Evidence map›Paper›PMID 40119076›Full record

ArticleScientific reports2025

Use of thrombocyte count dynamics after aneurysmal subarachnoid hemorrhage to predict cerebral vasospasm and delayed cerebral ischemia: a retrospective monocentric cohort study.

Jan Oros, Stefanos Voglis, Ferdinand Oliver Bohmann, Lina Elisabeth Qasem, Christophe Théo Arendt, Fee Keil, Wolfgang Miesbach, Marcus Czabanka, Sarah Christina Reitz

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jan OrosCenter for Neurology and Neurosurgery, Department of Neurosurgery, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany. Oros@med.uni-frankfurt.de.
Stefanos VoglisCenter for Neurology and Neurosurgery, Department of Neurosurgery, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Ferdinand Oliver BohmannCenter for Neurology and Neurosurgery, Department of Neurology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Lina Elisabeth QasemCenter for Neurology and Neurosurgery, Department of Neurosurgery, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Christophe Théo ArendtInstitute of Neuroradiology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Fee KeilInstitute of Neuroradiology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Wolfgang MiesbachDepartment of Hematology and Oncology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Marcus CzabankaCenter for Neurology and Neurosurgery, Department of Neurosurgery, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Sarah Christina ReitzCenter for Neurology and Neurosurgery, Department of Neurosurgery, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral vasospasm (CVS) and delayed cerebral ischemia (DCI) are critical complications following aneurysmal subarachnoid hemorrhage (aSAH), contributing to substantial morbidity and mortality. This retrospective cohort study investigated thrombocyte count (TC) dynamics as a potential marker for predicting CVS and DCI in 233 adult patients with aSAH. Parameters including TC, C-reactive protein, hematocrit, CVS, and DCI were analyzed using logistic regression, Spearman correlation, and time-to-event analysis. CVS and DCI occurred in 71.1% and 41.2% of patients, respectively. A relative thrombocyte count decrease greater than 12.6% within the early post-aSAH period was significantly associated with increased risks of CVS (p < 0.001; 95% CI 4.74-25.3) and DCI (p = 0.003; 95% CI 1.39-5.43). Temporal analysis revealed that greater TC decrease correlated with earlier CVS onset (p = 0.00016; R=-0.28), with a median of three days from the minimum TC to CVS onset. This association suggests a potential diagnostic window for early detection and intervention if validated in prospective studies.

Indexed as

Brain IschemiaSubarachnoid HemorrhageVasospasm, IntracranialAdultAgedBiomarkersFemaleHumansMaleMiddle AgedPlatelet CountRetrospective StudiesBiomarkersAneurysmal subarachnoid hemorrhageCerebral vasospasmDelayed cerebral ischemiaThrombocyte dynamics

Identifiers

PMID40119076
PMCPMC11928525

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