Evidence map›Paper›PMID 38598130›Full record

ReviewIntensive care medicine2024

Contemporary management of aneurysmal subarachnoid haemorrhage. An update for the intensivist.

Chiara Robba, Katharina M Busl, Jan Claassen, Michael N Diringer, Raimund Helbok, Soojin Park, Alejandro Rabinstein, Miriam Treggiari, Mervyn D I Vergouwen, Giuseppe Citerio

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06439615 (The Treatment Effect of Baricitinib for the Secondary Pulmonary Complications Following Spontaneous Subarachnoid Hemorrhage), which is not on this map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
30.6field-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.

NCT06439615 phase2not yet recruitingnot on this map

The Treatment Effect of Baricitinib for the Secondary Pulmonary Complications Following Spontaneous Subarachnoid Hemorrhage

TypeinterventionalSponsorTang-Du HospitalRan2024 to 2027Enrolled100ConditionsSpontaneous Subarachnoid HemorrhageArmsBaricitinib 4 MG, Standard treatment
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Temperature control in acute brain injury.Intensive care medicine · 2026
    Review
  17. Article
  18. Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

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 9 institutions in 4 countries.

Chiara RobbaDepartment of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy. kiarobba@gmail.com.ORCID 0000-0003-1628-3845
Katharina M BuslDepartments of Neurology and Neurosurgery, College of Medicine, University of Florida, Gainesville, FL, USA.
Jan ClaassenDepartment of Neurology, New York Presbyterian Hospital, Columbia University, New York, NY, USA.
Michael N DiringerDepartment of Neurology, Washington University in St. Louis, St. Louis, MO, USA.
Raimund HelbokDepartment of Neurology, Kepler University Hospital, Johannes Kepler University Linz, Linz, Austria.
Soojin ParkDepartment of Neurology, New York Presbyterian Hospital, Columbia University, New York, NY, USA.
Alejandro RabinsteinDepartment of Neurology, Mayo Clinic, Jacksonville, USA.
Miriam TreggiariDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
Mervyn D I VergouwenDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Giuseppe CiterioDepartment of Medicine and Surgery, Milano Bicocca University, Milan, Italy.
NewYork–Presbyterian Hospital · USAzienda Ospedaliera San Gerardo · ITDuke Medical Center · USJohannes Kepler University of Linz · ATOspedale Policlinico San Martino · ITUniversity of Florida · USUtrecht University · NLWashington University in St. Louis · USWinnMed · US

Funding

Pterygopalatine Fossa (PPF) Block as an Opioid Sparing Treatment for AcuteHeadache in Aneurysmal Subarachnold HemorrhageU01NS124613 · NINDS · UNIVERSITY OF FLORIDA · PI Katharina Maria Busl, Brian Lim Hoh · 2023 to 2026
$10.5M
RECONFIG - REcovery of CONsciousness Following Intracerebral hemorrhaGeR01NS106014 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLAASSEN, JAN · 2019 to 2023
$3.6M
Machine Learning to Optimize Management of Acute HydrocephalusR01NS131606 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Soojin Park · 2023 to 2026
$2.6M
ContinuOuS Monitoring Tool for Delayed Cerebral IsChemia (COSMIC)R01NS129760 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Soojin Park · 2023 to 2026
$2.5M
COVERT– COvert Volitional Eye Response TestR21NS128326 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ALKHACHROUM, AYHAM, CLAASSEN, JAN · 2022 to 2023
$428k
BAsIC - Brain-computer-interface practical Application in the Intensive Care unit: a pilot studyR03NS112760 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLAASSEN, JAN · 2019 to 2020
$162k
NINDS NIH HHS R01 NS106014NINDS NIH HHS R01 NS129760NINDS NIH HHS R01 NS131606NINDS NIH HHS R03 NS112760NINDS NIH HHS R21 NS128326NINDS NIH HHS U01 NS124613
6 · The paper itself

Abstract

Aneurysmal subarachnoid haemorrhage (aSAH) is a rare yet profoundly debilitating condition associated with high global case fatality and morbidity rates. The key determinants of functional outcome include early brain injury, rebleeding of the ruptured aneurysm and delayed cerebral ischaemia. The only effective way to reduce the risk of rebleeding is to secure the ruptured aneurysm quickly. Prompt diagnosis, transfer to specialized centers, and meticulous management in the intensive care unit (ICU) significantly improved the prognosis of aSAH. Recently, multimodality monitoring with specific interventions to correct pathophysiological imbalances has been proposed. Vigilance extends beyond intracranial concerns to encompass systemic respiratory and haemodynamic monitoring, as derangements in these systems can precipitate secondary brain damage. Challenges persist in treating aSAH patients, exacerbated by a paucity of robust clinical evidence, with many interventions showing no benefit when tested in rigorous clinical trials. Given the growing body of literature in this field and the issuance of contemporary guidelines, our objective is to furnish an updated review of essential principles of ICU management for this patient population. Our review will discuss the epidemiology, initial stabilization, treatment strategies, long-term prognostic factors, the identification and management of post-aSAH complications. We aim to offer practical clinical guidance to intensivists, grounded in current evidence and expert clinical experience, while adhering to a concise format.

Indexed as

Critical CareIntensive Care UnitsSubarachnoid HemorrhageAneurysm, RupturedHumansPrognosisAneurysmDelayed cerebral ischaemiaIntensive careOutcomeSubarachnoid haemorrhageVasospasm

Identifiers

PMID38598130
PMCPMC11078858
OpenAlexW4394684447

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.