Evidence map›Paper›PMID 32144586›Full record

Observational studyTranslational stroke research2020

Intracranial Pressure Monitoring-Aided Management Associated with Favorable Outcomes in Patients with Hypertension-Related Spontaneous Intracerebral Hemorrhage.

Junwei Ren, Xing Wu, Jiongwei Huang, Xudong Cao, Qiang Yuan, Dalong Zhang, Zhuoying Du, Ping Zhong, Jin Hu

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Translational stroke research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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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 4 institutions in 1 country.

Junwei RenDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Xing WuDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Jiongwei HuangDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Xudong CaoDepartment of Neurosurgery, Tibet Autonomous Region People's Hospital, Lhasa, Tibet, China.
Qiang YuanDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Dalong ZhangDepartment of Emergency, The First Affiliated Hospital of Soochow University, Suzhou, China.
Zhuoying DuDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Ping ZhongDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China. bttnirvina@qq.com.
Jin HuDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China. shdoc86@qq.com.
Huashan Hospital · CNFudan University · CNFirst Affiliated Hospital of Soochow University · CNTibet Autonomous Region People's Hospital · CN

Funding

the National Natural Science Foundation of China 81000518the National Natural Science Foundation of China 81271003the National Natural Science Foundation of China 81271375the National Natural Science Foundation of China 81471241the National Natural Science Foundation of China 81671200
6 · The paper itself

Abstract

To investigate the effect of intracranial pressure (ICP) monitoring on the functional outcome of patients with hypertension-related spontaneous intracerebral hemorrhage (ICH). We included 196 patients with Glasgow Coma Scale (GCS) scores of 3-12 in this observational study, of which 103 underwent ICP monitors. Binary and ordinal regression analyses were used to estimate the effect of ICP monitoring on the functional outcome. The rate of adverse events, blood pressure control, and length of hospitalization were compared between the two groups. ICP monitoring had a significant impact on the clinical outcome of patients by shifting the Extended Glasgow Outcome Scale (GOS-E) scores in a favorable direction (p = 0.027) and reducing mortality at discharge (p = 0.004) and 6 months later (p = 0.02). The rate of favorable outcome at 6 months was higher in the ICP-monitored group (p = 0.03). However, subgroup analysis showed that no relationship between ICP monitoring and clinical outcome was found for patients with GCS scores of 3-8. For patients with GCS scores of 9-12, the distribution of GOS-E scores at 6 months shifted in a favorable direction in the ICP-monitored group (p = 0.001). The rate of favorable outcome at 6 months was higher in the ICP-monitored group (p = 0.01). The mortality at discharge and 6 months later was also lower in the ICP-monitored group. Thus, our study supports the value of ICP monitoring in hypertension-related ICH patients with GCS scores of 3-12, especially those with GCS scores of 9-12.

Indexed as

Blood Pressure MonitorsAdultBlood Pressure DeterminationCerebral HemorrhageFemaleHumansHypertensionIntracranial HypertensionIntracranial PressureLength of StayMaleMiddle AgedRetrospective StudiesTreatment OutcomeHypertensionIntracerebral hemorrhageIntracranial pressure monitoringOutcome

Identifiers

PMID32144586
OpenAlexW3010105177

What OpenQuestion holds

Textmetadata
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.