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Funding Agency and Grant Number: European Union [602150]; Hannelore Kohl Stiftung (Germany); OneMind (USA); Integra LifeSciences Corporation (USA)
Funding text: Data used in preparation of this article were obtained in the context of CENTER-TBI, a large collaborative project with the support of the European Union 7th Framework program (EC grant 602150). Additional funding was obtained from the Hannelore Kohl Stiftung (Germany), from OneMind (USA), and from Integra LifeSciences Corporation (USA).
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Association between Cerebrovascular Reactivity Monitoring and Mortality Is Preserved When Adjusting for Baseline Admission Characteristics in Adult Traumatic Brain Injury : A CENTER-TBI Study
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Cerebral autoregulation, as measured using the pressure reactivity index (PRx), has been related to global patient outcome in adult patients with traumatic brain injury (TBI). To date, this has been documented without accounting for standard baseline admission characteristics and intracranial pressure (ICP). We evaluated this association, adjusting for baseline admission characteristics and ICP, in a multi-center, prospective cohort. We derived PRx as the correlation between ICP and mean arterial pressure in prospectively collected multi-center data from the High-Resolution Intensive Care Unit (ICU) cohort of the Collaborative European NeuroTrauma Effectiveness Research in TBI (CENTER-TBI) study. Multi-variable logistic regression models were analyzed to assess the association between global outcome (measured as either mortality or dichotomized Glasgow Outcome Score-Extended [GOSE]) and a range of covariates (IMPACT [International Mission for Prognosis and Analysis of Clinical Trials] Core and computed tomography [CT] variables, ICP, and PRx). Performance of these models in outcome association was compared using area under the receiver operating curve (AUC) and Nagelkerke's pseudo-R2. One hundred ninety-three patients had a complete data set for analysis. The addition of percent time above threshold for PRx improved AUC and displayed statistically significant increases in Nagelkerke's pseudo-R2 over the IMPACT Core and IMPACT Core + CT models for mortality. The addition of PRx monitoring to IMPACT Core ± CT + ICP models accounted for additional variance in mortality, when compared to models with IMPACT Core ± CT + ICP alone. The addition of cerebrovascular reactivity monitoring, through PRx, provides a statistically significant increase in association with mortality at 6 months. Our data suggest that cerebrovascular reactivity monitoring may provide complementary information regarding outcomes in TBI.
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<div class="JournalArticle Publication short-list"> <div class="authors"> <span class="author-name" > Zeiler, Frederick A ✉ </span> <span class="author-type"> </span> ; <span class="author-name" > Ercole, Ari </span> <span class="author-type"> </span> ; <span class="author-name" > Beqiri, Erta </span> <span class="author-type"> </span> ; <span class="author-name" > Cabeleira, Manuel </span> <span class="author-type"> </span> ; <span class="author-name" > Thelin, Eric P </span> <span class="author-type"> </span> ; <span class="author-name" > Stocchetti, Nino </span> <span class="author-type"> </span> ; <span class="author-name" > Steyerberg, Ewout W </span> <span class="author-type"> </span> ; <span class="author-name" > Maas, Andrew I R </span> <span class="author-type"> </span> ; <span class="author-name" > Menon, David K </span> <span class="author-type"> </span> ; <span class="author-name" > Czosnyka, Marek </span> <span class="author-type"> </span> et al. </div ><div class="title"><a href="/gui2/?mode=browse¶ms=publication;31129346" mtid="31129346" target="_blank">Association between Cerebrovascular Reactivity Monitoring and Mortality Is Preserved When Adjusting for Baseline Admission Characteristics in Adult Traumatic Brain Injury : A CENTER-TBI Study</a></div> <div class="pub-info"> <span class="journal-title">JOURNAL OF NEUROTRAUMA</span> <span class="journal-volume">37</span> : <span class="journal-issue">10</span> <span class="page"> pp. 1233-1241. , 9 p. </span> <span class="year">(2020)</span> </div> <div class="pub-end"><div class="identifier-list"> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1089/neu.2019.6808" target="_blank" href="https://doi.org/10.1089/neu.2019.6808"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000504889700001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000504889700001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85078440223" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85078440223"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="31760893" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=31760893&dopt=Abstract"> PubMed </a> </span> </span> </div> <div class="short-pub-prop-list"> <span class="short-pub-mtid"> Közlemény:31129346 </span> <span class="status-holder"><span class="status-data status-VALIDATED"> Egyeztetett </span></span> <span class="pub-core">Forrás Idéző </span> <span class="pub-type">Folyóiratcikk (Sokszerzős vagy csoportos szerzőségű szakcikk ) </span> <!-- && !record.category.scientific --> <span class="pub-category">Tudományos</span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 51</span> | Független: 8 | Függő: 43 | Nem jelölt: 0 | WoS jelölt: 47 | Scopus jelölt: 50 | WoS/Scopus jelölt: 51 | DOI jelölt: 51 </div> </div> </div> </div><div class="JournalArticle Publication long-list">
