Evidence map›Paper›PMID 36983181›Full record

ReviewJournal of clinical medicine2023

Multi-Mechanistic Approaches to the Treatment of Traumatic Brain Injury: A Review.

Daniel G Lynch, Raj K Narayan, Chunyan Li

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. White matter injury after brain ischemia.Experimental neurology · 2026
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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

3 authors at 2 institutions in 1 country.

Daniel G LynchTranslational Brain Research Laboratory, The Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA.ORCID 0000-0001-7254-3758
Raj K NarayanTranslational Brain Research Laboratory, The Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA.ORCID 0000-0002-5587-8430
Chunyan LiTranslational Brain Research Laboratory, The Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA.
Northwell Health · USFeinstein Institute for Medical Research · US

Funding

Trigeminal nerve stimulation to modulate cortical spreading depolarizations after brain injuryR21NS114763 · NINDS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI LI, CHUNYAN · 2020 to 2021
$461k
NINDS NIH HHS R21 NS114763US Army Medical Research and Materiel Command W81XWH-18-1-0773
6 · The paper itself

Abstract

Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Despite extensive research efforts, the majority of trialed monotherapies to date have failed to demonstrate significant benefit. It has been suggested that this is due to the complex pathophysiology of TBI, which may possibly be addressed by a combination of therapeutic interventions. In this article, we have reviewed combinations of different pharmacologic treatments, combinations of non-pharmacologic interventions, and combined pharmacologic and non-pharmacologic interventions for TBI. Both preclinical and clinical studies have been included. While promising results have been found in animal models, clinical trials of combination therapies have not yet shown clear benefit. This may possibly be due to their application without consideration of the evolving pathophysiology of TBI. Improvements of this paradigm may come from novel interventions guided by multimodal neuromonitoring and multimodal imaging techniques, as well as the application of multi-targeted non-pharmacologic and endogenous therapies. There also needs to be a greater representation of female subjects in preclinical and clinical studies.

Indexed as

combination therapymultimodal neuromonitoringmultimodal therapynon-pharmacologicpharmacologictraumatic brain injury

Identifiers

PMID36983181
PMCPMC10052098
OpenAlexW4324065215

What Socratic holds

Textmetadata
LicenceCC BY
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.