Evidence map›Paper›PMID 28744762›Full record

ArticleJournal of neurology2017

Mortality after primary intracerebral hemorrhage in relation to post-stroke seizures.

Danny Claessens, Kim Bekelaar, Floris H B M Schreuder, Bianca T A de Greef, Mariëlle C G Vlooswijk, Julie Staals, Robert J van Oostenbrugge, Rob P W Rouhl

Abstract readMulticenter Study
In one paragraph

Article in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Danny ClaessensDepartment of Neurology, Maastricht University Medical Center+ (MUMC+), PO Box 5800, 6202AZ, Maastricht, The Netherlands.
Kim BekelaarDepartment of Neurology, Maastricht University Medical Center+ (MUMC+), PO Box 5800, 6202AZ, Maastricht, The Netherlands.
Floris H B M SchreuderDepartment of Neurology, Maastricht University Medical Center+ (MUMC+), PO Box 5800, 6202AZ, Maastricht, The Netherlands.
Bianca T A de GreefDepartment of Neurology, Maastricht University Medical Center+ (MUMC+), PO Box 5800, 6202AZ, Maastricht, The Netherlands.
Mariëlle C G VlooswijkDepartment of Neurology, Maastricht University Medical Center+ (MUMC+), PO Box 5800, 6202AZ, Maastricht, The Netherlands.
Julie StaalsDepartment of Neurology, Maastricht University Medical Center+ (MUMC+), PO Box 5800, 6202AZ, Maastricht, The Netherlands.
Robert J van OostenbruggeDepartment of Neurology, Maastricht University Medical Center+ (MUMC+), PO Box 5800, 6202AZ, Maastricht, The Netherlands.
Rob P W RouhlDepartment of Neurology, Maastricht University Medical Center+ (MUMC+), PO Box 5800, 6202AZ, Maastricht, The Netherlands. R.Rouhl@mumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Seizures after intracerebral hemorrhage are repeatedly seen. Whether the development of seizures after intracerebral hemorrhage affects survival in the long term is unknown. This study aims to determine the relation between seizures (i.e., with and without anti-epileptic therapy) and long-term mortality risk in a large patient population with intracerebral hemorrhage. We retrospectively included patients with a non-traumatic ICH in all three hospitals in the South Limburg region in the Netherlands between January 1st 2004 and December 31st 2009, and we assessed all-cause mortality until March 14th 2016. Patient who did not survive the first seven days after intracerebral hemorrhage were excluded from analyses. We used Cox multivariate analyses to determine independent predictors of mortality. Of 1214 patients, 783 hemorrhagic stroke patients fulfilled the inclusion criteria, amongst whom 37 (4.7%) patients developed early seizures (within 7 days after hemorrhage) and 77 (9.8%) developed late seizures (more than 7 days after hemorrhage). Seizure development was not significantly related to mortality risk after correction for conventional vascular risk factors and hemorrhage severity. However, we found a small but independent relation between the use of anti-epileptic drugs and a lower long-term mortality (HR = 0.32, 95% CI 0.11-0.91). In our large population, seizures and epilepsy did not relate independently to an increased mortality risk after hemorrhage.

Indexed as

AgedCerebral HemorrhageCohort StudiesElectronic Health RecordsFemaleHumansKaplan-Meier EstimateMaleMiddle AgedProportional Hazards ModelsSeizuresTime FactorsCohort studiesIntracerebral hemorrhagePrognosisSeizures

Identifiers

PMID28744762
PMCPMC5587619

What OpenQuestion holds

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LicenceCC BY
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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.