Evidence map›Paper›PMID 38890258›Full record

Observational studyIrish journal of medical science2024

Prognostic relationship between high sensitivity troponin I level, hematoma volume and glasgow coma score in patients diagnosed with spontaneous intracerebral hemorrhage.

Huseyin Ulger, Ferhat Icme, Cenk Parlatan, Begum Seyda Avci, Erdem Aksay, Akkan Avci

Abstract readObservational Study
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In one paragraph

Observational study in Irish journal of medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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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

6 authors.

Huseyin UlgerDepartment of Emergency Medicine, Health Science University, Adana City Research and Training Hospital, Adana, Turkey.ORCID http://orcid.org/0000-0003-1611-7118
Ferhat IcmeDepartment of Emergency Medicine, Ankara Bilkent City Hospital, Ankara, Turkey. ferhaticme@gmail.com.ORCID http://orcid.org/0000-0001-5180-7152
Cenk ParlatanDepartment of Radiology, Health Science University, Adana City Research and Training Hospital, Adana, Turkey.ORCID http://orcid.org/0000-0001-9272-3895
Begum Seyda AvciDepartment of Internal Medicine, Health Science University, Adana City Research and Training Hospital, Adana, Turkey.ORCID http://orcid.org/0000-0001-6149-9341
Erdem AksayDepartment of Emergency Medicine, Health Science University, Adana City Research and Training Hospital, Adana, Turkey.ORCID http://orcid.org/0000-0001-5269-2318
Akkan AvciDepartment of Emergency Medicine, Health Science University, Adana City Research and Training Hospital, Adana, Turkey.ORCID http://orcid.org/0000-0002-4627-0909

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracranial hemorrhages is one of the major causes of mortality and morbidity worldwide, and there is still no effective biomarker to predict prognosis.

aimWe aimed to determine the effectiveness of high sensitive troponin I (hs-cTn-I) levels to predict the prognosis of spontaneous intracerebral hemorrhage (sICH) by comparing Glasgow Coma Score (GCS) and hematoma volume with hs-cTn-I levels.

methodsThis study was planned as a retrospective observational study. Patients with available data, over 18 years old and sICH were included in the study. Cerebral computed tomography images were evaluated by a senior radiologist. Hematoma volume was calculated using the ABC/2 formula.

resultsThe study comprised 206 individuals in total 78 (37.86%) women and 128 (62.13%) men. Forty-four (21.35%) of patients died. The sensitivity of GCS, hs-cTn-I, and hematoma volume values were 86.36%, 66.67%, and 59.46%, respectively, with corresponding specificities of 78.75%, 93.02%, and 87.58%. Patients with hs-cTn-I values over 26, GCS values of ≤ 9, and hematoma volume values above 44.16 were found to have higher risk of mortality (p = 0.011; p < 0.001; p < 0.001, respectively). The mortality rates were found to be increased 2.586 (IQR: 1.224-5.463) times in patients with hs-cTn-I values above 26, 0.045 times (IQR: 0.018-0.115) in patients with GCS values ≤ 9, and 7.526 times (IQR: 3.518-16.100) in patients with hematoma volume values above 44.16.

conclusionsOur findings suggest that hs-cTn-I values exceeding 26 units may serve as effective biochemical markers for predicting the prognosis of patients with sICH.

Indexed as

Cerebral HemorrhageGlasgow Coma ScaleHematomaTroponin IAdultAgedAged, 80 and overBiomarkersFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesTomography, X-Ray ComputedBiomarkersTroponin IGCSHematoma volumeHigh sensitive troponin IMortalitySpontaneous intracerebral hemorrhage

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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.