Evidence map›Paper›PMID 35677981›Full record

ArticleJournal of stroke2022

Etiology, 3-Month Functional Outcome and Recurrent Events in Non-Traumatic Intracerebral Hemorrhage.

Martina B Goeldlin, Achim Mueller, Bernhard M Siepen, Madlaine Mueller, Davide Strambo, Patrik Michel, Michael Schaerer, Carlo W Cereda, Giovanni Bianco, Florian Lindheimer and 38 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 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

48 authors at 19 institutions in 2 countries.

Martina B GoeldlinDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Achim MuellerDepartment of Neurology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Bernhard M SiepenDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Madlaine MuellerDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Davide StramboService of Neurology, Department of Clinical Neurosciences, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Patrik MichelService of Neurology, Department of Clinical Neurosciences, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Michael SchaererDepartment of Neurology, Buergerspital Solothurn, Solothurn, Switzerland.
Carlo W CeredaStroke Center EOC, Neurocenter of Southern Switzerland, Lugano, Switzerland.
Giovanni BiancoStroke Center EOC, Neurocenter of Southern Switzerland, Lugano, Switzerland.
Florian LindheimerStroke Unit, Department of Internal Medicine, Hospital of Grabs, Grabs, Switzerland.
Christian BergerStroke Unit, Department of Internal Medicine, Hospital of Grabs, Grabs, Switzerland.
Friedrich MedlinStroke Unit and Division of Neurology, Department of Internal Medicine, HFR Fribourg-Cantonal Hospital, Villars-sur-Glâne, Switzerland.
Roland BackhausStroke Center Hirslanden, Klinik Hirslanden Zurich, Zurich, Switzerland.
Nils PetersStroke Center Hirslanden, Klinik Hirslanden Zurich, Zurich, Switzerland.
Susanne RenaudDivision of Neurology, Pourtalès Hospital, Neuchatel, Switzerland.
Loraine FischStroke Unit, GHOL, Hospital Nyon, Nyon, Switzerland.
Julien NiederhaeuserStroke Unit, GHOL, Hospital Nyon, Nyon, Switzerland.
Emmanuel CarreraStroke Research Group, Department of Clinical Neurosciences, Geneva University Hospital, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Elisabeth DirrenStroke Research Group, Department of Clinical Neurosciences, Geneva University Hospital, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Christophe BonvinService of Neurology, Valais Hospital, Sion, Switzerland.
Rolf SturzeneggerDepartment of Internal Medicine, Hospital Graubünden, Chur, Switzerland.
Timo KahlesDepartment of Neurology, Cantonal Hospital Aarau, Aarau, Switzerland.
Krassen NedeltchevDepartment of Neurology, Cantonal Hospital Aarau, Aarau, Switzerland.
Georg KaegiDepartment of Neurology, Cantonal Hospital, St. Gallen, Switzerland.
Jochen VehoffDepartment of Neurology, Cantonal Hospital, St. Gallen, Switzerland.
Biljana RodicStroke Unit, Department of Neurology, Cantonal Hospital Winterthur (KSW), Winterthur, Switzerland.
Manuel BologneseNeurology Department, Lucerne Cantonal Hospital (LUKS), Luzern, Switzerland.
Ludwig ScheloskyDivision of Neurology, Kantonsspital Münsterlingen, Munsterlingen, Switzerland.
Stephan SalmenDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Marie-Luise MonoStadtspitäler Triemli und Waid, Zurich, Switzerland.
Alexandros A PolymerisDepartment of Neurology and Stroke Center, University Hospital Basel, University of Basel, Basel, Switzerland.
Stefan T EngelterDepartment of Neurology and Stroke Center, University Hospital Basel, University of Basel, Basel, Switzerland.
Philippe LyrerDepartment of Neurology and Stroke Center, University Hospital Basel, University of Basel, Basel, Switzerland.
Susanne WegenerDepartment of Neurology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Andreas R LuftDepartment of Neurology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Werner Z'GraggenDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
David BerviniDepartment of Neurosurgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Bastian VolbersDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Tomas DobrockyUniversity Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Johannes KaesmacherGraduate School of Health Sciences, University of Bern, Bern, Switzerland.
Pasquale MordasiniUniversity Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Thomas R MeinelDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Marcel ArnoldDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Javier FandinoDepartment of Neurosurgery, Cantonal Hospital Aarau, Aarau, Switzerland.
Leo H BonatiDepartment of Neurology and Stroke Center, University Hospital Basel, University of Basel, Basel, Switzerland.
Urs FischerDepartment of Neurology and Stroke Center, University Hospital Basel, University of Basel, Basel, Switzerland.
David J SeiffgeDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
SSR Investigators
University of Bern · CHUniversity of Basel · CHKantonsspital Aarau · CHUniversity of Zurich · CHKlinik Hirslanden · CHLaboratory for Biomedical Neurosciences · CHUniversity of Geneva · CHUniversity of Lausanne · CHUniversity of St.Gallen · CHFribourg Development Agency · CHHôpital du Valais · CHHospital Neuchâtel · CHKantonsspital Graubünden · CHKantonsspital Münsterlingen · CHKantonsspital Winterthur · CHSolothurner Spitäler · CHStadtspital Waid · CHUniversity Hospital of Bern · CHUniversity of Lucerne · CH

