Evidence map›Paper›PMID 40803679›Full record

ArticleJournal of neurotrauma2025

Severe Pediatric Traumatic Brain Injury Presenting Characteristics: Abusive Versus Accidental Trauma.

Caitlin R McNamara, Rachel P Berger, James F Luther, Michael J Bell, Sandra D W Buttram, Subramanian Subramanian, Jessica L Carpenter, Srikala Narayanan, Stephen R Wisniewski, Patrick M Kochanek and 1 more

Abstract readComparative Study
In one paragraph

Article in Journal of neurotrauma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Caitlin R McNamaraDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Rachel P BergerDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
James F LutherDepartment of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA.
Michael J BellDepartment of Pediatrics, UT Southwestern, Dallas, Texas, USA.
Sandra D W ButtramDepartment of Child Health, Phoenix Children's Hospital, Phoenix, Arizona, USA.
Subramanian SubramanianDepartment of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Jessica L CarpenterDepartments of Pediatrics and Neurology, Division of Pediatric Neurology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Srikala NarayananDepartment of Radiology, Texas Children's Hospital, Houston, Texas, USA.
Stephen R WisniewskiDepartment of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA.
Patrick M KochanekDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-2627-913X
Nikki Miller FergusonDepartment of Pediatrics, Virginia Commonwealth University, Richmond, Virginia, USA.

Funding

Multiple Medical Therapies for Pediatric TBI; Comparative Effectiveness ApproachU01NS081041 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BELL, MICHAEL J, WISNIEWSKI, STEPHEN R · 2013 to 2017
$15.9M
PEDIATRIC NEUROINTENSIVE CARE AND RESUSCITATION RESEARCHT32HD040686 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Robert S B Clark, PATRICK M KOCHANEK · 2000 to 2026
$7.1M
Pediatric Severe Traumatic Brain Injury in Latin America – A Randomized Trial Comparing Two Management ProtocolsR01HD106273 · NICHD · UNIVERSITY OF WASHINGTON · PI CHESNUT, RANDALL M, PRIDGEON, JAMES STEPHEN · 2021 to 2025
$3.0M
NICHD NIH HHS R01 HD106273NICHD NIH HHS T32 HD040686NINDS NIH HHS U01 NS081041
6 · The paper itself

Abstract

Abusive head trauma (AHT) is a leading cause of death in infants and toddlers. The objective of this study was to conduct an age-stratified comparison between children with AHT and accidental Traumatic brain injury TBI (aTBI) in the Approaches and Decisions in Acute Pediatric Traumatic Brain Injury (ADAPT) data. Children with severe TBI and an intracranial pressure monitor placed at a study site in the United States were enrolled from February 1, 2014, to September 31, 2017, and subjects <5 years of age and admitted to a US site were selected for analysis. Subjects were stratified by mechanism ('definite' or 'probable' concern for AHT classified as AHT; 'possible' or 'no' concern for AHT as aTBI) and age (<1 year, 1-2.9-years-, 3-4.9-years). Clinical data including epidemiological, clinical events, and imaging that occurred before monitor placement were compared. Of the 313 subjects (n = 111 AHT), apnea, seizures, and bilateral fixed pupils were more frequently observed in AHT (35.1% vs. 21.8%,

Indexed as

Accidental InjuriesBrain Injuries, TraumaticChild AbuseChild, PreschoolFemaleHumansInfantMaleabusive head traumacerebral ischemiachild abusecomparative effectivenesshead traumaobservational cohort studyposttraumatic seizuressubdural hematoma

Identifiers

PMID40803679
PMCPMC12424126

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.