Evidence map›Paper›PMID 36054211›Full record

ArticleAnnals of neurology2022

Cerebral Amyloid Angiopathy and the Risk of Hematoma Expansion.

David J Seiffge, Alexandros A Polymeris, Zhe Kang Law, Kailash Krishnan, Annaelle Zietz, Sebastian Thilemann, David Werring, Rustam Al-Shahi Salman, Robert A Dineen, Stefan T Engelter and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 18 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

15 authors at 6 institutions in 3 countries.

David J SeiffgeDepartment of Neurology, Inselspital University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0003-3890-3849
Alexandros A PolymerisDepartment of Neurology and Stroke Center, University Hospital Basel and University of Basel, Basel, Switzerland.ORCID 0000-0002-9475-2208
Zhe Kang LawStroke Trials Unit, University of Nottingham, Nottingham, UK.
Kailash KrishnanStroke Trials Unit, University of Nottingham, Nottingham, UK.ORCID 0000-0002-6486-3783
Annaelle ZietzDepartment of Neurology and Stroke Center, University Hospital Basel and University of Basel, Basel, Switzerland.
Sebastian ThilemannDepartment of Neurology and Stroke Center, University Hospital Basel and University of Basel, Basel, Switzerland.
David WerringStroke Research Centre, University College London Queen Square Institute of Neurology, London, UK.ORCID 0000-0003-2074-1861
Rustam Al-Shahi SalmanCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-2108-9222
Robert A DineenRadiological Sciences, University of Nottingham, Nottingham, UK.ORCID 0000-0002-9523-2546
Stefan T EngelterDepartment of Neurology and Stroke Center, University Hospital Basel and University of Basel, Basel, Switzerland.ORCID 0000-0003-3855-6234
Philip M BathStroke Trials Unit, University of Nottingham, Nottingham, UK.
Nikola SpriggStroke Trials Unit, University of Nottingham, Nottingham, UK.
Philippe LyrerDepartment of Neurology and Stroke Center, University Hospital Basel and University of Basel, Basel, Switzerland.
Nils PetersDepartment of Neurology and Stroke Center, University Hospital Basel and University of Basel, Basel, Switzerland.ORCID 0000-0001-8451-7389
TICH-2 Investigators
University of Basel · CHNational Health Service · GBUniversity of Nottingham · GBNational Hospital for Neurology and Neurosurgery · GBUniversity of Bern · CHUniversity of Edinburgh · GB

Funding

British Heart Foundation CS/18/2/33719British Heart Foundation PG/14/96/31262British Heart Foundation SP/12/2/29422Medical Research Council G1002605Medical Research Council G108/613
6 · The paper itself

Abstract

objectiveWe assessed whether hematoma expansion (HE) and favorable outcome differ according to type of intracerebral hemorrhage (ICH).

methodsAmong participants with ICH enrolled in the TICH-2 (Tranexamic Acid for Hyperacute Primary Intracerebral Haemorrhage) trial, we assessed baseline scans for hematoma location and presence of cerebral amyloid angiopathy (CAA) using computed tomography (CT, simplified Edinburgh criteria) and magnetic resonance imaging (MRI; Boston criteria) and categorized ICH as lobar CAA, lobar non-CAA, and nonlobar. The main outcomes were HE and favorable functional outcome. We constructed multivariate regression models and assessed treatment effects using interaction terms.

resultsA total of 2,298 out of 2,325 participants were included with available CT (98.8%; median age = 71 years, interquartile range = 60-80 years; 1,014 female). Additional MRI was available in 219 patients (9.5%). Overall, 1,637 participants (71.2%) had nonlobar ICH; the remaining 661 participants (28.8%) had lobar ICH, of whom 202 patients had lobar CAA-ICH (8.8%, 173 participants according to Edinburgh and 29 participants according to Boston criteria) and 459 did not (lobar non-CAA, 20.0%). For HE, we found a significant interaction of lobar CAA ICH with time from onset to randomization (increasing risk with time, p

interpretationRisk of HE in patients with lobar CAA-ICH was not independently increased but seems to have different dynamics compared to other types of ICH. The time window for treatment of CAA-ICH to prevent HE may be longer. ANN NEUROL 2022;92:921-930.

Indexed as

Cerebral Amyloid AngiopathyAgedAged, 80 and overCerebral HemorrhageFemaleHematomaHumansMagnetic Resonance ImagingMiddle AgedTomography, X-Ray Computed

Identifiers

PMID36054211
PMCPMC9804369
OpenAlexW4291222818

What OpenQuestion holds

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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.