Funding

AstraZenecaBangerter-Rhyner FoundationBayerBayer AGInselspitalIpsen PharmaPfizer AG/Bristol-Myers Squibb SASAMW/Bangerter-Rhyner-Foundation YTCR 13/18Stroke SocietySwiss Heart FoundationSwiss National Science FoundationUniversity of BaselUniversity of BernUniversity of Lausanne
6 · The paper itself

Abstract

background and purposeKnowledge about different etiologies of non-traumatic intracerebral hemorrhage (ICH) and their outcomes is scarce.

methodsWe assessed prevalence of pre-specified ICH etiologies and their association with outcomes in consecutive ICH patients enrolled in the prospective Swiss Stroke Registry (2014 to 2019).

resultsWe included 2,650 patients (mean±standard deviation age 72±14 years, 46.5% female, median National Institutes of Health Stroke Scale 8 [interquartile range, 3 to 15]). Etiology was as follows: hypertension, 1,238 (46.7%); unknown, 566 (21.4%); antithrombotic therapy, 227 (8.6%); cerebral amyloid angiopathy (CAA), 217 (8.2%); macrovascular cause, 128 (4.8%); other determined etiology, 274 patients (10.3%). At 3 months, 880 patients (33.2%) were functionally independent and 664 had died (25.1%). ICH due to hypertension had a higher odds of functional independence (adjusted odds ratio [aOR], 1.33; 95% confidence interval [CI], 1.00 to 1.77; P=0.05) and lower mortality (aOR, 0.64; 95% CI, 0.47 to 0.86; P=0.003). ICH due to antithrombotic therapy had higher mortality (aOR, 1.62; 95% CI, 1.01 to 2.61; P=0.045). Within 3 months, 4.2% of patients had cerebrovascular events. The rate of ischemic stroke was higher than that of recurrent ICH in all etiologies but CAA and unknown etiology. CAA had high odds of recurrent ICH (aOR, 3.38; 95% CI, 1.48 to 7.69; P=0.004) while the odds was lower in ICH due to hypertension (aOR, 0.42; 95% CI, 0.19 to 0.93; P=0.031).

conclusionsAlthough hypertension is the leading etiology of ICH, other etiologies are frequent. One-third of ICH patients are functionally independent at 3 months. Except for patients with presumed CAA, the risk of ischemic stroke within 3 months of ICH was higher than the risk of recurrent hemorrhage.

Indexed as

Cerebral hemorrhageEtiologyIschemic strokeOutcome

Identifiers

PMID35677981
PMCPMC9194537
OpenAlexW4281973987

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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.