Evidence map›Paper›PMID 37529787›Full record

ArticleTurkish journal of emergency medicine

Predictors of 7-day symptomatic hemorrhagic transformation in patients with acute ischemic stroke and proposal of a novel screening tool: A retrospective cohort study.

Mehmet Muzaffer Islam, Cemrenur Uygun, Melike Delipoyraz, Merve Osoydan Satici, Servan Kurt, Enis Ademoglu, Serkan Emre Eroglu

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In one paragraph

Article in Turkish journal of emergency medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

7 authors.

Mehmet Muzaffer IslamDepartment of Emergency Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0001-6928-2307
Cemrenur UygunDepartment of Emergency Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-3780-6660
Melike DelipoyrazDepartment of Emergency Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0001-7347-1629
Merve Osoydan SaticiDepartment of Emergency Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-3169-0724
Servan KurtDepartment of Emergency Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0001-6464-9931
Enis AdemogluDepartment of Emergency Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-6330-666X
Serkan Emre ErogluDepartment of Emergency Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-3183-3713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHemorrhagic transformation (HT) is significantly related to poor neurological outcomes and mortality. Although variables and models that predict HT have been reported in the literature, the need for a model with high diagnostic performance continues. We aimed to propose a model that can accurately predict symptomatic HT within 7 days of acute ischemic stroke (AIS).

methodsPatients with AIS admitted to the emergency department of a tertiary training and research hospital between November 07, 2021, and August 26, 2022, were included in this single-center retrospective study. For the model, binary logistics with the forced-entry method was used and the model was validated with 3-fold cross-validation. After the final model was created, the optimal cutoff point was determined with Youden's index. Another cut-off point was determined at which the sensitivity was the highest.

resultsThe mean age of the 423 patients included in the study was 70 (60-81) and 53.7% (

conclusionThe diagnostic performance of our model was satisfactory and it seems to be promising for symptomatic HT. External validation studies are required to implement our results into clinical use.

Indexed as

Hemorrhagestrokethrombectomythrombolysis

Identifiers

PMID37529787
PMCPMC10389091

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Registered trials

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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.