MARC details
| 000 -LEADER |
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| fixed length control field |
03823nam a22003497a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
220706s20222022 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0039-2499 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1161/STROKEAHA.121.038455 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
35521958 |
| 245 ## - TITLE STATEMENT |
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| Title |
Association of intraventricular fibrinolysis with clinical outcomes in ICH: an individual participant data meta-analysis. |
| 251 ## - Source |
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| Source |
Stroke. 2022 May 06 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Stroke. 2022 May 06 |
| 253 ## - Journal Name |
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| Journal name |
Stroke |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2022 May 06 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2022-07-06 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1970 - present, Available in print through MWHC library: 1999 - 2006 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: In patients with intracerebral hemorrhage (ICH) the presence of intraventricular hemorrhage (IVH) constitutes an important therapeutic target. Intraventricular fibrinolysis (IVF) reduces mortality, yet impact on functional disability remains unclear. Thus, we aimed to determine the influence of IVF on functional outcomes. Methods: This individual participant data (IPD) meta-analysis pooled 1,501 patients from two randomized trials and seven observational studies enrolled during 2004 to 2015. We compared IVF vs standard of care (SoC, including placebo) in patients treated with external ventricular drainage due to acute hydrocephalus caused by ICH and/or IVH. The primary outcome was functional disability evaluated by the modified Rankin Scale (mRS, range:0-6, lower scores indicating less disability) at 6 months, dichotomized into mRS:0-3 vs mRS:4-6. Secondary outcomes included ordinal-shift analysis, all-cause mortality, and intracranial adverse events. Confounding and bias were adjusted by random-effects- and doubly-robust-models to calculate odds-ratios (OR) and absolute treatment-effects (ATE). Results: Comparing treatment of 596 with IVF to 905 with SoC resulted in an ATE to achieve the primary outcome of 9.3%[95%CI4.4-14.1]. IVF treatment showed a significant shift towards improved outcome across the entire range of mRS estimates, common-OR:1.75[95%CI1.39-2.17], reduced mortality, OR:0.47[95%CI 0.35-0.64], without increased adverse events, absolute difference:1.0%[95%CI-2.7-4.8]. Exploratory analyses provided that early IVF-treatment (<=48 hours) after symptom onset was associated with an ATE:15.2%[95%CI8.6-21.8] to achieve the primary outcome. Conclusions: As compared to SoC, the administration of IVF in patients with acute hydrocephalus caused by intracerebral and intraventricular hemorrhage significantly improved functional outcome at 6 months. The treatment effect was linked to an early time-window<48h, specifying a target population for future trials. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgical Critical Care |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Chang, Jason |
| 790 ## - Authors |
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| All authors |
Alexandrov AV, Avadhani R, Awad IA, Bardutzky J, Bazner H, Chang JJ, Classen J, Doerfler A, Dohmen C, Endres M, Erbguth FJ, Falcone GJ, Fink GR, Gerner ST, Goyal N, Gunther A, Hamann GF, Hanley DF, Huttner HB, Ishfaq MF, Knappe UJ, Kolbl K, Kuramatsu JB, Lioutas VA, Lucking H, Michalski D, Minnerup J, Mrochen A, Neugebauer H, Purrucker JC, Ram M, Reichmann H, Reimann G, Ringleb PA, Rother J, Schellinger PD, Schneider H, Schwab S, Schwarz M, Selim MH, Sembill JA, Sheth KN, Sprugel MI, Staykov D, Testai FD, Tsivgoulis G, Vajkoczy P, Volkmann J, Witte OW, Woo D, Ziai WC, Zweynert S |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1161/STROKEAHA.121.038455">https://dx.doi.org/10.1161/STROKEAHA.121.038455</a> |
| Public note |
https://dx.doi.org/10.1161/STROKEAHA.121.038455 |
| 858 ## - ORCID |
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| ORCID text |
Chang, Jason J |
| Orcid |
<a href="https://orcid.org/0000-0002-0825-3008">https://orcid.org/0000-0002-0825-3008</a> |
| Name |
https://orcid.org/0000-0002-0825-3008 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
