Evidence map›Paper›PMID 37085308›Full record

ArticleBMJ open2023

Factors related to intracerebral haematoma in patients with aneurysmal subarachnoid haemorrhage in Vietnam: a multicentre prospective cohort study.

Tuan Anh Nguyen, Ton Duy Mai, Luu Dang Vu, Co Xuan Dao, Hung Manh Ngo, Hai Bui Hoang, Tuan Anh Tran, Trang Quynh Pham, Dung Thi Pham, My Ha Nguyen and 18 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

28 authors.

Tuan Anh NguyenCenter for Emergency Medicine, Bach Mai Hospital, Hanoi, Viet Nam.ORCID 0000-0002-3554-2526
Ton Duy MaiDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Luu Dang VuDepartment of Radiology, Hanoi Medical University, Hanoi, Viet Nam.
Co Xuan DaoDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Hung Manh NgoFaculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Viet Nam.
Hai Bui HoangDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Tuan Anh TranFaculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Viet Nam.
Trang Quynh PhamDepartment of Surgery, Hanoi Medical University, Hanoi, Viet Nam.
Dung Thi Pham *Department of Nutrition and Food Safety, Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh, Viet Nam.
My Ha Nguyen *Department of Health Organization and Management, Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh, Viet Nam.
Linh Quoc NguyenCenter for Emergency Medicine, Bach Mai Hospital, Hanoi, Viet Nam.
Phuong Viet DaoDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Duong Ngoc NguyenCenter for Emergency Medicine, Bach Mai Hospital, Hanoi, Viet Nam.
Hien Thi Thu VuongDepartment of Emergency, Vietnam-Czechoslovakia Friendship Hospital, Hai Phong, Viet Nam.
Hung Dinh VuEmergency and Critical Care Department, Hanoi Medical University Hospital, Hanoi Medical University, Hanoi, Viet Nam.
Dong Duc NguyenDepartment of Neurosurgery II, Neurosurgery Center, Vietnam-Germany Friendship Hospital, Hanoi, Viet Nam.
Thanh Dang VuDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Dung Tien NguyenStroke Center, Bach Mai Hospital, Hanoi, Viet Nam.
Anh Le Ngoc DoDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Quynh Thi PhamDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Nhung Hong KhuatDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Ninh Van DuongDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Cong Chi NgoDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.
Son Ngoc DoDepartment of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Viet Nam.ORCID 0000-0001-6957-377X
Hao The NguyenDepartment of Surgery, Hanoi Medical University, Hanoi, Viet Nam.
Chi Van NguyenCenter for Emergency Medicine, Bach Mai Hospital, Hanoi, Viet Nam.
Anh Dat NguyenCenter for Emergency Medicine, Bach Mai Hospital, Hanoi, Viet Nam.
Chinh Quoc LuongCenter for Emergency Medicine, Bach Mai Hospital, Hanoi, Viet Nam luongquocchinh@gmail.com.ORCID 0000-0002-6409-577X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the impact of intracerebral haematoma (ICH) on the outcomes and the factors related to an ICH in patients with aneurysmal subarachnoid haemorrhage (aSAH) in a low- and middle-income country.

designA multicentre prospective cohort study.

settingThree central hospitals in Hanoi, Vietnam.

participantsThis study included all patients (≥18 years) presenting with aSAH to the three central hospitals within 4 days of ictus, from August 2019 to June 2021, and excluded patients for whom the admission Glasgow Coma Scale was unable to be scored or patients who became lost at 90 days of follow-up during the study. OUTCOME MEASURES: The primary outcome was ICH after aneurysm rupture, defined as ICH detected on an admission head CT scan. The secondary outcomes were 90-day poor outcomes and 90-day death.

resultsOf 415 patients, 217 (52.3%) were females, and the median age was 57.0 years (IQR: 48.0-67.0). ICH was present in 20.5% (85/415) of patients with aSAH. There was a significant difference in the 90-day poor outcomes (43.5% (37/85) and 29.1% (96/330); p=0.011) and 90-day mortality (36.5% (31/85) and 20.0% (66/330); p=0.001) between patients who had ICH and patients who did not have ICH. The multivariable regression analysis showed that systolic blood pressure (SBP) ≥140 mm Hg (adjusted odds ratio (AOR): 2.674; 95% CI: 1.372 to 5.214; p=0.004), World Federation of Neurosurgical Societies (WFNS) grades II (AOR: 3.683; 95% CI: 1.250 to 10.858; p=0.018) to V (AOR: 6.912; 95% CI: 2.553 to 18.709; p<0.001) and a ruptured middle cerebral artery (MCA) aneurysm (AOR: 3.717; 95% CI: 1.848 to 7.477; p<0.001) were independently associated with ICH on admission.

conclusionsIn this study, ICH was present in a substantial proportion of patients with aSAH and contributed significantly to a high rate of poor outcomes and death. Higher SBP, worse WFNS grades and ruptured MCA aneurysms were independently associated with ICH on admission.

Indexed as

Intracranial AneurysmStrokeSubarachnoid HemorrhageCerebral HemorrhageFemaleHematomaHumansMaleMiddle AgedProspective StudiesTreatment OutcomeVietnamaccident & emergency medicineadult intensive & critical careneurosurgerystrokestroke medicine

Identifiers

PMID37085308
PMCPMC10124281

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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.