<div class="authors">
<img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png">
<img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png">
<div class="autype autype0"> <span class="author-name" >Zeiler Frederick A ✉
</span>
;
<span class="author-name" >Ercole Ari
</span>
;
<span class="author-name" >Beqiri Erta
</span>
;
<span class="author-name" >Cabeleira Manuel
</span>
;
<span class="author-name" >Thelin Eric P
</span>
;
<span class="author-name" >Stocchetti Nino
</span>
;
<span class="author-name" >Steyerberg Ewout W
</span>
;
<span class="author-name" >Maas Andrew I R
</span>
;
<span class="author-name" >Menon David K
</span>
;
<span class="author-name" >Czosnyka Marek
</span>
;
<span class="author-name" >Smielewski Peter
</span>
</div>
<div class="autype autype-11"> Kollaborációs közreműködő:
<span class="author-name" >Anke Audny
</span>
;
<span class="author-name" mtid="10002667"><a
href="/gui2/?type=authors&mode=browse&sel=10002667" target="_blank">Buki Andras
(<span class="authorship-author-name">Büki András</span>
<span class="authorAux-mtmt"> Idegsebészet, idegtudományok</span>)
</a>
</span>
;
<span class="author-name" mtid="10016335"><a
href="/gui2/?type=authors&mode=browse&sel=10016335" target="_blank">Czeiter Endre
(<span class="authorship-author-name">Czeiter Endre</span>
<span class="authorAux-mtmt"> Neurotrauma</span>)
</a>
</span>
;
et al. (37)
</div>
<div class="autype autype-29"> Kollaborációs szervezet:
<span class="author-affil">CENTER-TBI High Resolution ICU (HR ICU) Sub-Study Participants and Investigators</span>
</div>
<div><a target="_blank" href="/api/publication/31129346?labelLang=hun">Összes szerző</a></div>
</div>
<div class="title"><a href="/gui2/?mode=browse¶ms=publication;31129346" target="_blank">Association between Cerebrovascular Reactivity Monitoring and Mortality Is Preserved When Adjusting for Baseline Admission Characteristics in Adult Traumatic Brain Injury : A CENTER-TBI Study</a></div> <div> <span class="journal-title">JOURNAL OF NEUROTRAUMA</span>
<span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0897-7151">0897-7151</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1557-9042">1557-9042</a>)</span>:
<span class="journal-volume">37</span> <span class="journal-issue">10</span>
<span class="page">
pp 1233-1241
</span> <span class="year">(2020)</span>
</div>
<div class="pub-footer">
<span class="language" xmlns="http://www.w3.org/1999/html">Nyelv:
Angol
| </span>
<span class="identifiers">
<span class="id identifier oa_none" title="none">
<a style="color:blue" title="10.1089/neu.2019.6808" target="_blank" href="https://doi.org/10.1089/neu.2019.6808">
DOI
</a>
</span>
<span class="id identifier oa_none" title="none">
<a style="color:blue" title="000504889700001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000504889700001">
WoS
</a>
</span>
<span class="id identifier oa_none" title="none">
<a style="color:blue" title="85078440223" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85078440223">
Scopus
</a>
</span>
<span class="id identifier oa_none" title="none">
<a style="color:blue" title="31760893" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=31760893&dopt=Abstract">
PubMed
</a>
</span>
</span>
<div class="publication-citation" style="margin-left: 0.5cm;">
<span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 51</span>
| Független: 8
| Függő: 43
| Nem jelölt: 0
| WoS jelölt: 47
| Scopus jelölt: 50
| WoS/Scopus jelölt: 51
| DOI jelölt: 51
</div>
<div class="publication-citation">
<a target="_blank" href="/api/publication?cond=citations.related;eq;31129346&sort=publishedYear,desc&sort=title">
Idézett közlemények száma: 2
</a>
</div>
<div class="mtid"><span class="long-pub-mtid">Közlemény: 31129346</span>
| <span class="status-data status-VALIDATED"> Egyeztetett
</span>
Forrás Idéző
| <span class="type-subtype">Folyóiratcikk
( Sokszerzős vagy csoportos szerzőségű szakcikk
)
</span>
| <span class="pub-category">Tudományos</span>
| <span class="publication-sourceOfData">PubMed XML</span>
</div>
<div class="lastModified">Utolsó módosítás: 2023.09.02. 17:32 Milánkovics Róbert (PTE ÁOK admin 4)
</div>
<pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Funding Agency and Grant Number: European Union [602150]; Hannelore Kohl Stiftung (Germany); OneMind (USA); Integra LifeSciences Corporation (USA)
Funding text: Data used in preparation of this article were obtained in the context of CENTER-TBI, a large collaborative project with the support of the European Union 7th Framework program (EC grant 602150). Additional funding was obtain...</pre>
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