Evidence mapPaperPMID 37721332Full record

ArticleCNS neuroscience & therapeutics2024

Association of serum occludin levels and perihematomal edema volumes in intracranial hemorrhage patients.

Shuhua Yuan, Qingfeng Ma, Chengbei Hou, Yue Zhao, Ke Jian Liu, Xunming Ji, Zhifeng Qi

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Shuhua YuanCerebrovascular Diseases Research Institute, Xuanwu Hospital of Capital Medical University, Beijing, China.
Qingfeng MaDepartment of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China.
Chengbei HouCenter for Evidence-Based Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yue ZhaoClinical Lab, Xuanwu Hospital, Capital Medical University, Beijing, China.
Ke Jian LiuDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, USA.
Xunming JiCerebrovascular Diseases Research Institute, Xuanwu Hospital of Capital Medical University, Beijing, China.ORCID 0000-0002-0527-2852
Zhifeng QiCerebrovascular Diseases Research Institute, Xuanwu Hospital of Capital Medical University, Beijing, China.
Capital Medical University · CNStony Brook School · US

Funding

Beijing Municipal Natural Science Foundation 7222080Beijing Postdoctoral Research Foundation 2023-ZZ-010National Natural Science Foundation of China 82271308
6 · The paper itself

Abstract

background and purposePerihematomal edema (PHE) is one of the severe secondary damages following intracranial hemorrhage (ICH). Studies showed that blood-brain barrier (BBB) injury contributes to the development of PHE. Previous studies showed that occludin protein is a potential biomarker of BBB injury. In the present study, we investigated whether the levels of serum occludin on admission are associated with PHE volumes in ICH patients.

methodsThis cross-sectional study included 90ICH patients and 32 healthy controls.The volumes of hematoma and PHE were assessed using non-contrast cranial CT within 30 min of admission. Blood samples were drawn on admission, and the levels of baseline serum occludin were detected using enzyme-linked immunosorbent assay. Partial correlation analysis and multiple linear regression analysis were performed to evaluate the association between serum occludin levels and PHE volumes in ICH patients.

resultsThe serum occludin levels in ICH patients were much higher than health controls (median 0.27 vs. 0.13 ng/mL, p < 0.001). At admission, 34 ICH patients (37.78%) had experienced a severe PHE (≥30 mL), and their serum occludin levels were higher compared to those with mild PHE (<30 mL) (0.78 vs. 0.21 ng/mL, p < 0.001). The area under the receiver operating characteristics curve (ROC) of serum occludin level in predicting severe PHE was 0.747 (95% confidence interval CI 0.644-0.832, p < 0.001). There was a significant positive correlation between serum occludin levels and PHE volumes (partial correlation r = 0.675, p < 0.001). Multiple linear regression analysis showed that serum occludin levels remained independently associated with the PHE volumes after adjusting other confounding factors.

conclusionThe present study showed that serum occludin levels at admission were independently correlated with PHE volumes in ICH patients, which may provide a biomarker indicating PHE volume change.

Indexed as

Brain EdemaCerebral HemorrhageBiomarkersCross-Sectional StudiesEdemaHematomaHumansIntracranial HemorrhagesOccludinBiomarkersOccludinOCLN protein, humanbiomarkerblood-brain barriercorrelationintracerebral hemorrhageperihematomal edema volumesserum occludin levels

Identifiers

PMID37721332
PMCPMC10916427
OpenAlexW4386817781

What Socratic holds

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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 Socratic graph.