Evidence map›Paper›PMID 38979830›Full record

Trial reportJournal of the American Heart Association2024

Anemia From Inflammation After Intracerebral Hemorrhage and Relationships With Outcome.

David J Roh, Fernanda Carvalho Poyraz, Eric Mao, Qi Shen, Vedant Kansara, Azzurra Cottarelli, Sandy Song, Travis Nemkov, Aditya Kumar, Krystalyn E Hudson and 10 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01662895 (Futility Study of Deferoxamine in Intracerebral Hemorrhage), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT01662895 phase2terminatednot on this map

Futility Study of Deferoxamine in Intracerebral Hemorrhage

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2013 to 2018Enrolled42ConditionsIntracerebral HemorrhageArmsDeferoxamine, Normal saline
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

20 authors.

David J RohDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.ORCID 0000-0003-1927-7686
Fernanda Carvalho PoyrazDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.
Eric MaoDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.ORCID 0000-0001-9967-4790
Qi ShenDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.
Vedant KansaraDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.
Azzurra CottarelliDepartment of Pathology and Cell Biology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.ORCID 0000-0003-4525-2028
Sandy SongDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.
Travis NemkovDepartment of Biochemistry and Molecular Genetics University of Colorado Denver Anschutz Medical Campus Aurora CO USA.
Aditya KumarDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.ORCID 0009-0003-1544-8844
Krystalyn E HudsonDepartment of Pathology and Cell Biology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.ORCID 0000-0001-5663-9290
Shivani GhoshalDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.
Soojin ParkDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.ORCID 0000-0002-3688-7307
Sachin AgarwalDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.
Edward Sander ConnollyDepartment of Neurological Surgery Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.
Jan ClaassenDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.ORCID 0000-0002-5893-8531
Lisa Baumann KreuzigerVersiti Blood Research Institute Versiti; Department of Medicine Division of Hematology and Oncology Medical College of Wisconsin Milwaukee WI USA.ORCID 0000-0002-1171-0548
Eldad HodDepartment of Pathology and Cell Biology Vagelos College of Physicians and Surgeons Columbia University New York City NY USA.ORCID 0000-0002-2367-9509
Sharon YeattsDepartment of Public Health Sciences Medical University of South Carolina Charleston SC USA.ORCID 0000-0001-9235-0670
Lydia D FosterDepartment of Public Health Sciences Medical University of South Carolina Charleston SC USA.ORCID 0000-0001-6856-5583
Magdy SelimDepartment of Neurology Beth Israel Deaconness Boston MA USA.ORCID 0000-0002-1936-3173

Funding

The Impact of Oxidative Stress on Erythocyte BiologyR01HL148151 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI D'ALESSANDRO, ANGELO, KARAFIN, MATTHEW S · 2019 to 2022
$8.9M
Futility Study of Deferoxamine Mesylate in Intracerebral Hemorrhage (i-DEF)U01NS074425 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SELIM, MAGDY H · 2012 to 2016
$8.7M
Erythrocyte contribution to coagulopathy and cerebral oxygenation after intracerebral hemorrhageK23HL151901 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ROH, DAVID · 2021 to 2025
$950k
NHLBI NIH HHS K23 HL151901NHLBI NIH HHS R01 HL148151NINDS NIH HHS U01 NS074425
6 · The paper itself

Abstract

backgroundBaseline anemia is associated with poor intracerebral hemorrhage (ICH) outcomes. However, underlying drivers for anemia and whether anemia development after ICH impacts clinical outcomes are unknown. We hypothesized that inflammation drives anemia development after ICH and assessed their relationship to outcomes. METHODS AND

resultsPatients with serial hemoglobin and iron biomarker concentrations from the HIDEF (High-Dose Deferoxamine in Intracerebral Hemorrhage) trial were analyzed. Adjusted linear mixed models assessed laboratory changes over time. Of 42 patients, significant decrements in hemoglobin occurred with anemia increasing from 19% to 45% by day 5. Anemia of inflammation iron biomarker criteria was met in 88%. A separate cohort of 521 patients with ICH with more granular serial hemoglobin and long-term neurological outcome data was also investigated. Separate regression models assessed whether (1) systemic inflammatory response syndrome (SIRS) scores related to hemoglobin changes over time and (2) hemoglobin changes related to poor 90-day outcome. In this cohort, anemia prevalence increased from 30% to 71% within 2 days of admission yet persisted beyond this time. Elevated systemic inflammatory response syndrome was associated with greater hemoglobin decrements over time (adjusted parameter estimate: -0.27 [95% CI, -0.37 to -0.17]) and greater hemoglobin decrements were associated with poor outcomes (adjusted odds ratio per 1 g/dL increase, 0.76 [95% CI, 0.62-0.93]) independent to inflammation and ICH severity.

conclusionsWe identified novel findings that acute anemia development after ICH is common, rapid, and related to inflammation. Because anemia development is associated with poor outcomes, further work is required to clarify if anemia, or its underlying drivers, are modifiable treatment targets that can improve ICH outcomes. REGISTRATION: https://www.clinicaltrials.gov Unique identifier: NCT01662895.

Indexed as

AnemiaBiomarkersCerebral HemorrhageHemoglobinsInflammationAgedDeferoxamineFemaleHumansIronMaleMiddle AgedPrevalenceSystemic Inflammatory Response SyndromeTime FactorsTreatment OutcomeBiomarkersDeferoxamineHemoglobinsIronanemiadeferoxaminehemoglobininflammationintracerebral hemorrhageironoutcome

Identifiers

PMID38979830
PMCPMC11292775

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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.