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Decreasing adrenergic or sympathetic hyperactivity after severe traumatic brain injury using propranolol and clonidine (DASH After TBI Study): study protocol for a randomized controlled trial

Overview of attention for article published in Trials, September 2012
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Title
Decreasing adrenergic or sympathetic hyperactivity after severe traumatic brain injury using propranolol and clonidine (DASH After TBI Study): study protocol for a randomized controlled trial
Published in
Trials, September 2012
DOI 10.1186/1745-6215-13-177
Pubmed ID
Authors

Mayur B Patel, John W McKenna, JoAnn M Alvarez, Ayaka Sugiura, Judith M Jenkins, Oscar D Guillamondegui, Pratik P Pandharipande

Abstract

Severe TBI, defined as a Glasgow Coma Scale ≤ 8, increases intracranial pressure and activates the sympathetic nervous system. Sympathetic hyperactivity after TBI manifests as catecholamine excess, hypertension, abnormal heart rate variability, and agitation, and is associated with poor neuropsychological outcome. Propranolol and clonidine are centrally acting drugs that may decrease sympathetic outflow, brain edema, and agitation. However, there is no prospective randomized evidence available demonstrating the feasibility, outcome benefits, and safety for adrenergic blockade after TBI.

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Mendeley readers

The data shown below were compiled from readership statistics for 209 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 4 2%
Japan 1 <1%
United Kingdom 1 <1%
Germany 1 <1%
Unknown 202 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 31 15%
Student > Master 27 13%
Student > Doctoral Student 21 10%
Other 17 8%
Student > Bachelor 17 8%
Other 42 20%
Unknown 54 26%
Readers by discipline Count As %
Medicine and Dentistry 82 39%
Psychology 16 8%
Nursing and Health Professions 11 5%
Neuroscience 11 5%
Pharmacology, Toxicology and Pharmaceutical Science 7 3%
Other 23 11%
Unknown 59 28%