Evidence map›Paper›PMID 29562884›Full record

ArticleBMC neurology2018

Rationale and Design of a Statewide Cohort to examine efficient resource utilization for patients with Intracerebral hemorrhage (EnRICH).

Farhaan S Vahidy, Ellie G Meyer, Arvind B Bambhroliya, Jennifer R Meeks, Charles E Begley, Tzu-Ching Wu, Jon E Tyson, Charles C Miller, Ritvij Bowry, Wamda O Ahmed and 4 more

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. 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

14 authors at 3 institutions in 1 country.

Farhaan S VahidyDepartment of Neurology and the Institute for Stroke and Cerebrovascular Disease, McGovern Medical School, University of Texas - Health, Houston, TX, USA. Farhaan.Vahidy@uth.tmc.edu.
Ellie G MeyerDepartment of Neurology and the Institute for Stroke and Cerebrovascular Disease, McGovern Medical School, University of Texas - Health, Houston, TX, USA.
Arvind B BambhroliyaDepartment of Neurology and the Institute for Stroke and Cerebrovascular Disease, McGovern Medical School, University of Texas - Health, Houston, TX, USA.
Jennifer R MeeksDepartment of Neurology and the Institute for Stroke and Cerebrovascular Disease, McGovern Medical School, University of Texas - Health, Houston, TX, USA.
Charles E BegleyDepartment of Management, Policy, and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.
Tzu-Ching WuDepartment of Neurology and the Institute for Stroke and Cerebrovascular Disease, McGovern Medical School, University of Texas - Health, Houston, TX, USA.
Jon E TysonCenter for Clinical Research and Evidence Based Medicine at McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Charles C MillerCenter for Clinical Research and Evidence Based Medicine at McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Ritvij BowryDepartment of Neurosurgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Wamda O AhmedDepartment of Neurosurgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Gretchel A GealogoDepartment of Neurology, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Louise D McCulloughDepartment of Neurology and the Institute for Stroke and Cerebrovascular Disease, McGovern Medical School, University of Texas - Health, Houston, TX, USA.
Steven WarachDepartment of Neurology, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Sean I SavitzDepartment of Neurology and the Institute for Stroke and Cerebrovascular Disease, McGovern Medical School, University of Texas - Health, Houston, TX, USA.
The University of Texas Health Science Center at Houston · USCenter for Clinical Research (United States) · USThe University of Texas at Austin · US

Funding

Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
NCATS NIH HHS UL1 TR000371
6 · The paper itself

Abstract

backgroundIntracerebral hemorrhage is a devastating disease with no specific treatment modalities. A significant proportion of patients with intracerebral hemorrhage are transferred to large stroke treatment centers, such as Comprehensive Stroke Centers, because of perceived need for higher level of care. However, evidence of improvement in patient-centered outcomes for these patients treated at larger stroke treatment centers as compared to community hospitals is lacking. METHODS /

design"Efficient Resource Utilization for Patients with Intracerebral Hemorrhage (EnRICH)" is a prospective, multisite, state-wide, cohort study designed to assess the impact of level of care on long-term patient-centered outcomes for patients with primary / non-traumatic intracerebral hemorrhage. The study is funded by the Texas state legislature via the Lone Star Stroke Research Consortium. It is being implemented via major hub hospitals in large metropolitan cities across the state of Texas. Each hub has an extensive network of "spoke" hospitals, which are connected to the hub via traditional clinical and administrative arrangements, or by telemedicine technologies. This infrastructure provides a unique opportunity to track outcomes for intracerebral hemorrhage patients managed across a health system at various levels of care. Eligible patients are enrolled during hospitalization and are followed for functional, quality of life, cognitive, resource utilization, and dependency outcomes at 30 and 90 days post discharge. As a secondary aim, an economic analysis of the incremental cost-effectiveness of treating intracerebral hemorrhage patients at higher levels of care will be conducted. DISCUSSION: Findings from EnRICH will provide much needed evidence of the effectiveness and efficiency of regionalized care for intracerebral hemorrhage patients. Such evidence is required to inform policy and streamline clinical decision-making.

Indexed as

Patient Outcome AssessmentAgedCerebral HemorrhageCost-Benefit AnalysisFemaleHospitalsHumansMaleMiddle AgedProspective StudiesQuality of LifeTexasCost effectivenessIntracerebral hemorrhageMortalityPatient-centered outcomesQuality of lifeReadmission rateResource utilizationStroke

Identifiers

PMID29562884
PMCPMC5863437
OpenAlexW2795309066

What OpenQuestion holds

Textmetadata
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.