Evidence map›Paper›PMID 30426449›Full record

SynthesisNeurocritical care2019

Assessment and Comparison of the Four Most Extensively Validated Prognostic Scales for Intracerebral Hemorrhage: Systematic Review with Meta-analysis.

Tiago Gregório, Sara Pipa, Pedro Cavaleiro, Gabriel Atanásio, Inês Albuquerque, Paulo Castro Chaves, Luís Azevedo

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurocritical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

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  19. IL-33 as a Novel Serum Prognostic Marker of Intracerebral Hemorrhage.Oxidative medicine and cellular longevity · 2021
    Article
  20. Treatment of intracerebral hemorrhage: From specific interventions to bundles of care.International journal of stroke : official journal of the International Stroke Society · 2020
    Article
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.

Tiago GregórioDepartment of Internal Medicine, Vila Nova de Gaia Hospital Centre, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal. tiago.gregorio@chvng.min-saude.pt.ORCID http://orcid.org/0000-0002-0131-9430
Sara PipaDepartment of Internal Medicine, Vila Nova de Gaia Hospital Centre, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal.
Pedro CavaleiroIntensive Care Department, Algarve University Hospital Centre, Rua Leão Penedo, 8000-386, Faro, Portugal.
Gabriel AtanásioDepartment of Internal Medicine, Vila Nova de Gaia Hospital Centre, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal.
Inês AlbuquerqueDepartment of Internal Medicine, São João Hospital Centre, Alameda Prof. Hernani Monteiro, 4200-319, Porto, Portugal.
Paulo Castro ChavesDepartment of Internal Medicine, São João Hospital Centre, Alameda Prof. Hernani Monteiro, 4200-319, Porto, Portugal.
Luís AzevedoCentre for Health Technology and Services Research and Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Alameda Prof. Hernani Monteiro, 4200-319, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveIntracerebral hemorrhage (ICH) is a devastating disorder, responsible for 10% of all strokes. Several prognostic scores have been developed for this population to predict mortality and functional outcome. The aim of this study was to determine the four most frequently validated and most widely used scores, assess their discrimination for both outcomes by means of a systematic review with meta-analysis, and compare them using meta-regression.

methodsPubMed, ISI Web of Knowledge, Scopus, and CENTRAL were searched for studies validating the ICH score, ICH-GS, modified ICH, and the FUNC score in ICH patients. C-statistic was chosen as the measure of discrimination. For each score and outcome, C-statistics were aggregated at four different time points using random effect models, and heterogeneity was evaluated using the I

resultsFifty-three studies were found validating the original ICH score, 14 studies were found validating the ICH-GS, eight studies were found validating the FUNC score, and five studies were found validating the modified ICH score. Most studies attempted outcome prediction at 3 months or earlier. Pooled C-statistics ranged from 0.76 for FUNC functional outcome prediction at discharge to 0.85 for ICH-GS mortality prediction at 3 months, but heterogeneity was high across studies. RVE showed the ICH score retained the highest discrimination for mortality (c = 0.84), whereas the modified ICH score retained the highest discrimination for functional outcome (c = 0.80), but these differences were not statistically significant.

conclusionsThe ICH score is the most extensively validated score in ICH patients and, in the absence of superior prediction by other scores, should preferably be used. Further studies are needed to validate prognostic scores at longer follow-ups and assess the reasons for heterogeneity in discrimination.

Indexed as

Cerebral HemorrhageDecision Support TechniquesOutcome Assessment, Health CarePrognosisSeverity of Illness IndexValidation Studies as TopicHumansCerebral hemorrhageDecision support techniquesMorbidityMortalityPrognosis

Identifiers

What OpenQuestion holds

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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.