Evidence map›Paper›PMID 36114314›Full record

ArticleNeurocritical care2023

Predictors of In-Hospital Mortality and Home Discharge in Patients with Aneurysmal Subarachnoid Hemorrhage: A 4-Year Retrospective Analysis.

Uma V Mahajan, Hammad A Khan, Xiaofei Zhou, Shaarada Srivatsa, Christina H Wright, Adam H Bates, Martha Sajatovic, Nicholas C Bambakidis

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Article in Neurocritical care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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.

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4 · The record

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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

8 authors.

Uma V MahajanSchool of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Hammad A KhanSchool of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Xiaofei ZhouDepartment of Neurological Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, HAN 5042, Cleveland, OH, 44106, USA.
Shaarada SrivatsaSchool of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Christina H WrightDepartment of Neurological Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, HAN 5042, Cleveland, OH, 44106, USA.
Adam H BatesDepartment of Neurocritical Care, Cleveland Clinic, Cleveland, OH, USA.
Martha SajatovicDepartment of Neurology and Psychiatry, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Nicholas C BambakidisDepartment of Neurological Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, HAN 5042, Cleveland, OH, 44106, USA. Nicholas.Bambakidis2@uhhospitals.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFactors associated with discharge disposition and mortality following aneurysmal subarachnoid hemorrhage (aSAH) are not well-characterized. We used a national all-payer database to identify factors associated with home discharge and in-hospital mortality.

methodsThe National Inpatient Sample was queried for patients with aSAH within a 4-year range. Weighted multivariable logistic regression models were constructed and adjusted for age, sex, race, household income, insurance status, comorbidity burden, National Inpatient Sample SAH Severity Score, disease severity, treatment modality, in-hospital complications, and hospital characteristics (size, teaching status, and region).

resultsOur sample included 37,965 patients: 33,605 were discharged alive and 14,350 were discharged home. Black patients had lower odds of in-hospital mortality compared with White patients (adjusted odds ratio [aOR] = 0.67, 95% confidence interval [CI] 0.52-0.86, p = 0.002). Compared with patients with private insurance, those with Medicare were less likely to have a home discharge (aOR = 0.58, 95% CI 0.46-0.74, p < 0.001), whereas those with self-pay (aOR = 2.97, 95% CI 2.29-3.86, p < 0.001) and no charge (aOR = 3.21, 95% CI 1.57-6.55, p = 0.001) were more likely to have a home discharge. Household income percentile was not associated with discharge disposition or in-hospital mortality. Paradoxically, increased number of Elixhauser comorbidities was associated with significantly lower odds of in-hospital mortality.

conclusionsWe demonstrate independent associations with hospital characteristics, patient characteristics, and treatment characteristics as related to discharge disposition and in-hospital mortality following aSAH, adjusted for disease severity.

Indexed as

Subarachnoid HemorrhageAgedHospital MortalityHumansMedicarePatient DischargeRetrospective StudiesUnited StatesAneurysmal subarachnoid hemorrhageDischargeInsurance statusMortalityNational inpatient sampleRace

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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.