Evidence map›Paper›PMID 33817332›Full record

ArticleEuropean stroke journal2021

Risk of intracerebral haemorrhage from hypertension is greatest at an early age.

Robert Stanton, Stacie L Demel, Matthew L Flaherty, Eleni Antzoulatos, Lee A Gilkerson, Jennifer Osborne, Tyler P Behymer, Charles J Moomaw, Padmini Sekar, Carl Langefeld and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in European stroke journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 11 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

11 authors at 2 institutions in 1 country.

Robert StantonDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.ORCID https://orcid.org/0000-0003-3804-5063
Stacie L DemelDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
Matthew L FlahertyDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
Eleni AntzoulatosDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
Lee A GilkersonDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
Jennifer OsborneDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
Tyler P BehymerDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
Charles J MoomawDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
Padmini SekarDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
Carl LangefeldDepartment of Biostatistical Sciences, Wake Forest University, Winston-Salem, NC, USA.
Daniel WooDepartment of Neurology & Rehabilitation Medicine, University of Cincinnati, OH, USA.
University of Cincinnati · USWake Forest University · US

Funding

Ethnic/Racial Variation in Intracerebral Hemorrhage (ERICH)U01NS069763 · NINDS · UNIVERSITY OF CINCINNATI · PI ANDERSON, CHRISTOPHER DAVID, DEMEL, STACIE · 2010 to 2024
$34.2M
NINDS NIH HHS U01 NS069763
6 · The paper itself

Abstract

introductionThe risk of intracerebral haemorrhage (ICH) associated with hypertension (HTN) is well documented. While the prevalence of HTN increases with age, the greatest odds ratio (OR) for HTN as a risk for ischemic stroke is at an early age. We sought to evaluate if the risk for ICH from HTN was higher in the youngest patients of each race. PATIENTS AND

methodsThe Ethnic/Racial Variations of ICH (ERICH) study is a prospective multicenter case-control study of ICH among whites, blacks, and Hispanics. Participants were divided into age groups based on race-specific quartiles. Cases in each race/age group were compared to controls using logistic regression (i.e., cases and controls unmatched). The probability of ICH among cases and controls for each race were compared against independent variables of HTN, quartile of age and interaction of quartile and age also using logistic regression.

resultsOverall, 2033 non-lobar ICH cases and 2060 controls, and 913 lobar ICH cases with 927 controls were included. ORs were highest in the youngest age quartile for non-lobar haemorrhage for blacks and Hispanics and highest in the youngest quartile for lobar haemorrhage for all races. The formal test of interaction between age and HTN was significant in all races for all locations with the exception of lobar ICH in whites (p = 0.2935). DISCUSSION: Hypertension is a strong independent risk factor for ICH irrespective of location among persons of younger age, consistent with the hypothesis that first exposure to HTN is a particularly sensitive time for all locations of ICH.

Indexed as

cerebrovascular diseasehypertensionIntracerebral hemorrhageracial differences

Identifiers

PMID33817332
PMCPMC7995317
OpenAlexW3133081459

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.