Evidence map›Paper›PMID 31747428›Full record

ArticlePloS one2019

Temporal trends in intracerebral hemorrhage: Evidence from the Austrian Stroke Unit Registry.

Christoph Schellen, Alexandra Posekany, Julia Ferrari, Stefan Krebs, Wilfried Lang, Michael Brainin, Dimitre Staykov, Marek Sykora, Austrian Stroke Unit Registry Collaborators

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Mortality outcomes in 35,433 patients admitted for acute haemorrhagic stroke in Australia: A population-linkage study.International journal of cardiology. Cardiovascular risk and prevention · 2024
    Article
  2. Article
  3. 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

9 authors.

Christoph SchellenDepartment of Radiology, Rudolf Foundation Hospital ("Krankenanstalt Rudolfstiftung"), Vienna, Austria.ORCID 0000-0003-2125-5208
Alexandra PosekanyDepartment for Clinical Neurosciences and Preventive Medicine, Danube University, Krems, Austria.
Julia FerrariDepartment of Neurology, St. John's Hospital, Vienna, Austria.
Stefan KrebsDepartment of Neurology, St. John's Hospital, Vienna, Austria.
Wilfried LangDepartment of Neurology, St. John's Hospital, Vienna, Austria.
Michael BraininDepartment for Clinical Neurosciences and Preventive Medicine, Danube University, Krems, Austria.
Dimitre StaykovDepartment of Neurology, St. John's Hospital, Eisenstadt, Austria.
Marek SykoraDepartment of Neurology, St. John's Hospital, Vienna, Austria.
Austrian Stroke Unit Registry Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess changes in frequency, severity, complications, therapy and outcome of intracerebral hemorrhage in patients treated in stroke units in Austria, we evaluated data from the Austrian Stroke Unit Registry between 2008 and 2016. METHODS AND

findingsData of 6707 cases of ICH covering a time span of 9 years and including information on age, risk factors, pre-stroke modified Rankin Score (mRS), baseline stroke severity (NIHSS), complications, therapy, functional outcome, and mortality were extracted from the Austrian Stroke Unit Registry. A multivariate regularized logistic regression model and linear models for temporal dependence were computed for analyzing statistical inference and time trends. Bonferroni correction was applied to correct for multiple testing. Between 2008 and 2016, the proportion of ICH admissions to stroke units in Austria declined, with a shift among patients towards older age (>70 years, p = 0.04) and lower admission NIHSS scores. While no significant time trends in risk factors, pre-stroke mRS and medical complications were observed, therapeutic interventions declined significantly (p<0.001). Three-month mortality increased over the years independently (p = 0.003).

conclusionsDespite declining incidence and clinical severity of ICH we observed a clear increase in three-month mortality. This effect seems to be independent of predictors including age, admission NIHSS, pre-morbid MRS, or medical complications. The observations from this large retrospective database cohort study underline an urgent call for action in the therapy of ICH.

Indexed as

AdolescentAdultAgedAged, 80 and overAustriaCerebral HemorrhageFemaleHumansMaleMiddle AgedMortalityRegistriesStroke

Identifiers

PMID31747428
PMCPMC6867701

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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.