Evidence map›Paper›PMID 40458793›Full record

SynthesisFrontiers in pharmacology2025

Efficacy and safety of Shuxuening injection in intracerebral hemorrhage: a systematic review and meta-analysis.

Wenting Song, Yaoyuan Liu, Chaofan Kang, Yazi Zhang, Xing Yan, Xinyao Jin, Yuetong Wang, Fengwen Yang, Wentai Pang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Wenting Song *Evidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yaoyuan Liu *Evidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Chaofan KangSchool of Chinese Materia Medica, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yazi ZhangEvidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Xing YanEvidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Xinyao JinEvidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yuetong WangEvidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Fengwen YangEvidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Wentai PangEvidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the efficacy and safety of Shuxuening injection (SXNI) in the treatment of patients with intracerebral hemorrhage (ICH). Methods: This study included randomized controlled trials published before 1 June 2024 in eight databases. Patients with ICH were included, with the control group receiving conventional treatment (CT) and the treatment group receiving additional SXNI on this basis. The primary outcome was neurological impairment score. The secondary outcomes were overall efficacy, cerebral hematoma volume, cerebral edema volume, activities of daily living (ADL) score, erythrocyte sedimentation rate (ESR), hematocrit (HCT), hypersensitive C-reactive protein (hs-CRP), low cut whole blood viscosity, high cut whole blood viscosity and adverse events (AE). The methodological quality of the included studies was assessed using the revised Cochrane Risk of Bias tool (ROB 2.0). For binary variables, risk ratios (RR) were calculated, while for continuous variables, mean differences (MD) or standardized mean differences (SMD) were calculated, based on 95% confidence intervals (CI). Results: A total of 29 trials involving 3,012 participants were included. Compared with the control group, the treatment group demonstrated better performance in reducing neurological impairment score [SMD = -0.99, 95% CI -1.24, -0.73], improving overall efficacy [RR = 1.22, 95% CI 1.14, 1.30] and ADL score [SMD = 2.01, 95%CI 1.55, 2.46], as well as decreasing the cerebral hematoma volume [MD = -6.98, 95% CI -8.76, -5.20] and cerebral edema volume [MD = -3.67, 95%CI -5.27, -2.06], with statistically significant differences observed. Meanwhile, the incidence of AE in the treatment group was lower than that in the control group, with a statistically significant difference [RR = 0.63, 95%CI 0.41, 0.96]. Conclusion: This study indicates that the combined use of SXNI and CT may be beneficial for the treatment of patients with cerebral hemorrhage compared to the use of CT alone. However, due to the moderate to very low certainty of evidence, it is advisable to conduct highquality clinical trials to validate the findings of this study.

Indexed as

cerebral hemorrhageintracerebral hemorrhagemeta-analysisrandomized controlled trialsShuxuening injectionsystematic review

Identifiers

PMID40458793
PMCPMC12127381

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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.