Evidence map›Paper›PMID 32217992›Full record

SynthesisJournal of the Chinese Medical Association : JCMA2020

Seizure incidence of angiogram-negative subarachnoid hemorrhage: An updated meta-analysis.

Jin Pyeong Jeon, Sung-Eun Kim, Chung Liang Chai, Eun Pyo Hong, Jin Seo Yang, Suk Hyung Kang, Hyuk Jai Choi, Yong Jun Cho

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the Chinese Medical Association : JCMA, 2020. 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. Article
  2. Review
  3. Review
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

8 authors.

Jin Pyeong JeonDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.
Sung-Eun KimDepartment of Emergency Medicine, Seoul Emergency Operations Center, Seoul, Korea.
Chung Liang ChaiDepartment of Neurosurgery, Yee Zen General Hospital, Taoyuan, Taiwan, ROC.
Eun Pyo HongMolecular Neurogenetics Unit, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Jin Seo YangDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.
Suk Hyung KangDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.
Hyuk Jai ChoiDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.
Yong Jun ChoDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo provide updated information on seizure events and patterns in patients with angiogram-negative subarachnoid hemorrhage based on the initial hemorrhage patterns: perimesencephalic subarachnoid hemorrhage (PMH) vs non-PMH.

methodsA review of online database literature from January 1990 to November 2017 was systematically performed. In case of heterogeneity <50%, a fixed effect model was used. Publication bias was determined using Begg funnel plot and the trim-and-fill method.

resultsA total of 9 studies with 645 patients were included for final analysis after excluding one study without any seizure within either cohort. PMH patients had lower seizure rates (odds ratio, 0.393; 95% CI, 0.158-0.978) compared with non-PMH patients. The funnel plot showed a relatively asymmetric pattern, suggesting possible publication bias. After correction of the forest plot, the adjusted odds ratio was 0.362 (95% CI, 0.148-0.886), indicating significant relationships between PMH and lower incidence of seizure.

conclusionPMH is associated with lower seizure risk than non-PMH. However, possible publication bias could be a concern to the interpretation. Additional meta-analyses based on individual patient data from prospective large-scale studies are necessary.

Indexed as

Cerebral AngiographyAnticonvulsantsHumansIncidencePublication BiasSeizuresSubarachnoid HemorrhageAnticonvulsants

Identifiers

PMID32217992
PMCPMC13047995

What OpenQuestion holds

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Registered trials

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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.