Evidence map›Paper›PMID 36891475›Full record

SynthesisFrontiers in neurology2023

Risk factors of hemorrhagic transformation in acute ischaemic stroke: A systematic review and meta-analysis.

Jiacheng Sun, Christina Lam, Lauren Christie, Christopher Blair, Xingjuan Li, Freda Werdiger, Qing Yang, Andrew Bivard, Longting Lin, Mark Parsons

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
14.8field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Early versus late anticoagulation treatment after acute ischemic stroke with atrial fibrillation: a meta-analysis of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  3. Pooled it
  4. Transcranial direct current stimulation is safe and feasible in hyperacute ischemic stroke (DICAST-SF trial).Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Trial
  5. Observational
  6. Article
  7. Article
  8. Systemic immune-inflammation index predicts hemorrhagic transformation after endovascular therapy for ischemic stroke.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  9. Hemorrhagic transformation following a malignant middle cerebral artery infarction.Journal of cerebrovascular and endovascular neurosurgery · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 7 institutions in 1 country.

Jiacheng SunSydney Brain Centre, The Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Christina LamMelbourne Brain Centre at Royal Melbourne Hospital, Melbourne, VIC, Australia.
Lauren ChristieSydney Brain Centre, The Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Christopher BlairSydney Brain Centre, The Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Xingjuan LiQueensland Department of Agriculture and Fisheries, Brisbane, QLD, Australia.
Freda WerdigerMelbourne Brain Centre at Royal Melbourne Hospital, Melbourne, VIC, Australia.
Qing YangApollo Medical Imaging Technology Pty Ltd., Melbourne, VIC, Australia.
Andrew BivardMelbourne Brain Centre at Royal Melbourne Hospital, Melbourne, VIC, Australia.
Longting LinSydney Brain Centre, The Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Mark ParsonsSydney Brain Centre, The Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.
University of Melbourne · AUSouth Western Sydney Local Health District · AUApollo Medical Imaging Technology (Australia) · AULiverpool Hospital · AUQueensland Department of Agriculture and Fisheries · AUSt Vincent's Health · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hemorrhagic transformation (HT) following reperfusion therapies for acute ischaemic stroke often predicts a poor prognosis. This systematic review and meta-analysis aims to identify risk factors for HT, and how these vary with hyperacute treatment [intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT)]. Methods: Electronic databases PubMed and EMBASE were used to search relevant studies. Pooled odds ratio (OR) with 95% confidence interval (CI) were estimated. Results: A total of 120 studies were included. Atrial fibrillation and NIHSS score were common predictors for any intracerebral hemorrhage (ICH) after reperfusion therapies (both IVT and EVT), while a hyperdense artery sign (OR = 2.605, 95% CI 1.212-5.599, Conclusion: Several predictors of ICH were identified, which varied by treatment type. Studies based on larger and multi-center data sets should be prioritized to confirm the results. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=268927, identifier: CRD42021268927.

Indexed as

endovascular thrombectomyhemorrhagic transformationintracranial hemorrhageintravenous thrombolysisreperfusion therapyrisk factorstroke

Identifiers

PMID36891475
PMCPMC9986457
OpenAlexW4321376602

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.