Evidence map›Paper›PMID 33506695›Full record

ArticleJournal of the American Heart Association2021

Noncontrast Computed Tomography Markers as Predictors of Revised Hematoma Expansion in Acute Intracerebral Hemorrhage.

Wen-Song Yang, Shu-Qiang Zhang, Yi-Qing Shen, Xiao Wei, Li-Bo Zhao, Xiong-Fei Xie, Lan Deng, Xin-Hui Li, Xin-Ni Lv, Fa-Jin Lv and 3 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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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

13 authors.

Wen-Song YangDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Shu-Qiang ZhangDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Yi-Qing ShenDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Xiao WeiDepartment of Traditional Chinese Medicine Chongqing Medical and Pharmaceutical College Chongqing China.
Li-Bo ZhaoDepartment of Neurology Yongchuan Hospital of Chongqing Medical University Chongqing China.
Xiong-Fei XieDepartment of Radiology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Lan DengDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Xin-Hui LiDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Xin-Ni LvDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Fa-Jin LvDepartment of Radiology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Dar DowlatshahiDepartment of Medicine (Neurology) Ottawa Hospital Research InstituteUniversity of Ottawa Ontario Canada.
Qi LiDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Peng XieDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Noncontrast computed tomography (NCCT) markers are the emerging predictors of hematoma expansion in intracerebral hemorrhage. However, the relationship between NCCT markers and the dynamic change of hematoma in parenchymal tissues and the ventricular system remains unclear. Methods and Results We included 314 consecutive patients with intracerebral hemorrhage admitted to our hospital from July 2011 to May 2017. The intracerebral hemorrhage volumes and intraventricular hemorrhage (IVH) volumes were measured using a semiautomated, computer-assisted technique. Revised hematoma expansion (RHE) was defined by incorporating the original definition of hematoma expansion into IVH growth. Receiver operating characteristic curve analysis was used to compare the performance of the NCCT markers in predicting the IVH growth and RHE. Of 314 patients in our study, 61 (19.4%) had IVH growth and 93 (23.9%) had RHE. After adjustment for potential confounding variables, blend sign, black hole sign, island sign, and expansion-prone hematoma could independently predict IVH growth and RHE in the multivariate logistic regression analysis. Expansion-prone hematoma had a higher predictive performance of RHE than any single marker. The diagnostic accuracy of RHE in predicting poor prognosis was significantly higher than that of hematoma expansion. Conclusions The NCCT markers are independently associated with IVH growth and RHE. Furthermore, the expansion-prone hematoma has a higher predictive accuracy for prediction of RHE and poor outcome than any single NCCT marker. These findings may assist in risk stratification of NCCT signs for predicting active bleeding.

Indexed as

Acute DiseaseBrainCerebral HemorrhageDisease ProgressionFemaleFollow-Up StudiesHematomaHumansMaleMiddle AgedProspective StudiesTomography, X-Ray Computedactive bleedingcomputed tomographyhematoma expansionintracerebral hemorrhageintraventricular hemorrhage

Identifiers

PMID33506695
PMCPMC7955436

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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.