Evidence map›Paper›PMID 35410492›Full record

ArticleStroke2022

Association Between Beta-Blocker or Statin Drug Use and the Risk of Hemorrhage From Cerebral Cavernous Malformations.

Susanna M Zuurbier, Charlotte R Hickman, Leon A Rinkel, Rebecca Berg, Ulrich Sure, Rustam Al-Shahi Salman, Scottish Audit of Intracranial Vascular Malformations Steering Committee and Collaborators

Open access · hybridAbstract read
In one paragraph

Article in Stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 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

7 authors at 5 institutions in 4 countries.

Susanna M Zuurbier *Department of Neurology, Amsterdam University Medical Center, the Netherlands (S.M.Z., L.A.R.).ORCID 0000-0001-9288-9043
Charlotte R Hickman *Edinburgh Medical School, College of Medicine and Veterinary Medicine (C.R.H.), University of Edinburgh, United Kingdom.ORCID 0000-0003-3228-1479
Leon A RinkelDepartment of Neurology, Amsterdam University Medical Center, the Netherlands (S.M.Z., L.A.R.).ORCID 0000-0002-0291-8515
Rebecca BergDepartment of Neurosurgery, University of Duisburg-Essen, Germany (R.B., U.S.).
Ulrich SureDepartment of Neurosurgery, University of Duisburg-Essen, Germany (R.B., U.S.).ORCID 0000-0002-9073-1821
Rustam Al-Shahi SalmanCentre for Clinical Brain Sciences and Usher Institute of Population Health Sciences and Informatics (R.A.-S.S.), University of Edinburgh, United Kingdom.ORCID 0000-0002-2108-9222
Scottish Audit of Intracranial Vascular Malformations Steering Committee and Collaborators
University of Duisburg-Essen · DEAmsterdam University Medical Centers · NLCentre for Global Health Research · CAEdinburgh College · GBGGD Amsterdam · NL

Funding

Medical Research Council G1002605Medical Research Council G108/613Medical Research Council G84/5176
6 · The paper itself

Abstract

backgroundWe aimed to determine the association between beta-blocker or statin drug use and the future risk of symptomatic intracranial hemorrhage or persistent/progressive focal neurological deficit from cerebral cavernous malformations (CCM).

methodsThe population-based Scottish Audit of Intracranial Vascular Malformations prospectively identified adults resident in Scotland first diagnosed with CCM during 1999 to 2003 or 2006 to 2010. We compared the association between beta-blocker or statin drug use after first presentation and the occurrence of new intracranial hemorrhage or persistent/progressive focal neurological deficit due to CCM for up to 15 years of prospective follow-up. We confirmed proportional hazards and used survival analysis with multivariable adjustment for age, intracranial hemorrhage at CCM presentation, and brain stem CCM location.

resultsSixty-three (21%) of 300 adults used beta-blockers (27/63 [43%] used propranolol), and 73 (24%) used statin drugs over 3634 person-years of follow-up. At baseline, the only statistically significant imbalances in prespecified potential confounders were age by statin use and intracranial hemorrhage at presentation by beta-blocker use. Beta-blocker use was associated with a lower risk of new intracranial hemorrhage or persistent/progressive focal neurological deficit (adjusted hazard ratio, 0.09 [95% CI, 0.01-0.66];

conclusionsBeta-blocker, but not statin, use was associated with a lower risk of intracranial hemorrhage or persistent/progressive focal neurological deficit in patients with CCM.

Indexed as

Hemangioma, Cavernous, Central Nervous SystemHydroxymethylglutaryl-CoA Reductase InhibitorsAdrenergic beta-AntagonistsAdultBrain StemCerebral HemorrhageHumansIntracranial HemorrhagesProspective StudiesAdrenergic beta-AntagonistsHydroxymethylglutaryl-CoA Reductase Inhibitorsadrenergic beta-antagonistscerebral hemorrhagehemangioma, cavernous, central nervous systemhydroxymethylglutaryl-CoA reductase inhibitorssecondary prevention

Identifiers

PMID35410492
PMCPMC9311291
OpenAlexW4223461907

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.