Effects of cerebrolysin on functional outcome of patients with traumatic brain injury: a systematic review and meta-analysis.

GOS Glasgow Coma Scale TBI cerebrolysin functional outcome mRS modified Rankin Scale traumatic brain injury

Journal

Neuropsychiatric disease and treatment
ISSN: 1176-6328
Titre abrégé: Neuropsychiatr Dis Treat
Pays: New Zealand
ID NLM: 101240304

Informations de publication

Date de publication:
2019
Historique:
entrez: 16 1 2019
pubmed: 16 1 2019
medline: 16 1 2019
Statut: epublish

Résumé

Traumatic brain injury (TBI) remains a main public health problem being associated with high mortality and morbidity. The functional outcome of TBI remains unfavorable despite several surgical and medical therapies. Cerebrolysin is a neuropeptide with potential neuroregenerative entities. The aim of the current systematic review and meta-analysis was to investigate the effects of cerebrolysin on functional outcome in patients with moderate and severe TBI. Online databases used included Medline, Scopus, EMBASE, Google Scholar, Web of Science, and Cochrane Library. All the relevant studies with randomized clinical trial and cohort design evaluating the effects of intravenous cerebrolysin vs placebo on functional outcome of patients with TBI within the English literature up to October 2018 were included. The articles were reviewed by two independent authors and the data were extracted to a data sheet. Five articles (5,685 participants) were included in the current meta-analysis. The overall pooled findings using random-effects models among patients with TBI indicated that intravenous administration of cerebrolysin significantly increased Glasgow Outcome Scale score (SMD =0.30; 95% CI: 0.18 to 0.42; The results are mainly based on cohort studies and there is a lack of clinical trials in the literature. There is also heterogeneity among the studies regarding the dosage and duration of administration and the measurement of functional outcome. The results of the current study revealed that intravenous administration of cerebrolysin is associated with improved functional outcome in patients with TBI measured by the Glasgow Outcome Scale and the modified Rankin Scale scores.

Sections du résumé

BACKGROUND BACKGROUND
Traumatic brain injury (TBI) remains a main public health problem being associated with high mortality and morbidity. The functional outcome of TBI remains unfavorable despite several surgical and medical therapies. Cerebrolysin is a neuropeptide with potential neuroregenerative entities.
OBJECTIVE OBJECTIVE
The aim of the current systematic review and meta-analysis was to investigate the effects of cerebrolysin on functional outcome in patients with moderate and severe TBI.
DATA SOURCES METHODS
Online databases used included Medline, Scopus, EMBASE, Google Scholar, Web of Science, and Cochrane Library.
STUDY ELIGIBILITY CRITERIA METHODS
All the relevant studies with randomized clinical trial and cohort design evaluating the effects of intravenous cerebrolysin vs placebo on functional outcome of patients with TBI within the English literature up to October 2018 were included.
STUDY APPRAISAL AND SYNTHESIS METHODS METHODS
The articles were reviewed by two independent authors and the data were extracted to a data sheet.
RESULTS RESULTS
Five articles (5,685 participants) were included in the current meta-analysis. The overall pooled findings using random-effects models among patients with TBI indicated that intravenous administration of cerebrolysin significantly increased Glasgow Outcome Scale score (SMD =0.30; 95% CI: 0.18 to 0.42;
LIMITATIONS CONCLUSIONS
The results are mainly based on cohort studies and there is a lack of clinical trials in the literature. There is also heterogeneity among the studies regarding the dosage and duration of administration and the measurement of functional outcome.
CONCLUSION CONCLUSIONS
The results of the current study revealed that intravenous administration of cerebrolysin is associated with improved functional outcome in patients with TBI measured by the Glasgow Outcome Scale and the modified Rankin Scale scores.

Identifiants

pubmed: 30643411
doi: 10.2147/NDT.S186865
pii: ndt-15-127
pmc: PMC6311329
doi:

Types de publication

Journal Article

Langues

eng

Pagination

127-135

Déclaration de conflit d'intérêts

Disclosure The authors report no conflicts of interest in this work.

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Auteurs

Fariborz Ghaffarpasand (F)

Research Center for Neuromodulation and Pain, Shiraz University of Medical Sciences, Shiraz, Iran.

Saeed Torabi (S)

Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany.

Ali Rasti (A)

Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Mohammad Hadi Niakan (MH)

Trauma Research Center, Rajaei Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran, hadiniakan@yahoo.com.

Sara Aghabaklou (S)

Department of Neurosurgery, Tehran University of Medical Sciences, Tehran, Iran.

Fatemeh Pakzad (F)

Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.

Maryam Sadat Beheshtian (MS)

Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Reza Tabrizi (R)

Health Policy Research Center, Institute of Health, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Classifications MeSH