Evidence map›Paper›PMID 34439663›Full record

ArticleBrain sciences2021

Modulated Neuroprotection in Unresponsive Wakefulness Syndrome after Severe Traumatic Brain Injury.

Cristina Daia, Cristian Scheau, Aura Spinu, Ioana Andone, Cristina Popescu, Corneliu Toader, Ana Maria Bumbea, Madalina Codruta Verenca, Gelu Onose

Abstract read
In one paragraph

Article in Brain sciences, 2021. 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. Review
  4. Review
  5. Review
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

9 authors.

Cristina DaiaDepartment of Medical Rehabilitation, "Carol Davila" University of Medicine and Pharmacy, 041914 Bucharest, Romania.ORCID 0000-0002-9872-6496
Cristian ScheauDepartment of Physiology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0000-0001-7676-6393
Aura SpinuDepartment of Medical Rehabilitation, "Carol Davila" University of Medicine and Pharmacy, 041914 Bucharest, Romania.ORCID 0000-0002-0823-1511
Ioana AndoneDepartment of Medical Rehabilitation, "Carol Davila" University of Medicine and Pharmacy, 041914 Bucharest, Romania.
Cristina PopescuDepartment of Medical Rehabilitation, "Carol Davila" University of Medicine and Pharmacy, 041914 Bucharest, Romania.ORCID 0000-0002-5703-985X
Corneliu ToaderDepartment of Medical Rehabilitation, "Carol Davila" University of Medicine and Pharmacy, 041914 Bucharest, Romania.
Ana Maria BumbeaDepartment of Medical Rehabilitation, University of Medicine and Pharmacy, 200349 Craiova, Romania.ORCID 0000-0001-5132-2788
Madalina Codruta VerencaThe "St. John" Emergency Hospital for Children, 800402 Galati, Romania.
Gelu OnoseDepartment of Medical Rehabilitation, "Carol Davila" University of Medicine and Pharmacy, 041914 Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to assess the effects of modulated neuroprotection with intermittent administration in patients with unresponsive wakefulness syndrome (UWS) after severe traumatic brain injury (TBI).

methodsRetrospective analysis of 60 patients divided into two groups, with and without neuroprotective treatment with Actovegin, Cerebrolysin, pyritinol, L-phosphothreonine, L-glutamine, hydroxocobalamin, alpha-lipoic acid, carotene, DL-α-tocopherol, ascorbic acid, thiamine, pyridoxine, cyanocobalamin, Q 10 coenzyme, and L-carnitine alongside standard treatment.

main outcome measuresGlasgow Coma Scale (GCS) after TBI, Extended Glasgow Coma Scale (GOS E), Disability Rankin Scale (DRS), Functional Independence Measurement (FIM), and Montreal Cognitive Assessment (MOCA), all assessed at 1, 3, 6, 12, and 24 months after TBI.

resultsPatients receiving neuroprotective treatment recovered more rapidly from UWS than controls (

conclusionModulated long-term neuroprotection may be the therapeutic key for patients to overcome UWS after severe TBI.

Indexed as

neurological assessmentneuroprotective treatmentsevere traumatic brain injuryunresponsive wakefulness syndromevegetative state

Identifiers

PMID34439663
PMCPMC8394505

What Socratic 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 Socratic graph.