Evidence map›Paper›PMID 39548258›Full record

ArticleScientific reports2024

Development and validation of a nomogram for predicting early acute hydrocephalus after spontaneous intracerebral hemorrhage: a single-center retrospective study.

Ao Chen, Rong Xiang, EnWen Zhu, JiPan Chen, RenHui Zhou, JianXian Li

Abstract readValidation Study
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
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12citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

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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.

Ao ChenDepartment of Neurosurgery, YueYang People's Hospital, Yueyang, Hunan, China.
Rong XiangDepartment of Neurosurgery, YueYang People's Hospital, Yueyang, Hunan, China.
EnWen ZhuDepartment of Mathematics and Statistics, Changsha University of Science and Technology, Changsha, China.
JiPan ChenDepartment of Mathematics and Statistics, Changsha University of Science and Technology, Changsha, China.
RenHui ZhouDepartment of Neurosurgery, YueYang People's Hospital, Yueyang, Hunan, China. zrh6044@163.com.
JianXian LiDepartment of Neurosurgery, YueYang People's Hospital, Yueyang, Hunan, China. neuro978@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute hydrocephalus is a severe complication that may occur early after an intracerebral hemorrhage (ICH). However, clinical factors predicting the occurrence of acute hydrocephalus have rarely been studied. This study aimed to establish a nomogram model to predict early acute hydrocephalus after ICH. We retrospectively analyzed the data of 930 patients with ICH who were treated at our hospital between January 2017 and May 2024. Least absolute shrinkage and selection operator (LASSO) regression analysis was used to screen for risk factors for acute hydrocephalus, and stepwise logistic regression analysis was used to construct the prediction model, which was visualized using a nomogram. Data were randomly divided into training (n = 652) and test (n = 278) sets at a 7:3 ratio. A total of 930 patients were included, of whom 123 (13.2%) developed acute hydrocephalus within 6 h of being diagnosed with ICH. Univariate analysis revealed that 11 indicators were associated with acute hydrocephalus. In the training set, LASSO and stepwise logistic regression analyses identified four independent risk factors that were used to establish a prediction model. These were the modified Graeb score, age, infratentorial hemorrhage > 15 mL, and thalamic hemorrhage > 15 mL. A graphical nomogram was then developed. The area under the receiver operating characteristic (ROC) curve was 0.974 (95% confidence interval 0.961-0.987). In the Hosmer-Lemeshow test, the p-value was 0.887. The mean absolute error of the calibration plot was 0.012. The decision curve analysis (DCA) validated the fitness and clinical application value of this nomogram. Internal validation showed the test set was in good accordance with the training set. The nomogram prediction model showed good accuracy and could be used to predict the risk of early acute hydrocephalus after ICH, thereby aiding neurologist in making rapid clinical decisions.

Indexed as

Cerebral HemorrhageHydrocephalusNomogramsAcute DiseaseAgedFemaleHumansLogistic ModelsMaleMiddle AgedRetrospective StudiesRisk FactorsROC CurveAcute hydrocephalusIntracerebral hemorrhageNomogramPrediction modelRisk factors

Identifiers

PMID39548258
PMCPMC11568315

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