Evidence map›Paper›PMID 38981450›Full record

Observational studyNeuroepidemiology2025

Diverging Trends in Survival and Functional Outcome between Males and Females after Intracerebral Hemorrhage.

Trine Apostolaki-Hansson, Christine Kremer, Mats Pihlsgård, Jesper Petersson, Bo Norrving, Teresa Ullberg

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in Neuroepidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Trine Apostolaki-HanssonDepartment of Neurology, Skåne University Hospital, Malmö/Lund, Lund, Sweden.
Christine KremerDepartment of Neurology, Skåne University Hospital, Malmö/Lund, Lund, Sweden.
Mats PihlsgårdDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden.
Jesper PeterssonDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
Bo NorrvingDepartment of Neurology, Skåne University Hospital, Malmö/Lund, Lund, Sweden.
Teresa UllbergDepartment of Neurology, Skåne University Hospital, Malmö/Lund, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared to ischemic stroke, sex differences in patient outcomes following intracerebral hemorrhage (ICH) are underreported. We aimed to determine sex differences in mortality and functional outcomes in a large, unselected Swedish cohort.

methodsIn this observational study, data on 22,789 patients with spontaneous ICH registered in the Swedish Stroke Register between 2012 and 2019 were used to compare sex differences in 90-day mortality and functional outcome using multivariable Cox and logistic regression analyses, adjusting for relevant confounders. Multiple imputation was used to impute missing data.

resultsThe crude 90-day mortality rate was 36.7% in females (3,820/10,405) and 31.7% in males (3,929/12,384) (female hazard ratio [HR] 1.20 95% confidence interval [CI]: 1.15-1.25). In multivariable analysis, the HR for 90-day mortality following ICH in females was 0.89 (95% CI: 0.85-0.94). Age was an important driving factor for the effect of sex on mortality. After adjustment for age, vascular risk factors, and stroke severity, the 90-day functional outcome in pre-stroke independent patients was worse in females compared to males (odds ratio: 1.27 95% CI: 1.16-1.40).

conclusionIn this large observational study, despite lower 90-day mortality, the female sex was independently associated with a worse functional outcome compared to males after ICH, even after adjusting for significant covariates. These diverging trends have not been previously reported for ICH. Given the observational design, our findings should be interpreted with caution, thus further external validation is warranted.

Indexed as

Cerebral HemorrhageAgedAged, 80 and overFemaleHumansMaleMiddle AgedRegistriesSex FactorsSwedenGenderIntracerebral hemorrhageOutcomePrognosisSex

Identifiers

PMID38981450
PMCPMC12136527

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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.