Evidence map›Paper›PMID 26920908›Full record

ArticleNeurocritical care2016

Early Hypoalbuminemia is an Independent Predictor of Mortality in Aneurysmal Subarachnoid Hemorrhage.

Réza Behrouz, Daniel A Godoy, Christopher Hans Topel, Lee A Birnbaum, Jean-Louis Caron, Ramesh Grandhi, Jeremiah N Johnson, Vivek Misra, Ali Seifi, Kathleen Urbansky and 1 more

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Article in Neurocritical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Réza BehrouzDivision of Cerebrovascular Diseases, Department of Neurology, School of Medicine, Medical Arts & Research Center, University of Texas Health Science Center, 8300 Floyd Curl Drive, MC 7883, San Antonio, TX, 78229, USA. behrouz@uthscsa.edu.
Daniel A GodoyThe Neurointensive Care Unit, Sanatorio Pasteur, Catamarca, Argentina.
Christopher Hans TopelDivision of Cerebrovascular Diseases, Department of Neurology, School of Medicine, Medical Arts & Research Center, University of Texas Health Science Center, 8300 Floyd Curl Drive, MC 7883, San Antonio, TX, 78229, USA.
Lee A BirnbaumDivision of Cerebrovascular Diseases, Department of Neurology, School of Medicine, Medical Arts & Research Center, University of Texas Health Science Center, 8300 Floyd Curl Drive, MC 7883, San Antonio, TX, 78229, USA.
Jean-Louis CaronDepartment of Neurological Surgery, School of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Ramesh GrandhiDepartment of Neurological Surgery, School of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Jeremiah N JohnsonDepartment of Neurological Surgery, School of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Vivek MisraDivision of Cerebrovascular Diseases, Department of Neurology, School of Medicine, Medical Arts & Research Center, University of Texas Health Science Center, 8300 Floyd Curl Drive, MC 7883, San Antonio, TX, 78229, USA.
Ali SeifiDepartment of Neurological Surgery, School of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Kathleen UrbanskyDepartment of Medical Informatics, University Hospital, San Antonio, TX, USA.
Mario Di NapoliNeurological Service, San Camillo de' Lellis General Hospital, Rieti, Italy.
Neurological Surgery · USThe University of Texas Health Science Center at San Antonio · USNational University of Catamarca · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypoalbuminemia has been identified as a predictor of morbidity and mortality in critically ill patients. There is very little data on the significance and the prognostic value of hypoalbuminemia in patients with aneurysmal subarachnoid hemorrhage (aSAH). This study analyzed the impact of hypoalbuminemia on patient presentation, complications, and outcomes.

methodsRecords of patients admitted with aSAH were examined. Data on baseline characteristics, prevalence of delayed cerebral ischemia, and discharge outcomes were collected. Multivariable logistic regression analysis was performed to assess for associations.

resultsOne-hundred and forty-two patients comprised the study cohort (mean age 54.6 ± 13.4), among which 45 (31.5 %) presented with hypoalbuminemia. No difference in baseline characteristics was noted between patients with hypoalbuminemia and those with normal serum albumin. The overall hospital mortality rate was significantly higher in patients with hypoalbuminemia, compared to those with normal albumin (28.9 % vs. 11.3 %; p = 0.04). Hypoalbuminemia was neither associated with delayed cerebral ischemia nor disability at discharge, but independently associated with in-hospital death (odds ratio: 4.26, 95 % confidence interval: 1.09-16.68; p = 0.04).

conclusionIn patients with aSAH, early hypoalbuminemia is an independent predictor of hospital mortality but not disability at discharge.

Indexed as

Outcome Assessment, Health CareAdultAgedCohort StudiesFemaleHumansHypoalbuminemiaIntracranial AneurysmMaleMiddle AgedPrognosisSubarachnoid HemorrhageAlbuminCritical areHypoalbuminemiaSubarachnoid hemorrhage

Identifiers

PMID26920908
OpenAlexW2280081468

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Registered trials

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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.