different. Vasoreactivity was significantly higher in the concussed group (p = 0.02). Within the concussed group, 60% of the variability in resting cerebral blood flow velocity was explained by vasoreactivity and two components of autoregulation - falling slope and effectiveness of autoregulation (adjusted R

interpretationConcussion resulted in changes in cerebrovascular regulatory mechanisms, which in turn explained the variability in resting cerebral blood flow velocity and acute symptom burden. Furthermore, these alterations persisted chronically despite symptom resolution, but was positively modified by aerobic exercise volume. These findings provide a mechanistic framework for further investigation into underlying cerebrovascular related symptomatology. ANN NEUROL 2021;90:43-51.

Indexed as

AdolescentBlood Flow VelocityBrain ConcussionCerebrovascular CirculationFemaleFollow-Up StudiesHemodynamicsHomeostasisHumansMaleNeuroprotectionYoung Adult

Identifiers

PMID33855730
PMCPMC12980786
OpenAlexW3155011893

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.