Evidence map›Paper›PMID 41605872›Full record

SynthesisInternational journal of stroke : official journal of the International Stroke Society2026

Rates and risk factors for major adverse cardiovascular and cerebrovascular events after stroke due to intracerebral hemorrhage: Systematic review and study-level meta-analysis.

Vega Pratiwi Putri, Neshika Samarasekera, Tom J Moullaali, Saketh Jampana, Joseph Aked, Signild Åsberg, Sam Schulman, Georgios Tsivgoulis, Maria Pikilidou, Hsin-Hsi Tsai and 19 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of stroke : official journal of the International Stroke Society, 2026. 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

29 authors.

Vega Pratiwi PutriInstitute for Neuroscience and Cardiovascular Research, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-5294-0884
Neshika SamarasekeraInstitute for Neuroscience and Cardiovascular Research, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-6840-0199
Tom J MoullaaliInstitute for Neuroscience and Cardiovascular Research, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-6786-3623
Saketh JampanaEdinburgh Medical School, The University of Edinburgh, Edinburgh, UK.
Joseph AkedDepartment of Clinical Sciences, Neurology, Lund University, Lund, Sweden.ORCID 0000-0002-4320-544X
Signild ÅsbergDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-8693-1014
Sam SchulmanDepartment of Medicine, McMaster University and Thrombosis and Atherosclerosis Research Institute, Hamilton, ON, Canada.ORCID 0000-0002-8512-9043
Georgios TsivgoulisSecond Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.ORCID 0000-0002-0640-3797
Maria PikilidouSecond Department of Nephrology, Hypertension Excellence Center, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID 0000-0002-9456-3175
Hsin-Hsi TsaiDepartment of Neurology, National Taiwan University Hospital, Taipei.ORCID 0000-0002-4721-1468
Li-Kai TsaiDepartment of Neurology, National Taiwan University Hospital, Taipei.
Phyo Kyaw MyintAgeing Clinical and Experimental Research (ACER) Team, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.ORCID 0000-0003-3852-6158
Tiberiu A PanaAgeing Clinical and Experimental Research (ACER) Team, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.ORCID 0000-0002-1423-8111
Charlotte CordonnierUniversity of Lille, Inserm, CHU Lille, U1172, Lille, France.ORCID 0000-0002-5697-6892
Barbara CasollaStroke Unit, CHU Pasteur 2, Université Cote d'Azur, UMR2CA, Nice, France.
David GaistResearch Unit for Neurology, Odense University Hospital, Odense, Denmark; University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-5205-7007
Alessandro PezziniDepartment of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0001-8629-3315
Pol Camps-RenomNeurology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0001-6587-6271
Catharina J M KlijnDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, Netherlands.
Michele RomoliNeurology Unit, Rimini "Infermi" Hospital-AUSL Romagna, Rimini, Italy.ORCID 0000-0001-8009-8543
Arnstein TveitenDepartment of Neurology, Hospital of Southern Norway, Kristiansand, Norway.
Ming LiuDepartment of Neurology, Center of Cerebrovascular Diseases, West China Hospital, Sichuan University, Chengdu, China.
Mangmang XuDepartment of Neurology, Center of Cerebrovascular Diseases, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-8885-0306
Bo WuDepartment of Neurology, Center of Cerebrovascular Diseases, West China Hospital, Sichuan University, Chengdu, China.
David WerringStroke Research Centre, Department of Translational Neuroscience and Stroke, UCL Queen Square Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0003-2074-1861
Philip S NashStroke Research Centre, Department of Translational Neuroscience and Stroke, UCL Queen Square Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0003-2428-1575
Gargi BanerjeeStroke Research Centre, Department of Translational Neuroscience and Stroke, UCL Queen Square Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0003-0190-7782
Linxin LiWolfson Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0002-3636-8355
Rustam Al-Shahi SalmanInstitute for Neuroscience and Cardiovascular Research, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-2108-9222

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracerebral hemorrhage (ICH) survivors are at increased risk of major adverse cardiovascular and cerebrovascular events (MACE) compared with population controls; however, little is known about the annual rates and risk factors for MACE.

methodsWe searched Medline, Embase, and trial registries systematically in April 2024 for studies of adults with ICH, reporting either a MACE composite outcome or both ischemic and hemorrhagic outcomes, with at least one year of follow-up. We excluded studies limited to secondary ICH or isolated non-ICH intracranial hemorrhages. We used the QUIPS tool to assess studies' risk of bias. The primary outcome was the rate of MACE. We used a random-effects meta-analysis to estimate the annual event rate (per 100 person-years, expressed as %) for each outcome. We conducted subgroup analyses and meta-regression to explore heterogeneity.

resultsWe included 26 studies, involving 198,289 ICH survivors. Individual studies' reported annual rate of MACE ranged 4.2-14.6%. The pooled annual rate of recurrent ICH was 2.1% (95% confidence interval (CI) = 1.7-2.6; 26 studies; I DISCUSSION: The rates of recurrent ICH and ischemic stroke were comparable among ICH survivors, but evidence about other MACE outcomes remains limited. An individual participant data meta-analysis is needed to investigate the predictors of MACE outcomes, which may help inform risk stratification and prognosis among ICH survivors.

Indexed as

Cardiovascular DiseasesCerebral HemorrhageStrokeHumansRisk FactorsIntracerebral hemorrhageMACEprognosisstrokestroke recurrencesystematic review

Identifiers

PMID41605872
PMCPMC13291413

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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.