Evidence map›Paper›PMID 38646961›Full record

Observational studyEuropean journal of neurology2024

Coma in adult cerebral venous thrombosis: The BEAST study.

Redoy Ranjan, Gie Ken-Dror, Ida Martinelli, Elvira Grandone, Sini Hiltunen, Erik Lindgren, Maurizio Margaglione, Veronique Le Cam Duchez, Aude Triquenot Bagan, Marialuisa Zedde and 33 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Observational
  3. 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

43 authors at 20 institutions in 14 countries.

Redoy RanjanInstitute of Cardiovascular Research Royal Holloway, University of London (ICR2UL), London, UK.
Gie Ken-DrorInstitute of Cardiovascular Research Royal Holloway, University of London (ICR2UL), London, UK.
Ida MartinelliFondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Centre, Milan, Italy.
Elvira GrandoneAtherosclerosis and Thrombosis Unit, IRCCS Home for the Relief of Suffering, S. Giovanni Rotondo, Foggia, Italy.
Sini HiltunenDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Erik LindgrenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-7628-5044
Maurizio MargaglioneMedical Genetics, Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Veronique Le Cam DuchezUniversity of Rouen Normandy, Inserm U1096, CHU Rouen, Vascular Hemostasis Unit and Inserm CIC-CRB 1404, Rouen, France.
Aude Triquenot BaganDepartment of Neurology, CHU Rouen, Rouen, France.
Marialuisa ZeddeNeurology Unit, Stroke Unit, Local Health Unit-Authority IRCCS of Reggio Emilia, Reggio Emilia, Italy.
Nicola GianniniDepartment of Clinical and Experimental Medicine, Neurological Institute, University of Pisa, Pisa, Italy.
Ynte M RuigrokUMC Utrecht Brain Centre, Department of Neurology and Neurosurgery, University Medical Centre Utrecht, Utrecht, the Netherlands.ORCID 0000-0002-5396-2989
Bradford B WorrallDepartments of Neurology and Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA.
Jennifer J MajersikDepartment of Neurology, University of Utah, Salt Lake City, Utah, USA.
Jukka PutaalaDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Elena HaapaniemiDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Susanna M ZuurbierDepartment of Neurology, Amsterdam University Medical Centres, location AMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.
Matthijs C BrouwerDepartment of Neurology, Amsterdam University Medical Centres, location AMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-7775-7843
Serena M PassamontiFondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Centre, Milan, Italy.
Maria AbbattistaFondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Centre, Milan, Italy.
Paolo BucciarelliFondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Centre, Milan, Italy.
Robin LemmensDepartment of Neurosciences, Experimental Neurology, KU Leuven-University of Leuven, Leuven, Belgium.
Emanuela PappalardoFondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Centre, Milan, Italy.ORCID 0000-0002-4808-0498
Paolo CostaDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Marina ColombiDivision of Biology and Genetics, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Diana Aguiar de SousaStroke Centre, Lisbon Central University Hospital, Lisbon, Portugal.ORCID 0000-0002-6702-7924
Sofia RodriguesCentro de Estudos Egas Moniz, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
Patrícia CanhãoCentro de Estudos Egas Moniz, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
Aleksander TkachInterior Health, Kelowna, British Columbia, Canada.
Rosa SantacroceMedical Genetics, Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Giovanni FavuzziAtherosclerosis and Thrombosis Unit, IRCCS Home for the Relief of Suffering, S. Giovanni Rotondo, Foggia, Italy.
Antonio ArauzStroke Clinic, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, Mexico City, Mexico.
Donatella ColaizzoAtherosclerosis and Thrombosis Unit, IRCCS Home for the Relief of Suffering, S. Giovanni Rotondo, Foggia, Italy.
Kostas SpengosDepartment of Neurology, Eginition Hospital, University of Athens School of Medicine, Athens, Greece.
Amanda HodgePathology and Molecular Medicine, Population Health Research Institute and Thrombosis and Atherosclerosis Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Reina DittaPathology and Molecular Medicine, Population Health Research Institute and Thrombosis and Atherosclerosis Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Alessandro PezziniDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Jonathan M CoutinhoDepartment of Neurosciences, Experimental Neurology, KU Leuven-University of Leuven, Leuven, Belgium.
Vincent ThijsStroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Victoria, Australia.
Katarina JoodDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Turgut TatlisumakDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
José M FerroInstituto de Medicina Molecular João Lobo Antunes, Universidade de Lisboa, Lisboa, Portugal.
Pankaj SharmaInstitute of Cardiovascular Research Royal Holloway, University of London (ICR2UL), London, UK.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Helsinki · FIUniversity of Lisbon · PTUniversity of Foggia · ITAmsterdam Neuroscience · NLCasa Sollievo della Sofferenza · ITPopulation Health Research Institute · CARoyal Holloway University of London · GBSahlgrenska University Hospital · SEUniversity of Brescia · ITVIB-KU Leuven Center for Brain & Disease Research · BEAzienda Sanitaria Unità Locale di Reggio Emilia · ITCentre Hospitalier Universitaire de Rouen · FRImperial College Healthcare NHS Trust · GBInserm · FRInstituto Nacional de Neurología y Neurocirugía · MXInterior Health · CANational and Kapodistrian University of Athens · GRThe University of Melbourne · AUUniversity Medical Center Utrecht · NL

