Evidence map›Paper›PMID 42512506›Full record

ArticleBrain sciences2026

Clinical, Laboratory, and CT Morphological Factors Associated with 3-Month Functional Outcomes in Spontaneous Intracerebral Hemorrhage: A Retrospective Cohort Study.

Mustafa Harun Şahin, Özhan Özcan, Oğuzhan Kurşun

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Article in Brain sciences, 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Mustafa Harun ŞahinDepartment of Neurology, Balikesir Ataturk City Hospital, 10100 Balikesir, Türkiye.ORCID 0000-0002-6246-0665
Özhan ÖzcanDepartment of Critical Care, Sinop Ataturk State Hospital, 57000 Sinop, Türkiye.ORCID 0000-0001-9928-2383
Oğuzhan KurşunDepartment of Neurology, Ankara Bilkent City Hospital, 06800 Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesSpontaneous intracerebral hemorrhage (ICH) is associated with high mortality and disability. We aimed to identify clinical, laboratory, and imaging factors independently associated with 3-month functional outcome across non-contrast computed tomography (NCCT) morphological markers, laboratory biomarkers, and established clinical scoring systems.

methodsThis retrospective cohort study included 337 consecutive patients with spontaneous ICH admitted between 2019 and 2022. Admission clinical findings, laboratory parameters, NCCT morphological markers (swirl, blend, black hole, island, hypodensities, and satellite signs), volumetrically segmented hematoma volumes, and prognostic scores (ICH and FUNC scores) were recorded. Poor functional outcome was defined as modified Rankin Scale (mRS) 3-6 at 3 months. Independent predictors were identified using a primary Firth penalized multivariable logistic regression model; discrimination (area under the ROC curve, AUC), calibration, and optimism-corrected performance (1000-resample bootstrap) were assessed, and incremental value over the ICH and FUNC scores was tested with the DeLong method.

resultsPoor functional outcome occurred in 60.2% of patients, and 3-month mortality was 36.8%. In the primary penalized model, independent predictors of poor outcome were lower admission Glasgow Coma Scale, larger hematoma volume, NCCT hypodensities, history of hypertension, and lower low-density lipoprotein (LDL) cholesterol. The model showed good discrimination (apparent AUC 0.881; optimism-corrected 0.872) and calibration (slope 0.92) and significantly outperformed the ICH and FUNC scores (DeLong

conclusionsPoor 3-month functional outcome after spontaneous ICH is independently associated with neurological severity, hematoma volume, NCCT hypodensities, and selected clinical and laboratory factors. Integrating clinical, volumetric, and CT morphological parameters improved discrimination over established prognostic scores; however, these findings are associative and require prospective, multicenter validation before clinical implementation.

Indexed as

CT morphological markersFUNC scorefunctional outcomeICH scorelaboratory biomarkersmodified Rankin Scalespontaneous intracerebral hemorrhage

Identifiers

PMID42512506
PMCPMC13406567

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