Evidence map›Paper›PMID 31688193›Full record

Observational studyCritical care medicine2020

Magnesium and Hemorrhage Volume in Patients With Aneurysmal Subarachnoid Hemorrhage.

Eric M Liotta, Ameeta Karmarkar, Ayush Batra, Minjee Kim, Shyam Prabhakaran, Andrew M Naidech, Matthew B Maas

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Critical care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Observational
  7. Development of a predictive nomogram for 28-day mortality risk in non-traumatic or post-traumatic subarachnoid hemorrhage patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Article
  14. Abnormal serum Magnesium Level is Associated with the Coagulopathy in Traumatic Brain Injury Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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 at 2 institutions in 1 country.

Eric M LiottaDepartment of Neurology, Northwestern University, Chicago, IL.
Ameeta KarmarkarDepartment of Neurology, Northwestern University, Chicago, IL.
Ayush BatraDepartment of Neurology, Northwestern University, Chicago, IL.
Minjee KimDepartment of Neurology, Northwestern University, Chicago, IL.
Shyam PrabhakaranDepartment of Neurology, University of Chicago, Chicago, IL.
Andrew M NaidechDepartment of Neurology, Northwestern University, Chicago, IL.
Matthew B MaasDepartment of Neurology, Northwestern University, Chicago, IL.
Northwestern University · USUniversity of Chicago · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Multidisciplinary Clinical and Translational Science (MCTS) Program (UL1)UL1TR000150 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2012 to 2013
$10.1M
Northwestern University Clinical and Translational Science Institute (NUCATS)KL2TR001424 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2015 to 2023
$8.1M
Hemostasis, Hematoma Expansion, and Outcomes After Intracerebral HemorrhageR01NS110779 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI NAIDECH, ANDREW M · 2019 to 2023
$3.3M
Circadian Dysfunction, Encephalopathy, and Cognitive Outcomes after Critical IllnessK23NS092975 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MAAS, MATTHEW BRANDON · 2015 to 2019
$886k
AHRQ HHS K18 HS023437NCATS NIH HHS KL2 TR001424NCATS NIH HHS UL1 TR000150NCATS NIH HHS UL1 TR001422NINDS NIH HHS K23 NS092975NINDS NIH HHS L30 NS098427NINDS NIH HHS R01 NS110779
6 · The paper itself

Abstract

objectivesWe tested the hypothesis that admission serum magnesium levels are associated with extent of hemorrhage in patients with aneurysmal subarachnoid hemorrhage.

designSingle-center prospective observational study.

settingTertiary hospital neurologic ICU. PATIENTS: Patients with aneurysmal subarachnoid hemorrhage.

interventionsClinically indicated CT scans and serum laboratory studies. MEASUREMENTS AND MAIN

resultsDemographic, clinical, laboratory, and radiographic data were analyzed. Extent of initial hemorrhage was graded semi-quantitatively on admission CT scans using the modified Fisher scale (grades: 0, no radiographic hemorrhage; 1, thin [< 1 mm in depth] subarachnoid hemorrhage; 2, thin subarachnoid hemorrhage with intraventricular hemorrhage; 3, thick [≥ 1 mm] subarachnoid hemorrhage; 4, thick subarachnoid hemorrhage with intraventricular hemorrhage). We used both ordinal (modified Fisher scale) and dichotomized (thick vs thin subarachnoid hemorrhage) univariate and adjusted logistic regression models to assess associations between serum magnesium and radiographic subarachnoid hemorrhage severity. Data from 354 patients (mean age 55 ± 14 yr, 28.5% male, median admission Glasgow Coma Scale 14 [10-15]) were analyzed. Mean magnesium was lower in patients with thick versus thin subarachnoid hemorrhage (1.92 vs 1.99 mg/dL; p = 0.022). A monotonic trend across categories of modified Fisher scale was found using analysis of variance and Spearman rank correlation (p = 0.015 and p = 0.008, respectively). In adjusted ordinal and binary regression models, lower magnesium levels were associated with higher modified Fisher scale (odds ratio 0.33 per 1 mg/dL increase; 95% CI, 0.14-0.77; p = 0.011) and with thick subarachnoid hemorrhage (odds ratio 0.29 per 1 mg/dL increase; 95% CI, 0.10-0.78; p = 0.015).

conclusionsThese data support the hypothesis that magnesium influences hemorrhage severity in patients with aneurysmal subarachnoid hemorrhage, potentially through a hemostatic mechanism.

Indexed as

Tomography, X-Ray ComputedAdultAgedFemaleHumansIntracranial AneurysmMagnesiumMaleMiddle AgedProspective StudiesSeverity of Illness IndexSubarachnoid HemorrhageMagnesium

Identifiers

PMID31688193
PMCPMC7008932
OpenAlexW2988558243

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.