Evidence map›Paper›PMID 37021149›Full record

ArticleEuropean stroke journal2023

Serum S-100B adds incremental value for the prediction of symptomatic intracranial hemorrhage and brain edema after acute ischemic stroke.

Tim Honegger, Juliane Schweizer, Antonela Bicvic, Laura P Westphal, Valerie Schütz, Corinne Inauen, Thomas Pokorny, Katja Bracher, Marcel Arnold, Urs Fischer and 17 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. S-100B in acute ischemic stroke: a visualization of global hotspots.International journal of emergency medicine · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
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  10. Observational
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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

27 authors at 12 institutions in 4 countries.

Tim HoneggerDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-9941-171X
Juliane SchweizerDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Antonela BicvicDepartment of Neurology, Inselspital University of Berne, Switzerland.
Laura P WestphalDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Valerie SchützDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Corinne InauenDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Thomas PokornyDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Katja BracherDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Marcel ArnoldDepartment of Neurology, Inselspital University of Berne, Switzerland.
Urs FischerDepartment of Neurology, Inselspital University of Berne, Switzerland.ORCID 0000-0003-0521-4051
Leo H BonatiDepartment of Neurology and Stroke Center, University Hospital Basel, Switzerland.ORCID 0000-0003-1163-8133
Gian Marco De MarchisDepartment of Neurology and Stroke Center, University Hospital Basel, Switzerland.ORCID 0000-0002-0342-9780
Krassen NedeltchevDepartment of Neurology, Kantonsspital Aarau, Switzerland.
Timo KahlesDepartment of Neurology, Kantonsspital Aarau, Switzerland.ORCID 0000-0002-1569-6376
Carlo CeredaStroke Center, Neurocenter of Southern Switzerland (NSI), Ospedale Regionale di Lugano, Switzerland.
Georg KägiDepartment of Neurology, Kantonsspital St. Gallen, Switzerland.
Joan MontanerNeurovascular Research Laboratory, Vall d'Hebron Institute of Research (VHIR) Barcelona.
Alejandro BustamanteStroke Unit, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Elena PalàNeurovascular Research Laboratory, Vall d'Hebron Institute of Research (VHIR)-Universitat Autònoma de Barcelona, Barcelona, Spain.
George NtaiosDepartment of Internal Medicine, University of Thessaly, Larissa, Greece.ORCID 0000-0002-0629-9248
Christian FoerchDepartment of Neurology, Goethe University Frankfurt, Germany.
Andreas LuftDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Katharina SpanausInstitute of Clinical Chemistry, University Hospital Zurich, Switzerland.
Lanja SalehInstitute of Clinical Chemistry, University Hospital Zurich, Switzerland.
Arnold von EckardsteinInstitute of Clinical Chemistry, University Hospital Zurich, Switzerland.
Markus ArnoldDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-5524-2301
Mira KatanDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
University Hospital of Zurich · CHUniversity Hospital of Basel · CHUniversity of Bern · CHKantonsspital Aarau · CHGoethe University Frankfurt · DEHospital Universitari Germans Trias i Pujol · ESHospital Universitario Virgen Macarena · ESKantonsspital St. Gallen · CHOspedale regionale di Lugano · CHUniversitat Autònoma de Barcelona · ESUniversity Hospital of Bern · CHUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early identification of patients developing symptomatic intracranial hemorrhage and symptomatic brain edema after acute ischemic stroke is essential for clinical decision-making. Astroglial protein S-100B is a marker of blood-brain barrier disruption, which plays an important role in the formation of intracranial hemorrhage and brain edema. In this study, we assessed the prognostic value of serum S-100B for the development of these complications. Methods: Serum S-100B levels were measured within 24 h from symptom onset in 1749 consecutive acute ischemic stroke patients from the prospective, observational, multicenter BIOSIGNAL cohort study (mean age 72.0 years, 58.3% male). To determine symptomatic intracranial hemorrhage or symptomatic brain edema, follow-up neuroimaging was performed in all patients receiving reperfusion therapy or experiencing clinical worsening with an NIHSS increase of ⩾4. Results: Forty six patients (2.6%) developed symptomatic intracranial hemorrhage and 90 patients (5.2%) developed symptomatic brain edema. After adjustment for established risk factors, log Conclusions: Serum S-100B levels measured within 24 h after symptom onset are independently associated with the development of symptomatic intracranial hemorrhage and symptomatic brain edema in acute ischemic stroke patients. Thus, S-100B may be useful for early risk-stratification regarding stroke complications.

Indexed as

Brain EdemaIschemic StrokeAgedCohort StudiesFemaleHumansIntracranial HemorrhagesMaleModels, StatisticalPrognosisProspective Studiesbrain edemaintracranial hemorrhageischemic strokeS-100Bserum biomarkerstroke complications

Identifiers

PMID37021149
PMCPMC10068408
OpenAlexW4313468551

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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.