Evidence map›Paper›PMID 31711504›Full record

ArticleJournal of neuroinflammation2019

Inflammation in delayed ischemia and functional outcomes after subarachnoid hemorrhage.

Sung-Ho Ahn, Jude P J Savarraj, Kaushik Parsha, Georgene W Hergenroeder, Tiffany R Chang, Dong H Kim, Ryan S Kitagawa, Spiros L Blackburn, H Alex Choi

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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  6. Targeted proteomic analysis identifies ACVRL1 as a marker of cerebral edema in aneurysmal subarachnoid hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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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

9 authors at 3 institutions in 2 countries.

Sung-Ho AhnDepartment of Neurology, Pusan National University School of Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Busan, South Korea.ORCID http://orcid.org/0000-0002-8376-545X
Jude P J SavarrajDepartment of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.
Kaushik ParshaDepartment of Neurology, University of Texas Health Science Center at Houston, Houston, TX, USA.
Georgene W HergenroederDepartment of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.
Tiffany R ChangDepartment of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.
Dong H KimDepartment of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.
Ryan S KitagawaDepartment of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.
Spiros L BlackburnDepartment of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.
H Alex ChoiDepartment of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA. Huimahn.A.Choi@uth.tmc.edu.
The University of Texas Health Science Center at Houston · USPusan National University Yangsan Hospital · KRThe University of Texas Health Science Center · US

Funding

Role of Haptoglobin Genotype on Neuroinflammation and Coagulation Following Aneurysmal Subarachnoid HemorrhageK23NS106054 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BLACKBURN, SPIROS · 2018 to 2022
$875k
NINDS NIH HHS K23 NS106054
6 · The paper itself

Abstract

backgroundInflammatory mechanism has been implicated in delayed cerebral ischemia (DCI) and poor functional outcomes after subarachnoid hemorrhage (SAH). Identification of cytokine patterns associated with inflammation in acute SAH will provide insights into underlying biological processes of DCI and poor outcomes that may be amenable to interventions.

methodsSerum samples were collected from a prospective cohort of 60 patients with acute non-traumatic SAH at four time periods (< 24 h, 24-48 h, 3-5 days, and 6-8 days after SAH) and concentration levels of 41 cytokines were measured by multiplex immunoassay. Logistic regression analysis was used to identify cytokines associated with DCI and poor functional outcomes. Correlation networks were constructed to identify cytokine clusters.

resultsOf the 60 patients enrolled in the study, 14 (23.3%) developed DCI and 16 (26.7%) had poor functional outcomes at 3 months. DCI was associated with increased levels of PDGF-ABBB and CCL5 and decreased levels of IP-10 and MIP-1α. Poor functional outcome was associated with increased levels of IL-6 and MCP-1α. Network analysis identified distinct cytokine clusters associated with DCI and functional outcomes.

conclusionsSerum cytokine patterns in early SAH are associated with poor functional outcomes and DCI. The significant cytokines primarily modulate the inflammatory response. This supports earlier SAH studies linking inflammation and poor outcomes. In particular, this study identifies novel cytokine patterns over time that may indicate impending DCI.

Indexed as

AdultAgedBrain IschemiaCytokinesFemaleHumansInflammationMaleMiddle AgedProspective StudiesSubarachnoid HemorrhageCytokinesCytokine networkDelayed cerebral ischemiaFunctional outcomeInflammationSubarachnoid hemorrhage

Identifiers

PMID31711504
PMCPMC6849179
OpenAlexW2983425799

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.