Evidence map›Paper›PMID 31831597›Full record

ArticleNeurology2020

Racial/ethnic disparities in the risk of intracerebral hemorrhage recurrence.

Audrey C Leasure, Zachary A King, Victor Torres-Lopez, Santosh B Murthy, Hooman Kamel, Ashkan Shoamanesh, Rustam Al-Shahi Salman, Jonathan Rosand, Wendy C Ziai, Daniel F Hanley and 5 more

Abstract read
In one paragraph

Article in Neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Trial
  2. Genetics of intracerebral hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Intracerebral Hemorrhage.Cerebrovascular diseases extra · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Stroke Characteristics in a Cohort of Hmong American Patients.Journal of the American Heart Association · 2023
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Audrey C LeasureFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.ORCID 0000-0002-9462-5022
Zachary A KingFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Victor Torres-LopezFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Santosh B MurthyFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Hooman KamelFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Ashkan ShoamaneshFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Rustam Al-Shahi SalmanFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Jonathan RosandFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Wendy C ZiaiFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Daniel F HanleyFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.ORCID 0000-0002-9536-4258
Daniel WooFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Charles C MatoukFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Lauren H SansingFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Guido J FalconeFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH.
Kevin N ShethFrom the Departments of Neurology (A.C.L., Z.A.K., V.T.-L., L.H.S., G.J.F., K.N.S.) and Neurosurgery (C.C.M.), Yale School of Medicine, New Haven, CT; Department of Neurology (S.B.M., H.K.), Weill Cornell Medicine, New York, NY; Department of Neurology (A.S.), McMaster University, Population Health Research Institute, Hamilton, Canada; Centre for Clinical Brain Sciences (R.A.-S.S.), University of Edinburgh, UK; Division of Neurocritical Care and Emergency Neurology and Henry and Allison McCance Center for Brain Health (J.R.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Neurology (W.C.Z., D.F.H.), Johns Hopkins University, Baltimore, MD; and Department of Neurology and Rehabilitation Medicine (D.W.), University of Cincinnati, OH. kevin.sheth@yale.edu.

Funding

Intensive Blood Pressure Reduction in Deep Intracerebral HemorrhageR03NS112859 · NINDS · YALE UNIVERSITY · PI FALCONE, GUIDO JOSE, SHETH, KEVIN NAVIN · 2019 to 2020
$84k
Medical Research Council G1002605NIA NIH HHS K76 AG059992
6 · The paper itself

Abstract

objectiveTo estimate the risk of intracerebral hemorrhage (ICH) recurrence in a large, diverse, US-based population and to identify racial/ethnic and socioeconomic subgroups at higher risk.

methodsWe performed a longitudinal analysis of prospectively collected claims data from all hospitalizations in nonfederal California hospitals between 2005 and 2011. We used validated diagnosis codes to identify nontraumatic ICH and our primary outcome of recurrent ICH. California residents who survived to discharge were included. We used log-rank tests for unadjusted analyses of survival across racial/ethnic groups and multivariable Cox proportional hazards regression to determine factors associated with risk of recurrence after adjusting for potential confounders.

resultsWe identified 31,355 California residents with first-recorded ICH who survived to discharge, of whom 15,548 (50%) were white, 6,174 (20%) were Hispanic, 4,205 (14%) were Asian, and 2,772 (9%) were black. There were 1,330 recurrences (4.1%) over a median follow-up of 2.9 years (interquartile range 3.8). The 1-year recurrence rate was 3.0% (95% confidence interval [CI] 2.8%-3.2%). In multivariable analysis, black participants (hazard ratio [HR] 1.22; 95% CI 1.01-1.48;

conclusionsBlack and Asian patients had a higher risk of ICH recurrence than white patients, whereas private insurance was associated with reduced risk compared to those with Medicare. Further research is needed to determine the drivers of these disparities.

Indexed as

AdultCerebral HemorrhageFemaleHumansMaleMiddle AgedRecurrenceRisk Factors

Identifiers

PMID31831597
PMCPMC7108806

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