Evidence map›Paper›PMID 36534315›Full record

ArticleIrish journal of medical science2023

Intracranial haemorrhage and falls: cause or effect?

Lauren Vrbanic, Ciara Hunt, Maeve Cooney, Josephine Heffernan, Andrea Walsh, Ciara Heaney, Sally Anne Collis, Rachel Howley, Conor Fearon, Michael Farrell and 1 more

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In one paragraph

Article in Irish journal of medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Lauren VrbanicSchool of Medicine, Trinity College Dublin, Dublin, Ireland.
Ciara HuntDepartment of Pathology [Neuropathology], Beaumont Hospital, Dublin, Dublin 9, Ireland.
Maeve CooneyDepartment of Pathology [Neuropathology], Beaumont Hospital, Dublin, Dublin 9, Ireland.
Josephine HeffernanDepartment of Pathology [Neuropathology], Beaumont Hospital, Dublin, Dublin 9, Ireland.
Andrea WalshDepartment of Pathology [Neuropathology], Beaumont Hospital, Dublin, Dublin 9, Ireland.
Ciara HeaneyDepartment of Pathology [Neuropathology], Beaumont Hospital, Dublin, Dublin 9, Ireland.
Sally Anne CollisOffice of the State Pathologist, Dublin, Ireland.
Rachel HowleyDepartment of Pathology [Neuropathology], Beaumont Hospital, Dublin, Dublin 9, Ireland.
Conor FearonDepartment of Pathology [Neuropathology], Beaumont Hospital, Dublin, Dublin 9, Ireland.
Michael FarrellDepartment of Pathology [Neuropathology], Beaumont Hospital, Dublin, Dublin 9, Ireland.
Francesca BrettSchool of Medicine, Trinity College Dublin, Dublin, Ireland. francescabrett@beaumont.ie.ORCID http://orcid.org/0000-0002-7453-4027

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA difficult question in autopsy practice is whether intracranial haemorrhage has resulted from or brought about a fall. MATERIAL AND

methodsTo address this we undertook a retrospective study of all autopsy reports (N = 2126) complied over a 10 year period (2009-2018). Of 720 patients who underwent a comprehensive post mortem neuropathologic examination we found 226 patients who had a history of a fall.

resultsOf the 226 with a history of fall, 175 (79%) had an intracranial haemorrhage which was classified as truamatic (n = 134, 77%) or spontaneous (n = 41, 23%. Within the traumatic group, falls from a standing height (51%) were more common than falls involving stairs (31%) or falls from a height (12%). Cerebral contusional injury (51%) and subdural haemorrhage (45%) were the most common type of haemorrhage in the traumatic group. In the spontaneous haemorrhage group cerebral amyloid angiopathy (49%) was the commonest detected cause and was typically lobar in distribution).

conclusionWe are of the view that a comprehensive analysis of fatal falls with intracranial haemorrhage warrants a detailed neuropathologic examination as part of the overall death analysis.

Indexed as

Intracranial HemorrhagesAutopsyHumansRetrospective StudiesCerebral amyloid angiopathyFallHaemorrhageHypertensionTrauma

Identifiers

PMID36534315

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.