Evidence map›Paper›PMID 41953545›Full record

ArticleFrontiers in nutrition2026

Comparative associations of three nutritional indices with hematoma expansion after intracerebral hemorrhage.

Shuang Zhao, Lin Zhang, Qinyu Zhou, Yun Lu, Yang Liu

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Article in Frontiers in nutrition, 2026. 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

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5 authors.

Shuang ZhaoSchool of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Lin ZhangSchool of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Qinyu ZhouSchool of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Yun LuDepartment of Emergency Medicine, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Yang LiuThe Third Hospital of Mianyang, Sichuan Mental Health Center, Mianyang, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hematoma expansion (HE) is a major determinant of early neurological deterioration after intracerebral hemorrhage (ICH) and remains a key target for early risk assessment. Nutritional indices obtained at hospital admission can reflect acute physiological vulnerability during hemorrhagic injury, but their relative relevance to HE has not been well established. This study investigated the associations between three commonly used nutritional indices and HE in patients with ICH. Methods: We retrospectively included patients with ICH admitted between January 2023 and December 2024. Nutritional status at admission was assessed using the Prognostic Nutritional Index (PNI), the Triglycerides × Total Cholesterol × Body Weight Index (TCBI), and the Controlling Nutritional Status (CONUT) score. HE was defined as a relative hematoma growth >33% or an absolute increase >6 mL on follow-up computed tomography. Associations between each nutritional index and HE were examined using univariable and multivariable logistic regression. Restricted cubic spline (RCS) analysis was used to characterize the association pattern, and subgroup and sensitivity analyses were performed to evaluate consistency of the findings. Results: Among 349 included patients, 42 (12.0%) developed HE. Higher CONUT scores were significantly associated with an increased risk of HE (OR = 1.29, 95%CI: 1.03-1.59, Conclusion: This study demonstrated a significant association between nutritional status and HE in ICH. Among the nutritional indices examined, CONUT showed a positive association, suggesting its role as a practical nutritional risk indicator for early risk stratification of HE in ICH.

Indexed as

CONUThematoma expansionintracerebral hemorrhagePNITCBI

Identifiers

PMID41953545
PMCPMC13053270

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