Evidence map›Paper›PMID 40804661›Full record

ArticleBMC neurology2025

Heterogeneous hematoma density predicts poor outcome in patients with supratentorial intracerebral hemorrhage after craniotomy.

Li Luo, Yuanyuan Fu, Likun Wang, Jinhua Yang, Guofeng Wu, Siying Ren, Lian He, Shiqi Lin, Yuanyi Liu

Abstract read
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Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Li Luo *Emergency Department, the affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Yuanyuan Fu *Emergency Department, the affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Likun WangEmergency Department, the affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China. 769070308@qq.com.
Jinhua YangEmergency Department, the affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Guofeng WuEmergency Department, the affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Siying RenEmergency Department, the affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Lian HeThe affiliated Jinyang Hospital of Guizhou Medical University, Guiyang, 550025, China.
Shiqi LinThe affiliated Jinyang Hospital of Guizhou Medical University, Guiyang, 550025, China.
Yuanyi LiuDepartment of Critical Medicine, Guizhou Hospital, the first affiliated Hospital of Sun Yat-sen University, Guiyang, 550003, China.

Funding

Guizhou Science and Technology Foundation Qiankehe cooperation [2021] general 071.Guizhou Science and Technology Foundation Qiankehe platform talent general [2021] 5612Key laboratory in Guizhou Medical University [2024]fy007Subject leaders in the affiliated hospital of Guizhou Medical University gyfyxkyc-2023-05the Natural Science Foundation of China 82260244
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe density of hematoma is an imaging marker that has been used to predict hematoma expansion (HE) in patients with supratentorial intracerebral hemorrhage (SICH). However, its relationship with postoperative rebleeding and outcomes in surgical patients remains unclear. This study aimed to evaluate the impact of hematoma density on postoperative rebleeding and outcomes in patients with spontaneous supratentorial ICH after craniotomy.

methodsThis retrospective study included 331 patients with spontaneous SICH who underwent craniotomy at the affiliated Jinyang Hospital of Guizhou Medical University, between January 2019 and October 2023. Hematoma density was classified as heterogeneous if there were ≥ 3 low-density lesions within the ICH. The primary outcome measure was major disability, defined as a modified Rankin Scale score of 4-6. Patients were divided into homogeneous (n = 182) and heterogeneous (n = 149) groups based on computed tomography (CT) features at admission. A multivariate logistic regression model was used to analyze the independent correlation between hematoma density and postoperative rebleeding and poor outcomes.

resultsAt 30 days and 6 months after craniotomy, among the 149 patients with heterogeneous density, 95 (63.8%) and 79 (53.0%) patients had a poor outcome, respectively. In contrast, among the 182 patients with homogeneous density, 74 (40.7%) and 61 (33.5%) had poor outcomes. Multivariate logistic regression analysis demonstrated that heterogeneous density independently predicts poor outcomes at 30 days (odds ratio 2.354; 95% confidence interval [1.446-3.833]; P<0.001) and 6 months (odds ratio 2.039; 95% confidence interval [1.268-3.279]; P=0.003) in patients with ICH after craniotomy but not rebleeding after craniotomy.

conclusionsHeterogeneous hematoma density predicts poor outcomes at 30 days and 6 months in patients with spontaneous supratentorial ICH after craniotomy.

Indexed as

Cerebral HemorrhageCraniotomyHematomaAdultAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesTomography, X-Ray ComputedTreatment OutcomeCraniotomyHematoma densityIntracerebral hemorrhagePrognosisRebleeding

Identifiers

PMID40804661
PMCPMC12351923

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