Evidence map›Paper›PMID 39921508›Full record

ArticleJournal of the American Heart Association2025

Novel CT Image-Based Intracerebral Bleeding Risk Score for Patients With Acute Ischemic Stroke Undergoing Thrombolysis.

Shuangfang Fang, Hanhan Lei, Gareth Ambler, David J Werring, Huapin Huang, Huiying Lin, Xiaomin Wu, Qinli Zhang, Xiuyan Han, Genshan Gao and 8 more

Abstract readValidation Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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

18 authors.

Shuangfang FangStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.
Hanhan LeiStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.
Gareth AmblerDepartment of Statistical Science University College London London United Kingdom.
David J WerringUCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery London United Kingdom.ORCID 0000-0003-2074-1861
Huapin HuangStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.
Huiying LinStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.ORCID 0009-0002-8122-2184
Xiaomin WuStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.
Qinli ZhangDepartment of Neurology Heping Hospital Affiliated to Changzhi Medical College Changzhi China.ORCID 0009-0003-6659-8383
Xiuyan HanDepartment of Neurology Heping Hospital Affiliated to Changzhi Medical College Changzhi China.
Genshan GaoStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.ORCID 0009-0009-0728-2454
Ronghua ChenStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.
Jie ChenDepartment of Neurology, Department of Neurology Fujian Provincial Hospital South Branch Fuzhou China.
Hangfeng LiDepartment of Neurology Longyan First Affiliated Hospital of Fujian Medical University Longyan China.
Jin WeiDepartment of Radiology Fujian Medical University Union Hospital Fuzhou China.ORCID 0000-0003-4394-3327
Guangliang ChenDepartment of Radiology Fujian Medical University Union Hospital Fuzhou China.
Jianhua ChenDepartment of Radiology Fujian Medical University Union Hospital Fuzhou China.
Nan LiuStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.ORCID 0000-0003-2901-3721
Hou-Wei DuStroke Research Center, Department of Neurology Fujian Medical University Union Hospital Fuzhou China.ORCID 0000-0002-5978-9734

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSymptomatic intracerebral hemorrhage (sICH) after intravenous recombinant tissue plasminogen activator in patients with acute ischemic stroke (AIS) remains a feared yet unpredictable complication. We aimed to develop and validate a new predictive model incorporating clinical variables and noncontrast head computed tomography imaging features to predict sICH in patients with AIS receiving intravenous recombinant tissue plasminogen activator. METHODS AND

resultsThe predictive model was derived from 808 patients with AIS in the derivation cohort in Southeast China, based on multivariable logistic regression analysis. External validation was conducted in a validation cohort from Central China. Discrimination, calibration, and clinical usefulness of the predictive model were assessed. We observed 32 sICH events among 808 patients with AIS in the derivation cohort, and 21 sICH events out of 612 participants in the validation cohort. The variables in the predictive model included cerebral small vessel disease burden and early infarct signs on head computed tomography scan, atrial fibrillation, age, systolic blood pressure, and initial National Institutes of Health Stroke Scale score. The fitted model showed promising discrimination (optimism-corrected C statistic of 0.80) and acceptable calibration (Hosmer and Lemeshow goodness of fit

conclusionsOur internally and externally validated prediction model for sICH in patients with AIS who received intravenous thrombolysis may facilitate individualized prediction for intracerebral bleeding risk after intravenous thrombolysis for acute ischemic stroke.

Indexed as

Cerebral HemorrhageFibrinolytic AgentsIschemic StrokeThrombolytic TherapyTissue Plasminogen ActivatorTomography, X-Ray ComputedAgedChinaFemaleHumansMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsRetrospective StudiesRisk AssessmentFibrinolytic AgentsTissue Plasminogen Activatoracute ischemic strokeintravenous thrombolysisnomographpredictive modelsymptomatic intracranial hemorrhage

Identifiers

PMID39921508
PMCPMC12074783

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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.