Evidence map›Paper›PMID 29977066›Full record

ArticleScientific reports2018

The frontal skull Hounsfield unit value can predict ventricular enlargement in patients with subarachnoid haemorrhage.

Yu Deok Won, Min Kyun Na, Choong Hyun Kim, Jae Min Kim, Jin Hwan Cheong, Je Il Ryu, Myung-Hoon Han

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 17 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

7 authors at 1 institution in 1 country.

Yu Deok WonDepartment of Neurosurgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri, Gyonggi-do, Korea.ORCID 0000-0002-8822-6631
Min Kyun NaDepartment of Neurosurgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri, Gyonggi-do, Korea.
Choong Hyun KimDepartment of Neurosurgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri, Gyonggi-do, Korea.
Jae Min KimDepartment of Neurosurgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri, Gyonggi-do, Korea.
Jin Hwan CheongDepartment of Neurosurgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri, Gyonggi-do, Korea.
Je Il RyuDepartment of Neurosurgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri, Gyonggi-do, Korea.
Myung-Hoon HanDepartment of Neurosurgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri, Gyonggi-do, Korea. gksmh80@gmail.com.ORCID 0000-0003-1728-5017
Hanyang University Guri Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hydrocephalus is a common complication following subarachnoid haemorrhage (SAH) arising from spontaneous aneurysm rupture. The Hounsfield unit (HU) value from computed tomography scans may reflect bone mineral density, which correlates with body mass index, which in turn is related to post-SAH ventricle size changes. We herein investigated potential associations between frontal skull HU values and ventricle size changes after SAH. HU values from four different areas in the frontal bone were averaged to minimize measurement errors. The bicaudate index and Evans ratio were measured using both baseline and follow-up CT images. CT images with bicaudate index >0.2 and Evans ratio >0.3 simultaneously were defined as indicating ventriculomegaly. We included 232 consecutive patients with SAH due to primary spontaneous aneurysm rupture, who underwent clipping over almost a 9-year period at a single institution. The first tertile of frontal skull HU values in older patients (≥55 years) was an independent predictor of ventriculomegaly after SAH, as compared to the third tertile in younger patients (hazard ratio, 4.01; 95% confidence interval 1.21-13.30; p = 0.023). The lower frontal skull HU value independently predicted ventricular enlargement post-SAH, due to the potential weak integrity of subarachnoid trabecular structures in younger patients.

Indexed as

AdultAgedAge FactorsAneurysm, RupturedBone DensityCerebral VentriclesFeasibility StudiesFemaleHumansHydrocephalusIntracranial AneurysmMaleMiddle AgedOrgan SizePredictive Value of TestsPrognosis

Identifiers

PMID29977066
PMCPMC6033863
OpenAlexW2810099762

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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.