Evidence map›Paper›PMID 37291394›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2023

Prognostic value of day-of-event serum calcium and magnesium for predicting 1-year prognosis after intracerebral hemorrhage.

Meng Liu, Yao Xiong, Xing Hua, Linrui Huang, Weihong He, Chao You, Ming Liu, Simiao Wu

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

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8 authors.

Meng Liu *Department of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.ORCID http://orcid.org/0000-0002-0548-8784
Yao Xiong *The Affiliated Hospital of Southwest Jiaotong University &, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Xing HuaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Linrui HuangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Weihong HeDepartment of Physiology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, 610041, Sichuan, China.
Chao YouDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Ming LiuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Simiao WuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. simiao.wu@hotmail.com.ORCID http://orcid.org/0000-0002-4557-7386

Funding

National Key Technology R&D Program of the 12th Five-Year Plan 2011BA108B05National Natural Science Foundation of China 81974181National Natural Science Foundation of China 82171285
6 · The paper itself

Abstract

aimTo investigate whether serum calcium and magnesium on the day of symptom onset contribute to prognosis at 1 year after intracerebral hemorrhage (ICH).

methodsWe prospectively enrolled patients admitted < 24 h after symptom onset of primary ICH to West China Hospital between January 2012 and October 2014. Blood samples were collected at admission to determine the concentration of serum calcium and magnesium. We analyzed associations of the serum concentration of calcium and magnesium with unfavorable outcome (defined as modified Rankin scale, mRS ≥ 3) at 1 year.

resultsWe included 874 patients (mean age 59.1 ± 13.5 years, 67.6% males), of whom 470 patients had mRS ≥ 3 and 284 patients died at 1 year. Compared to patients with the highest tertile level of calcium concentration (≥ 2.29 mmol/L), patients in the lowest tertile (≤ 2.15 mmol/L) had higher odds of unfavorable outcome (odds ratio, OR 1.61, 95% confidence interval [CI] 1.04-2.50, P = 0.034). The Kaplan-Meier survival curve revealed a significant difference of cumulative survival rate across calcium tertiles (log-rank P value = 0.038). There was no significant association between serum concentration of magnesium and functional outcome at 1 year.

conclusionA reduced serum concentration of calcium on the day-of-event was associated with unfavorable outcome at 1 year after ICH. Future studies are needed to illustrate the pathophysiological mechanism of calcium and whether calcium could be a treatment target for improving outcomes after ICH.

Indexed as

CalciumCerebral HemorrhageMagnesiumAdultAgedFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisProspective StudiesTime FactorsCalciumMagnesiumCalciumIntracerebral hemorrhageMagnesiumPrognosis

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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.