Evidence map›Paper›PMID 22903494›Full record

ArticleStroke2012

Poor long-term blood pressure control after intracerebral hemorrhage.

Darin B Zahuranec, Jeffrey J Wing, Dorothy F Edwards, Ravi S Menon, Stephen J Fernandez, Richard E Burgess, Ian A Sobotka, Laura German, Anna J Trouth, Nawar M Shara and 3 more

Open access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Stroke, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

20 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  17. Article
  18. Identification of Barriers to Stroke Awareness and Risk Factor Management Unique to Hispanics.International journal of environmental research and public health · 2015
    Article
  19. Observational
  20. Review
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

13 authors at 6 institutions in 1 country.

Darin B ZahuranecDepartment of Neurology, Stroke Program, School of Public Health, University of Michigan Cardiovascular Center, Ann Arbor, MI 48109-5855, USA. zdarin@umich.edu
Jeffrey J Wing
Dorothy F Edwards
Ravi S Menon
Stephen J Fernandez
Richard E Burgess
Ian A Sobotka
Laura German
Anna J Trouth
Nawar M Shara
M Chris Gibbons
Bernadette Boden-Albala
Chelsea S Kidwell
MedStar Health · USUniversity of Wisconsin–Madison · USUrban Institute · USGeorgetown University · USCleveland Clinic · USHoward University · US

Funding

Stroke Disparities ProgramU54NS057405 · NINDS · GEORGETOWN UNIVERSITY · PI EDWARDS, DOROTHY FARRAR · 2007 to 2011
$10.4M
Prognosis and End-of-Life Decision Making in Intracerebral HemorrhageK23AG038731 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZAHURANEC, DARIN B · 2011 to 2015
$796k
NIA NIH HHS K23 AG038731NIA NIH HHS K23AG038731NINDS NIH HHS U54 NS057405NINDS NIH HHS U54NS057405
6 · The paper itself

Abstract

background and purposeHypertension is the most important risk factor associated with intracerebral hemorrhage. We explored racial differences in blood pressure (BP) control after intracerebral hemorrhage and assessed predictors of BP control at presentation, 30 days, and 1 year in a prospective cohort study.

methodsSubjects with spontaneous intracerebral hemorrhage were identified from the DiffErenCes in the Imaging of Primary Hemorrhage based on Ethnicity or Race (DECIPHER) Project. BP was compared by race at each time point. Multivariable linear regression was used to determine predictors of presenting mean arterial pressure, and longitudinal linear regression was used to assess predictors of mean arterial pressure at follow-up.

resultsA total of 162 patients were included (mean age, 59 years; 53% male; 77% black). Mean arterial pressure at presentation was 9.6 mm Hg higher in blacks than whites despite adjustment for confounders (P=0.065). Fewer than 20% of patients had normal BP (<120/80 mm Hg) at 30 days or 1 year. Although there was no difference at 30 days (P=0.331), blacks were more likely than whites to have Stage I/II hypertension at 1 year (P=0.036). Factors associated with lower mean arterial pressure at follow-up in multivariable analysis were being married at baseline (P=0.032) and living in a facility (versus personal residence) at the time of BP measurement (P=0.023).

conclusionsLong-term BP control is inadequate in patients after intracerebral hemorrhage, particularly in blacks. Further studies are needed to understand the role of social support and barriers to control to identify optimal approaches to improve BP in this high-risk population.

Indexed as

Antihypertensive AgentsBlack PeopleBlood PressureCerebral HemorrhageCohort StudiesEnvironmentFemaleFollow-Up StudiesHumansHypertensionLinear ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisPredictive Value of TestsAntihypertensive Agents

Identifiers

PMID22903494
PMCPMC3458127
OpenAlexW2126378809

What OpenQuestion 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 OpenQuestion graph.