Evidence map›Paper›PMID 35478697›Full record

ArticleFrontiers in aging neuroscience2022

Total Cerebral Small Vessel Disease Score and Cerebral Bleeding Risk in Patients With Acute Stroke Treated With Intravenous Thrombolysis.

Houwei Du, Sangru Wu, Hanhan Lei, Gareth Ambler, David J Werring, Hangfeng Li, Yangui Chen, Dongping Chen, Qilin Yuan, Shuangfang Fang and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

16 authors at 4 institutions in 2 countries.

Houwei DuDepartment of Neurology, Stroke Research Center, Fujian Medical University Union Hospital, Fuzhou, China.
Sangru WuDepartment of Neurology, Stroke Research Center, Fujian Medical University Union Hospital, Fuzhou, China.
Hanhan LeiDepartment of Neurology, Stroke Research Center, Fujian Medical University Union Hospital, Fuzhou, China.
Gareth AmblerDepartment of Statistical Science, University College London, London, United Kingdom.
David J WerringDepartment of Brain Repair and Rehabilitation, University College London Queen Square Institute of Neurology, London, United Kingdom.
Hangfeng LiDepartment of Neurology, Longyan First Hospital of Fujian Medical University, Longyan, China.
Yangui ChenDepartment of Neurology, Longyan First Hospital of Fujian Medical University, Longyan, China.
Dongping ChenDepartment of Neurology, Longyan First Hospital of Fujian Medical University, Longyan, China.
Qilin YuanDepartment of Neurology, Stroke Research Center, Fujian Medical University Union Hospital, Fuzhou, China.
Shuangfang FangDepartment of Neurology, Stroke Research Center, Fujian Medical University Union Hospital, Fuzhou, China.
Ronghua ChenDepartment of Neurology, Stroke Research Center, Fujian Medical University Union Hospital, Fuzhou, China.
Yixian ZhangDepartment of Rehabilitation, Fujian Medical University Union Hospital, Fuzhou, China.
Jin WeiDepartment of Radiology, Fujian Medical University Union Hospital, Fuzhou, China.
Guangliang ChenDepartment of Radiology, Fujian Medical University Union Hospital, Fuzhou, China.
Jianhua ChenDepartment of Radiology, Fujian Medical University Union Hospital, Fuzhou, China.
Nan LiuDepartment of Neurology, Stroke Research Center, Fujian Medical University Union Hospital, Fuzhou, China.
Fujian Medical University · CNUnion Hospital · CNQueen Mary University of London · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study was to investigate the association of total cerebral small vessel disease (cSVD) score with the risk of intracerebral hemorrhage (ICH) in patients with acute ischemic stroke who received intravenous thrombolysis (IVT) using recombinant tissue-plasminogen activator (rt-PA). Methods: We retrospectively reviewed clinical data from two stroke registries of patients with acute ischemic stroke treated with IVT. We assessed the baseline magnetic resonance (MR) visible cSVD markers and total cSVD score (ranging from 0 to 4) between patients with and without ICH after IVT. Logistic regression analysis was used to determine the association of total cSVD score with the risk of ICH after IVT, adjusted for cofounders selected by least absolute shrinkage and selection operator (LASSO). We additionally performed an Results: Among 271 eligible patients, 55 (20.3%) patients experienced any ICH, 16 (5.9%) patients experienced a symptomatic ICH (sICH), and 5 (1.85%) patients had remote intracranial parenchymal hemorrhage (rPH). Logistic regression analysis showed that the risk of any ICH increased with increasing cSVD score [per unit increase, adjusted odds ratio (OR) 2.03, 95% CI 1.22-3.41, Conclusion: The total cSVD score is associated with an increased risk of any ICH after IVT and improves prediction for any ICH compared with NIHSS alone.

Indexed as

cerebral bleeding riskcerebral small vessel diseaseintracerebral hemorrhageischemic strokethrombolysis

Identifiers

PMID35478697
PMCPMC9037754
OpenAlexW4223493648

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.