Evidence map›Paper›PMID 33551444›Full record

ArticleJournal of atherosclerosis and thrombosis2021

The Predictive Values of Different Small Vessel Disease Scores on Clinical Outcomes in Mild ICH Patients.

Tianqi Xu, Yulan Feng, Weiwen Wu, Fanxia Shen, Xiaodong Ma, Weiping Deng, Bei Zhang, Jin Hu, Yi Fu

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 27% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 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 6 institutions in 1 country.

Tianqi XuDepartment of Neurology, Ruijin Hospital/Luwan Branch, School of Medicine, Shanghai Jiao Tong University.
Yulan FengDepartment of Neurology, Minhang Hospital, Fudan University.
Weiwen WuDepartment of Neurology, Zhongshan Hospital Qingpu Branch, Fudan University.
Fanxia ShenDepartment of Neurology, Ruijin Hospital/Luwan Branch, School of Medicine, Shanghai Jiao Tong University.
Xiaodong MaDepartment of Neurology, Haiyan People's Hospital.
Weiping DengDepartment of Neurology, Ruijin North Hospital.
Bei ZhangDepartment of Radiology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University.
Jin HuDepartment of Neurology, The First Hospital of Jiaxing.
Yi FuDepartment of Neurology, Ruijin Hospital/Luwan Branch, School of Medicine, Shanghai Jiao Tong University.
Ruijin Hospital · CNShanghai Jiao Tong University · CNFirst Hospital of Jiaxing · CNFudan University · CNPeople's Hospital of Shiyan · CNZhongshan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo explore the predictive values of different small vessel disease (SVD) scores on functional recoveries and the clinical cerebrovascular events in mild intracerebral hemorrhage (ICH).

methodsIn this study, we enrolled conscious and mild ICH patients without surgery and further divided them into the cerebral amyloid angiopathy (CAA)-ICH group and hypertension (HTN)-ICH group. The severity of individual SVD markers, including lacunes, cerebral microbleeds (CMBs), enlarged perivascular spaces (EPVS), white matter hyperintensity (WMH), and cortical superficial siderosis (cSS), was evaluated. The original SVD score, modified SVD score, refined SVD score, and CAA-SVD score and the total number of SVD markers were further calculated. Functional recoveries were evaluated using the modified Rankin scale. Recurrences of stroke were defined as readmission to the hospital with a definite diagnosis of stroke.

resultsA total of 163 ICH patients (60 CAA-ICH and 103 HTN-ICH) were included in the study. The CAA-SVD score (OR=3.429; 95% confidence interval (CI)=1.518-7.748) had the best predictive effect on functional dependence in the CAA-ICH group, among which cSS severities probably played a vital role (OR=4.665; 95% CI=1.388-15.679). The total number of SVD markers [hazard ratio (HR)=3.765; 95% CI=1.467-9.663] can better identify stroke recurrences in CAA-ICH. In HTN-ICH, while the total number of SVD markers (HR=2.136; 95% CI=1.218-3.745) also demonstrated association with recurrent stroke, this effect seems to be related with the influence of lacunes (HR=5.064; 95% CI=1.697-15.116).

conclusionsThe CAA-SVD score and the total number of SVD markers might identify mild CAA-ICH patients with poor prognosis. However, it would be better to focus on lacunes rather than on the overall burden of SVD to predict recurrent strokes in HTN-ICH.

Indexed as

AgedAged, 80 and overCerebral Amyloid AngiopathyCerebral HemorrhageCerebral Small Vessel DiseasesFemaleHumansHypertensionMaleMiddle AgedPrognosisRetrospective StudiesSeverity of Illness IndexCAA-related ICHClinical cerebrovascular eventsDifferent Small Vessel Disease ScoresFunctional recoveriesHTN-related ICH

Identifiers

PMID33551444
PMCPMC8532058
OpenAlexW3126969484

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LicenceCC BY-NC-SA
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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.