Funding

Department of Health (UK) Senior Fellowship at Imperial College LondonDutch Thrombosis FoundationHelsinki University Central Hospital (Finland)NIH HHSSahlgrenska University Hospital (Sweden)The Dowager Countess Eleanor Peel Trust (UK)The French Ministry of HealthThe National Institutes of HealthThe Sigrid Juselius Foundation (Finland)The Stroke Association (UK)The Swedish Heart and Lung Foundation 20190203The Swedish Research Council 2018-02543The University of Gothenburg (Sweden)
6 · The paper itself

Abstract

background and purposeComa is an independent predictor of poor clinical outcomes in cerebral venous thrombosis (CVT). We aimed to describe the association of age, sex, and radiological characteristics of adult coma patients with CVT.

methodsWe used data from the international, multicentre prospective observational BEAST (Biorepository to Establish the Aetiology of Sinovenous Thrombosis) study. Only positively associated variables with coma with <10% missing data in univariate analysis were considered for the multivariate logistic regression model.

resultsOf the 596 adult patients with CVT (75.7% women), 53 (8.9%) patients suffered coma. Despite being a female-predominant disease, the prevalence of coma was higher among men than women (13.1% vs. 7.5%, p = 0.04). Transverse sinus thrombosis was least likely to be associated with coma (23.9% vs. 73.3%, p < 0.001). The prevalence of superior sagittal sinus thrombosis was higher among men than women in the coma sample (73.6% vs. 37.5%, p = 0.01). Men were significantly older than women, with a median (interquartile range) age of 51 (38.5-60) versus 40 (33-47) years in the coma (p = 0.04) and 44.5 (34-58) versus 37 (29-48) years in the non-coma sample (p < 0.001), respectively. Furthermore, an age- and superior sagittal sinus-adjusted multivariate logistic regression model found male sex (odds ratio = 1.8, 95% confidence interval [CI] = 1.0-3.4, p = 0.04) to be an independent predictor of coma in CVT, with an area under the receiver operating characteristic curve of 0.61 (95% CI = 0.52-0.68, p = 0.01).

conclusionsAlthough CVT is a female-predominant disease, men were older and nearly twice as likely to suffer from coma than women.

Indexed as

ComaAdultAge FactorsFemaleHumansIntracranial ThrombosisMaleMiddle AgedPrevalenceProspective StudiesSex FactorsSinus Thrombosis, IntracranialVenous Thrombosiscerebral venous thrombosischaracteristicscomaCVTpredictorswomen

Identifiers

PMID38646961
PMCPMC11235700
OpenAlexW4395002028

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.