Evidence map›Paper›PMID 41536647›Full record

ArticleFrontiers in human neuroscience2025

Low perioperative hemoglobin as an independent detrimental predictor of functional outcome after basal ganglia hemorrhage: development and validation of a composite prognostic model.

Xia Li, Lijun Zhang, Zhikun Yang, Jian Ding, Yanfei Yu, Shuo Yang, Feng Duan, Yi Dong

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Article in Frontiers in human neuroscience, 2025. 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

8 authors.

Xia Li *Department of Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.
Lijun Zhang *Department of Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.
Zhikun Yang *Department of Neurosurgery, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Jian DingDepartment of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yanfei YuDepartment of Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.
Shuo YangDepartment of Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.
Feng DuanDepartment of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yi DongDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Basal ganglia hemorrhage (BGH) is a life-threatening neurosurgical emergency associated with substantial mortality and disability. Accurate postoperative prognosis assessment remains challenging due to multifactorial influences. Hemoglobin (HB), as the key determinant of oxygen delivery, may play a critical role in neurological recovery, yet the prognostic significance of perioperative HB fluctuations in BGH has not been fully elucidated. Methods: A retrospective cohort of 213 surgically treated BGH patients from 2020 to 2023 was analyzed. Perioperative HB indices, including preoperative (Pre-HB), postoperative (Post-HB), and mean HB (Mean-HB) levels, were evaluated alongside clinical data. Functional outcome at 6 months was determined based on the modified Rankin Scale (mRS). Least absolute shrinkage and selection operator (LASSO) regression together with multivariate logistic regression models were utilized to screen for independent risk variables, followed by construction of a composite predictive model. Model discrimination, calibration, and evaluation of the model's clinical applicability were conducted using receiver operating characteristic (ROC) analysis, calibration plots, and decision curve analysis (DCA). Results: Patients with poor prognosis exhibited significantly lower Pre-HB, Post-HB, and Mean-HB levels (all Conclusion: Perioperative declines in HB are independently associated with poor postoperative outcomes in BGH. The proposed HB-integrated model provides a reliable, dynamic tool for individualized risk prediction, facilitating precision perioperative management and optimized recovery strategies.

Indexed as

basal ganglia hemorrhageHemoglobinperioperative managementpredictive modelprognosis

Identifiers

PMID41536647
PMCPMC12796951

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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.