ArticleAsian journal of neurosurgery2026
A 7-Point Risk Stratification Tool for EVD Placement in Acute Intracerebral Hemorrhage: A Multivariable Analysis and the Development of Novel Predictive Score (EVD-ICH Score).
Article in Asian journal of neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Intracerebral hemorrhage (ICH) is associated with high morbidity and mortality. Intraventricular extension (IVE) and hydrocephalus (HCP) frequently prompt external ventricular drain (EVD) insertion, but objective criteria to guide EVD use are lacking. Aims: This article aims to identify clinical and radiological predictors of EVD insertion in spontaneous ICH and to develop a simple bedside scoring system (EVD-ICH score) to support decision-making. Materials and Methods: This is a prospective observational study of 100 consecutive adults with spontaneous nontraumatic ICH admitted to a tertiary-care center (March 2023 to February 2024). Clinical and CT variables were recorded. Multivariable logistic regression identified independent predictors of EVD insertion. A points-based score was created from adjusted odds ratios and internally validated using receiver operating characteristic (ROC) analysis. Results: Of 100 patients, predictors independently associated with EVD insertion were IVE, HCP, Glasgow coma scale (GCS) ≤ 8, hematoma volume ≥30 mL, and history of hypertension (HTN). The 7-point EVD-ICH score (IVE 2 pts, HCP 2 pts, GCS ≤8 1 pt, ICH ≥30 mL 1 pt, HTN 1 pt) achieved an area under the ROC curve (AUC) of 0.85 (95% CI: 0.78-0.92). Optimal cut-off ≥3 yielded a sensitivity of 80% and a specificity of 77%. Predicted EVD probability ranged from 8% (score 0) to 92% (score 7). Conclusion: The EVD-ICH score provides a concise bedside tool to stratify risk of requiring EVD in spontaneous ICH. External multicenter validation and assessment of impact on patient-centered outcomes are recommended before routine adoption.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.