Evidence map›Paper›PMID 31291030›Full record

ArticleAnnals of neurology2019

Soluble ST2 links inflammation to outcome after subarachnoid hemorrhage.

Matthew B Bevers, Zoe Wolcott, Søren Bache, Christina Hansen, Cristina Sastre, Ravi Mylvaganam, Matthew J Koch, Aman B Patel, Kirsten Møller, W Taylor Kimberly

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 22 citations in OpenAlex.

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  14. Biomarkers Utility: At the Borderline between Cardiology and Neurology.Journal of cardiovascular development and disease · 2021
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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

10 authors at 3 institutions in 2 countries.

Matthew B BeversDivisions of Stroke, Cerebrovascular, and Critical Care Neurology, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0003-0878-8464
Zoe WolcottDivision of Neurocritical Care, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Søren BacheDepartment of Neuroanesthesiology, Rigshospitalet, Copenhagen, Denmark.
Christina HansenDivision of Neurocritical Care, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Cristina SastreDivision of Neurocritical Care, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Ravi MylvaganamDepartment of Pathology, Massachusetts General Hospital, Boston, MA.
Matthew J KochDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA.
Aman B PatelDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA.
Kirsten MøllerDepartment of Neuroanesthesiology, Rigshospitalet, Copenhagen, Denmark.
W Taylor KimberlyDivision of Neurocritical Care, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Massachusetts General Hospital · USRigshospitalet · DKBrigham and Women's Hospital · US

Funding

Metabolomic predictors of stroke in REGARDSR01NS099209 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI KIMBERLY, WILLIAM TAYLOR · 2017 to 2021
$2.4M
Metabolomic analysis of acute stress hyperglycemia in ischemic strokeK23NS076597 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI KIMBERLY, WILLIAM TAYLOR · 2011 to 2015
$959k
American Academy of Neurology AI18-0000000062American Heart Association 17CSA33550004NINDS NIH HHS K23 NS076597NINDS NIH HHS L30 NS097948NINDS NIH HHS R01 NS099209
6 · The paper itself

Abstract

objectiveTo investigate whether soluble growth stimulation expressed gene 2 (sST2), a prognostic marker in cardiovascular and inflammatory disorders, is associated with neurological injury after aneurysmal subarachnoid hemorrhage (SAH).

methodsWe studied SAH patients from 2 independent cohorts. Outcome assessments included functional status at 90 days using the modified Rankin Scale (mRS), mortality, and delayed cerebral ischemia (DCI). The relationships between sST2 plasma level and outcome measures were assessed in both cross-sectional and longitudinal analysis. Primary blood mononuclear cells from SAH patients and elective aneurysm controls were analyzed by multiparameter flow cytometry.

resultsIn the discovery cohort, sST2 predicted 90-day mRS 3-6 (C index = 0.724, p < 0.001) and mortality in Kaplan-Meier analysis (p < 0.001). The association with functional status was independent of age, sex, World Federation of Neurosurgical Societies score, modified Fisher score, treatment modality, and cardiac comorbidities (adjusted odds ratio = 2.28, 95% confidence interval = 1.04-5.00, p = 0.039). Higher sST2 concentration was observed in those patients with DCI (90.8 vs 53.7ng/ml, p = 0.003). These associations were confirmed in a replication cohort. In patients with high sST2, flow cytometry identified decreased expression of CD14 (4.27 × 10

interpretationPlasma sST2 predicts DCI, functional outcome, and mortality after SAH, independent of clinical and radiographic markers. Elevated sST2 is also associated with changes in CD14

Indexed as

Case-Control StudiesCerebrospinal FluidCross-Sectional StudiesFemaleGenetic Predisposition to DiseaseHumansInflammationInflammation MediatorsInterleukin-1 Receptor-Like 1 ProteinLipopolysaccharide ReceptorsLongitudinal StudiesMaleMiddle AgedMonocytesOutcome Assessment, Health CareReceptors, IgGIL1RL1 protein, humanInflammation MediatorsInterleukin-1 Receptor-Like 1 ProteinLipopolysaccharide ReceptorsReceptors, IgG

Identifiers

PMID31291030
PMCPMC6727654
OpenAlexW2957028096

What OpenQuestion holds

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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.