Evidence map›Paper›PMID 30065287›Full record

ArticleScientific reports2018

Impact of Supratentorial Cerebral Hemorrhage on the Complexity of Heart Rate Variability in Acute Stroke.

Chih-Hao Chen, Sung-Chun Tang, Ding-Yuan Lee, Jiann-Shing Shieh, Dar-Ming Lai, An-Yu Wu, Jiann-Shing Jeng

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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  13. 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

7 authors at 4 institutions in 2 countries.

Chih-Hao ChenStroke Center and Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.
Sung-Chun TangStroke Center and Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan. sctang@ntuh.gov.tw.
Ding-Yuan LeeGraduate Institute of Electronics Engineering, National Taiwan University, Taipei, Taiwan.ORCID 0000-0002-2918-7791
Jiann-Shing ShiehDepartment of Mechanical Engineering and Innovation Center for Big Data and Digital Convergence, Yuan Ze University, Taoyuan, Taiwan.
Dar-Ming LaiNTU-NTUH-MediaTek Innovative Medical Electronics Research Center, Taipei, Taiwan.
An-Yu WuNTU-NTUH-MediaTek Innovative Medical Electronics Research Center, Taipei, Taiwan.
Jiann-Shing JengStroke Center and Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.
National Taiwan University · TWNational Taiwan University Hospital · TWGovernment Medical College · INYuan Ze University · TW

Funding

Academia Sinica BM104010092
6 · The paper itself

Abstract

Acute stroke commonly affects cardiac autonomic responses resulting in reduced heart rate variability (HRV). Multiscale entropy (MSE) is a novel non-linear method to quantify the complexity of HRV. This study investigated the influence of intracerebral hemorrhage (ICH) locations and intraventricular hemorrhage (IVH) on the complexity of HRV. We recruited 93 supratentorial ICH patients (male 59%, mean age 61 years), and the locations of ICH included basal ganglia (n = 40), thalamus (n = 35), and lobar (n = 18) group. Continuous one-hour electrocardiography signals were obtained from patients after admission, and the complexity index was defined as the area under the MSE curve. The complexity index was lower in lobar ICH (21.6 ± 7.9) than basal ganglia (27.9 ± 6.4) and thalamus (28.5 ± 7.2) groups. The complexity index was inversely correlated with initial stroke severity (r = -0.26), size of hematoma (r = -0.35) and ICH score (r = -0.26), especially among patients with intraventricular hemorrhage (r = -0.60, -0.60, and -0.41 respectively). A higher complexity can predict a good functional outcome (adjusted odds ratio 1.09, 95% confidence intervals 1.00-1.19) at post-stroke 3 months. In summary, more severe stroke and larger hematoma volume resulted in lower complexity of HRV. Lobar hemorrhage and IVH had great impacts on the cardiac autonomic function.

Indexed as

Autonomic Nervous SystemBasal GangliaCerebral HemorrhageElectrocardiographyEntropyFemaleHeartHeart RateHematomaHumansMaleMiddle AgedStrokeThalamus

Identifiers

PMID30065287
PMCPMC6068137
OpenAlexW2883866979

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.