Evidence map›Paper›PMID 31177984›Full record

Observational studyStroke2019

Influence of Intracerebral Hemorrhage Location on Outcomes in Patients With Severe Intraventricular Hemorrhage.

Vahid Eslami, Pouya Tahsili-Fahadan, Lucia Rivera-Lara, Dheeraj Gandhi, Hasan Ali, Adrian Parry-Jones, Lilli S Nelson, Richard E Thompson, Saman Nekoobakht-Tak, Rachel Dlugash and 4 more

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Stroke, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00784134 (Clot Lysis), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT00784134 phase3completednot on this map

Clot Lysis: Evaluating Accelerated Resolution of Intraventricular Hemorrhage Phase III

TypeinterventionalSponsorJohns Hopkins UniversityRan2009 to 2016Enrolled500ConditionsIntraventricular HemorrhageArmsAlteplase, Normal saline
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  14. Advantages of disposable portable endoscope in removing thalamic hematoma via the superior parietal lobule.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
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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

14 authors at 5 institutions in 2 countries.

Vahid EslamiFrom the Division of Neurosciences Critical Care, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (V.E., P.T.-F., L.R.-L., D.F.H., W.C.Z.).
Pouya Tahsili-FahadanFrom the Division of Neurosciences Critical Care, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (V.E., P.T.-F., L.R.-L., D.F.H., W.C.Z.).
Lucia Rivera-LaraFrom the Division of Neurosciences Critical Care, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (V.E., P.T.-F., L.R.-L., D.F.H., W.C.Z.).
Dheeraj GandhiDepartment of Neuroradiology, University of Maryland, Baltimore (D.G.).
Hasan AliDivision of Brain Injury Outcomes, Department of Neurology, Johns Hopkins University, Baltimore, MD (V.E., P.T.-F., L.R.-L., H.A., S.N.-T., R.D., N.M., D.F.H., W.C.Z.).
Adrian Parry-JonesSchool of Medical Sciences, University of Manchester, Manchester Academic Health Sciences Centre, Salford Royal NHS Foundation Trust, United Kingdom (A.P.-J., L.S.N.).
Lilli S NelsonSchool of Medical Sciences, University of Manchester, Manchester Academic Health Sciences Centre, Salford Royal NHS Foundation Trust, United Kingdom (A.P.-J., L.S.N.).
Richard E ThompsonDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (R.E.T.).
Saman Nekoobakht-TakDivision of Brain Injury Outcomes, Department of Neurology, Johns Hopkins University, Baltimore, MD (V.E., P.T.-F., L.R.-L., H.A., S.N.-T., R.D., N.M., D.F.H., W.C.Z.).
Rachel DlugashDivision of Brain Injury Outcomes, Department of Neurology, Johns Hopkins University, Baltimore, MD (V.E., P.T.-F., L.R.-L., H.A., S.N.-T., R.D., N.M., D.F.H., W.C.Z.).
Nichol McBeeDivision of Brain Injury Outcomes, Department of Neurology, Johns Hopkins University, Baltimore, MD (V.E., P.T.-F., L.R.-L., H.A., S.N.-T., R.D., N.M., D.F.H., W.C.Z.).
Isaam AwadDepartment of Neurological Surgery, University of Chicago Medicine, IL (I.A.).
Daniel F HanleyFrom the Division of Neurosciences Critical Care, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (V.E., P.T.-F., L.R.-L., D.F.H., W.C.Z.).
Wendy C ZiaiFrom the Division of Neurosciences Critical Care, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (V.E., P.T.-F., L.R.-L., D.F.H., W.C.Z.).
Johns Hopkins University · USJohns Hopkins Medicine · USSalford Royal NHS Foundation Trust · GBUniversity of Maryland, Baltimore · USVirginia Commonwealth University · US

Funding

Clot Lysis: Evaluating Accelerated Resolution of IVH Phase III (CLEAR III)U01NS062851 · NINDS · JOHNS HOPKINS UNIVERSITY · PI HANLEY, DANIEL F · 2009 to 2013
$21.6M
EPA EP-C-14-005NINDS NIH HHS U01 NS062851
6 · The paper itself

Abstract

Background and Purpose- We investigated the prognostic significance of spontaneous intracerebral hemorrhage location in presence of severe intraventricular hemorrhage. Methods- We analyzed diagnostic computed tomography scans from 467/500 (excluding primary intraventricular hemorrhage) subjects from the CLEAR (Clot Lysis: Evaluating Accelerated Resolution of Intraventricular Hemorrhage) III trial. We measured intracerebral hemorrhage engagement with specific anatomic regions, and estimated association of each region with blinded assessment of dichotomized poor stroke outcomes: mortality, modified Rankin Scale score of 4 to 6, National Institutes of Health Stroke Scale score of >4, stroke impact scale score of <60, Barthel Index <86, and EuroQol visual analogue scale score of <50 and <70 at days 30 and 180, respectively, using logistic regression models. Results- Frequency of anatomic region involvement consisted of thalamus (332 lesions, 71.1% of subjects), caudate (219, 46.9%), posterior limb internal capsule (188, 40.3%), globus pallidus/putamen (127, 27.2%), anterior limb internal capsule (108, 23.1%), and lobar (29, 6.2%). Thalamic location was independently associated with mortality (days 30 and 180) and with poor outcomes on most stroke scales at day 180 on adjusted analysis. Posterior limb internal capsule and globus pallidus/putamen involvement was associated with increased odds of worse disability at days 30 and 180. Anterior limb internal capsule and caudate locations were associated with decreased mortality on days 30 and 180. Anterior limb internal capsule lesions were associated with decreased long-term morbidity. Conclusions- Acute intracerebral hemorrhage lesion topography provides important insights into anatomic correlates of mortality and functional outcomes even in severe intraventricular hemorrhage causing obstructive hydrocephalus. Models accounting for intracerebral hemorrhage location in addition to volumes may improve outcome prediction and permit stratification of benefit from aggressive acute interventions. Clinical Trial Registration- URL: https://www.clinicaltrials.gov . Unique identifier: NCT00784134.

Indexed as

AgedBasal GangliaCerebral HemorrhageCerebral VentriclesCohort StudiesFemaleGlasgow Coma ScaleGlobus PallidusHumansHydrocephalusMaleMiddle AgedPrognosisProspective StudiesThalamusTomography, X-Ray Computedbasal gangliacerebral hemorrhageglobushydrocephalusoutcomespallidusthalamus

Identifiers

PMID31177984
PMCPMC6771028
OpenAlexW2949126492

What OpenQuestion holds

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Registered trials

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.