Evidence map›Paper›PMID 24723663›Full record

ArticleNeurocritical care2014

High risk for seizures following subarachnoid hemorrhage regardless of referral bias.

Kathryn L O'Connor, M Brandon Westover, Michael T Phillips, Nicolae A Iftimia, Deidre A Buckley, Christopher S Ogilvy, Mouhsin M Shafi, Eric S Rosenthal

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Neurocritical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05103566 (STORM), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 12% 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.

NCT05103566 narecruitingnot on this mapstarted 2022, after this paper: background citation

STORM: Safety, Feasibility, and Efficacy of Non-invasive Vagus Nerve Stimulation (nVNS) in the Treatment of Aneurysmal Subarachnoid Hemorrhage

TypeinterventionalSponsorMassachusetts General HospitalRan2022 to 2029Enrolled25ConditionsSubarachnoid Hemorrhage, AneurysmalArmsgammaCore
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  10. High risk and low incidence diseases: Aneurysmal subarachnoid hemorrhage.The American journal of emergency medicine · 2025
    Review
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  19. Epileptiform abnormalities predict delayed cerebral ischemia in subarachnoid hemorrhage.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2017
    Article
  20. Observational
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

8 authors at 2 institutions in 1 country.

Kathryn L O'ConnorDepartment of Neurology, Massachusetts General Hospital, Lunder 6 Neurosciences ICU, 55 Fruit Street, Boston, MA, 02114, USA, koconnor13@mgh.harvard.edu.
M Brandon Westover
Michael T Phillips
Nicolae A Iftimia
Deidre A Buckley
Christopher S Ogilvy
Mouhsin M Shafi
Eric S Rosenthal
Massachusetts General Hospital · USBeth Israel Deaconess Medical Center · US

Funding

Quantitative Monitoring and Control of Sedation and Pain in the ICU EnvironmentK23NS090900 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WESTOVER, MICHAEL BRANDON · 2014 to 2018
$988k
NINDS NIH HHS K23 NS090900
6 · The paper itself

Abstract

backgroundTo investigate the frequency, predictors, and clinical impact of electrographic seizures in patients with high clinical or radiologic grade non-traumatic subarachnoid hemorrhage (SAH), independent of referral bias.

methodsWe compared rates of electrographic seizures and associated clinical variables and outcomes in patients with high clinical or radiologic grade non-traumatic SAH. Rates of electrographic seizure detection before and after institution of a guideline which made continuous EEG monitoring routine in this population were compared.

resultsElectrographic seizures occurred in 17.6 % of patients monitored expressly because of clinically suspected subclinical seizures. In unselected patients, seizures still occurred in 9.6 % of all cases, and in 8.6 % of cases in which there was no a priori suspicion of seizures. The first seizure detected occurred 5.4 (IQR 2.9-7.3) days after onset of subarachnoid hemorrhage with three of eight patients (37.5 %) having the first recorded seizure more than 48 h following EEG initiation, and 2/8 (25 %) at more than 72 h following EEG initiation. High clinical grade was associated with poor outcome at time of hospital discharge; electrographic seizures were not associated with poor outcome.

conclusionsElectrographic seizures occur at a relatively high rate in patients with non-traumatic SAH even after accounting for referral bias. The prolonged time to the first detected seizure in this cohort may reflect dynamic clinical features unique to the SAH population.

Indexed as

ElectroencephalographyMonitoring, PhysiologicAdultAgedFemaleHumansMaleMiddle AgedReferral and ConsultationRetrospective StudiesSeizuresSubarachnoid Hemorrhage

Identifiers

PMID24723663
PMCPMC4878846
OpenAlexW2022318859

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Registered trials

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.