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@ARTICLE{Kuramatsu:912509,
author = {Kuramatsu, Joji B. and Gerner, Stefan T. and Ziai, Wendy
and Bardutzky, Jürgen and Sembill, Jochen A. and Sprügel,
Maximilian I. and Mrochen, Anne and Kölbl, Kathrin and Ram,
Malathi and Avadhani, Radhika and Falcone, Guido J. and
Selim, Magdy H. and Lioutas, Vasileios-Arsenios and Endres,
Matthias and Zweynert, Sarah and Vajkoczy, Peter and
Ringleb, Peter A. and Purrucker, Jan C. and Volkmann, Jens
and Neugebauer, Hermann and Erbguth, Frank and Schellinger,
Peter D. and Knappe, Ulrich J. and Fink, Gereon Rudolf and
Dohmen, Christian and Minnerup, Jens and Reichmann, Heinz
and Schneider, Hauke and Röther, Joachim and Reimann,
Gernot and Schwarz, Michael and Bäzner, Hansjörg and
Claßen, Joseph and Michalski, Dominik and Witte, Otto W.
and Günther, Albrecht and Hamann, Gerhard F. and Lücking,
Hannes and Dörfler, Arnd and Ishfaq, Muhammad Fawad and
Chang, Jason J. and Testai, Fernando D. and Woo, Daniel and
Alexandrov, Andrei V. and Staykov, Dimitre and Goyal, Nitin
and Tsivgoulis, Georgios and Sheth, Kevin N. and Awad, Issam
A. and Schwab, Stefan and Hanley, Daniel F. and Huttner,
Hagen B. and Sansing, Lauren and Matouk, Charles C. and
Leasure, Audrey and Sobesky, Jan and Bauer, Miriam and
Schurig, Johannes and Rizos, Timolaos and Haeusler, Karl
Georg and Müllges, Wolfgang and Kraft, Peter and Schubert,
Anna-Lena and Stösser, Sebastian and Ludolph, Albert
Christian and Nueckel, Martin and Glahn, Jörg and
Stetefeld, Henning and Rahmig, Jan and Fisse, Anna Lena and
Michels, Peter and Schwert, Henning and Hagemann, Georg and
Rakers, Florian and Wöhrle, Johannes C. and Alshammari,
Fahid and Horn, Markus and Bahner, Dirk and Urbanek,
Christian and Palm, Frederick and Grau, Armin},
title = {{A}ssociation of {I}ntraventricular {F}ibrinolysis {W}ith
{C}linical {O}utcomes in {I}ntracerebral {H}emorrhage: {A}n
{I}ndividual {P}articipant {D}ata {M}eta-{A}nalysis},
journal = {Stroke},
volume = {53},
number = {9},
issn = {0039-2499},
address = {Philadelphia, Pa.},
publisher = {Lippincott Williams $\&$ Wilkins},
reportid = {FZJ-2022-05682},
pages = {2876 - 2886},
year = {2022},
abstract = {Background:In patients with intracerebral hemorrhage (ICH),
the presence of intraventricular hemorrhage constitutes a
promising 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 meta-analysis pooled 1501 patients from 2
randomized trials and 7 observational studies enrolled
during 2004 to 2015. We compared IVF versus standard of care
(including placebo) in patients treated with external
ventricular drainage due to acute hydrocephalus caused by
ICH with intraventricular hemorrhage. 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 score: 0 to 3
versus mRS: 4 to 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 and absolute treatment effects (ATE).},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {5251 - Multilevel Brain Organization and Variability
(POF4-525)},
pid = {G:(DE-HGF)POF4-5251},
typ = {PUB:(DE-HGF)16},
pubmed = {35521958},
UT = {WOS:000841531000035},
doi = {10.1161/STROKEAHA.121.038455},
url = {https://juser.fz-juelich.de/record/912509},
}