Evidence map›Paper›PMID 41532529›Full record

ArticleJournal of the American Heart Association2026

Location-Specific Analysis of Hematoma Expansion in Intracerebral Hemorrhage.

Ryan Wui-Hang Ho, Ji-Fu Cai, Yan-Jun Hu, Ching Hei So, Ka-Long Leung, Jerome Wu, Adrian Lui, Wei Wang, Hai-Bing Xiao, Wen-Shuang Zeng and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

15 authors.

Ryan Wui-Hang Ho *Division of Neurology, Department of Medicine, School of Clinical Medicine, LKS Faculty of Medicine The University of Hong Kong Hong Kong SAR China.ORCID 0009-0007-8277-4745
Ji-Fu Cai *Department of Neurology, Neuromedicine Center The University of Hong Kong-Shenzhen Hospital Shenzhen China.ORCID 0000-0002-0717-6127
Yan-Jun HuDepartment of Neurology, Neuromedicine Center The University of Hong Kong-Shenzhen Hospital Shenzhen China.
Ching Hei SoDivision of Neurology, Department of Medicine, School of Clinical Medicine, LKS Faculty of Medicine The University of Hong Kong Hong Kong SAR China.ORCID 0009-0002-8412-7385
Ka-Long LeungDivision of Neurology, Department of Medicine, School of Clinical Medicine, LKS Faculty of Medicine The University of Hong Kong Hong Kong SAR China.
Jerome WuDepartment of Medicine and Geriatrics Princess Margaret Hospital Hong Kong SAR China.
Adrian LuiDepartment of Medicine and Geriatrics Ruttonjee Hospital Hong Kong SAR China.
Wei WangDepartment of Neurology, Neuromedicine Center The University of Hong Kong-Shenzhen Hospital Shenzhen China.
Hai-Bing XiaoDepartment of Neurology, Neuromedicine Center The University of Hong Kong-Shenzhen Hospital Shenzhen China.
Wen-Shuang ZengDepartment of Neurology, Neuromedicine Center The University of Hong Kong-Shenzhen Hospital Shenzhen China.
Joshua FokDepartment of Medicine Yan Chai Hospital Hong Kong SAR China.ORCID 0000-0001-8720-9760
Edwin Kin-Keung YipDepartment of Medicine and Geriatrics Ruttonjee Hospital Hong Kong SAR China.ORCID 0009-0009-3009-3846
Bun ShengDepartment of Medicine and Geriatrics Princess Margaret Hospital Hong Kong SAR China.ORCID 0000-0002-2798-6258
Kui Kai LauDivision of Neurology, Department of Medicine, School of Clinical Medicine, LKS Faculty of Medicine The University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-8657-2418
Kay Cheong TeoDivision of Neurology, Department of Medicine, School of Clinical Medicine, LKS Faculty of Medicine The University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-3291-2958

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHematoma expansion (HE) is a potential modifier of intracerebral hemorrhage (ICH) outcome, yet reducing HE does not necessarily improve prognosis. This may reflect the complex relationship between location, baseline volume, HE, and outcomes, where different locations have varying hematoma growth and differing impacts on prognosis. Prior HE studies have oversimplified location categorization into lobar and deep. Therefore, we aim to investigate how HE varies across more specific location categorization and examine their interactions.

methodsWe retrospectively analyzed 691 nonanticoagulated patients with spontaneous ICH from the University of Hong Kong ICH registry (2011-2022) and 3 regional hospitals (2020-2022). Locations were categorized into lobar, putamen/external capsule, globus pallidus/internal capsule, thalamus, cerebellum, and brainstem. HE was defined as a >33% or >6 mL increase in intraparenchymal hematoma. The associations between location and volume with HE were assessed using multivariable logistic regression. Location-specific volume cutoffs were defined with the receiver operating characteristic curves.

resultsThe HE rates and absolute volume growth differed significantly by location (both

conclusionsThe risk of HE and its association with baseline volume varied by ICH locations. These findings provide novel insight to guide patient selection for antiexpansion therapies.

Indexed as

Cerebral HemorrhageHematomaAgedDisease ProgressionFemaleHong KongHumansMaleMiddle AgedPrognosisRegistriesRetrospective StudiesRisk AssessmentRisk Factorshematoma expansionintracerebral hemorrhagelocation

Identifiers

PMID41532529
PMCPMC12919498

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.