Table 1.
Study | Country | Study design, registry | No. of patients | BP monitoring | sICH definitions used | Adjusted variables | Outcomes |
---|---|---|---|---|---|---|---|
Ahmed et al. (2009) [22] | Multinational | Retrospective, SITS-ISTR (2002–2007) | 11,080 | Admission: 24 hr after IVT | SITS-MOST | Age, sex, weight, OTT, baseline NIHSS, glucose, and imaging, vascular risk factors, anti-HTN and antiplatelet medication, functional independence | 2, 4* |
Delgado-Mederos et al. (2008) [24] | Spain | Prospective | 80 | Admission: 24 hr after IVT | - | Baseline NIHSS, vascular risk factors, occlusion site, anti-HTN treatment | 2, 5† |
Endo et al. (2013) [24] | Japan | Retrospective, SAMURAI rt-PA | 527 | Admission: 24 hr after IVT | ECASS 2 | Age, sex, baseline NIHSS, OTT, vascular risk factors, anti-HTN treatment prior to IVT, ASPECTS | 1, 3, 4* |
Huang et al. (2013) [25] | China | Retrospective | 101 | Admission: IVT | ECASS 2 | Baseline NIHSS and serum glucose, DM, leukoaraiosis | 1† |
1* | |||||||
Idicula et al. (2008) [26] | Norway | Prospective | 127 | Admission: 24 hr after IVT | - | Age, sex, baseline NIHSS, vascular risk factors | 2* |
Kellert et al. (2012) [27] | Germany | Retrospective | 427 | Admission: 24 hr after IVT | ECASS 2 | - | 3† |
Kellert et al. (2017) [28] | Multinational | Prospective, SITS-ISTR (2002–2013) | 16,434 | Admission: 24 hr after IVT | ECASS 2 SITS-MOST | Age, sex, baseline NIHSS, vascular risk factors, SBP | 1, 2, 3, 4* |
Lindsberg et al. (2003) [29] | Finland | Retrospective | 75 | Admission: 24 hr after IVT | - | - | 2† |
2* | |||||||
Liu et al. (2016) [30] | China | Retrospective | 461 | Admission: 24 hr after IVT | ECASS 2 | Age, sex, baseline NIHSS, OTT, glucose, vascular risk factors | 3† |
1, 3* | |||||||
Martins et al. (2016) [31] | Portugal | Retrospective | 674 | Admission: 24 hr after IVT | NINDS | Age, sex, baseline NIHSS, Endovascular therapy, vascular risk factors, SBP | 3* |
Menon et al. (2012) [32] | Multinational | Prospective | 10,242 | Admission: 24 hr after IVT | NINDS | Age, sex, race, baseline NIHSS, SBP, glucose | 3* |
Molina et al. (2004) [33] | Multinational | Prospective, CLOTBUST | 177 | Admission: IVT | ECASS 2 | - | 2† |
2* | |||||||
Molina et al. (2009) [34] | Multinational | RCT, TUCSON | 35 | Admission: 36 hr after IVT | SITS-MOST | Age, sex, OTT, baseline NIHSS | 1, 2, 3, 4, 5† |
1, 2, 4* | |||||||
Rusanen et al. (2015) [35] | Finland | Retrospective | 104 | Admission: IVT | - | Age, sex, baseline NIHSS, OTT, vascular risk factors, occlusion site | 2* |
Saqqur et al. (2008) [36] | Multinational | Retrospective | 349 | Admission: 24 hr after IVT | ECASS 3 | Age, sex, baseline NIHSS, glucose, SBP, OTT | 3† |
3* | |||||||
Tomii et al. (2011) [37] | Japan | Prospective | 125 | Admission: 24 hr after IVT | - | Age, baseline NIHSS, vascular risk factors, eGFR | 2* |
Toni et al. (2012) [38] | Italy | Retrospective, SITS-ISTR (2002–2010) | 3,246 | Admission: 24 hr after IVT | SITS-MOST | Age, sex, baseline NIHSS, glucose, BP, OTT, vascular risk factors, functional independence | 2, 3* |
Tsivgoulis et al. (2007) [7] | Multinational | Retrospective, CLOTBUST | 351 | Admission: 2 hr after IVT | ECASS 3 | Age, sex, OTT, baseline NIHSS and serum glucose | 1, 2, 3, 4, 5† |
1, 2, 3, 4, 5* | |||||||
Tsivgoulis et al. (2009) [6] | USA | Retrospective | 510 | Admission: IVT | ECASS 3 | Age, sex, OTT, baseline NIHSS, vascular risk factors and medications | 3† |
3* | |||||||
Wahlgren et al. (2008) [8] | Multinational | Prospective, SITS-MOST (2002–2006) | 6,483 | Admission: IVT | SITS-MOST | Age, sex, weight, ASPECTS, baseline NIHSS and glucose, vascular risk factors and medications, SBP, functional independence | 2, 3, 4* |
Waltimo et al. (2016) [39] | Finland | Retrospective | 1,868 | Admission: 48 hr after IVT | ECASS 2, NINDS, SITS-MOST | Age, SBP, baseline NIHSS, glucose and ASPECTS | 3* |
Wu et al. (2017) [40] | China | Retrospective | 420 | Admission: IVT | - | Age, sex, BMI, baseline NIHSS, OTT, SBP, vascular risk factors | 2† |
2* | |||||||
Wu et al. (2016) [41] | China | Prospective, TIMS-CHINA | 1,128 | Admission: 24 hr after IVT | NINDS | Age, sex, baseline NIHSS, ASPECTS, OTT, aspirin use | 1, 2, 3* |
Yan et al. (2015) [42] | China | Retrospective | 161 | Admission: 2 hr after IVT | ECASS 2 | Vascular risk factors | 5† |
Yong et al. (2005) [43] | Multinational | Post hoc RCT, ECASS | 615 | Admission: 72 hr after IVT | - | Age, sex, weight, baseline SSS, OTT, aspirin use, ASPECTS, vascular risk factors | 1† |
Yong et al. (2008) [44] | Multinational | Post hoc RCT, ECASS 2 | 793 | Admission: 24 hr after IVT | - | Age, sex, baseline SSS, OTT, aspirin use, ASPECTS, vascular risk factors | 1, 4* |
(1) Favorable functional outcome (modified Rankin Scale [mRS] 0–1), (2) functional independence (mRS 0–2), (3) sICH, (4) mortality, (5) recanalization.
BP, blood pressure; sICH, symptomatic intracranial hemorrhage; SITS-ISTR, Safe Implementation of Thrombolysis in Stroke-International Stroke Thrombolysis Register; IVT, intravenous thrombolysis; SITS-MOST, Safe Implementation of Thrombolysis in Stroke-Monitoring Study; OTT, onset-to-treatment; NIHSS, National Institutes of Health Stroke Scale; HTN, hypertension; SAMURAI rt-PA, Stroke Acute Management with Urgent Risk-factor Assessment and Improvement recombinant tissue plasminogen activator; ECASS, European Cooperative Acute Stroke Study; ASPECTS, Alberta stroke program early CT score; DM, diabetes mellitus; SBP, systolic blood pressure; NINDS, National Institute of Neurological Disorders and Stroke; CLOTBUST, Combined Lysis of Thrombus in Brain ischemia using transcranial Ultrasound and Systemic tPA; RCT, randomized controlled trial; TUCSON, transcranial ultrasound in clinical sonothrombolysis; eGFR, estimated glomerular filtration rate; BMI, body mass index; TIMS-CHINA, thrombolysis implementation and monitor of acute ischemic stroke in China; SSS, Scandinavian Stroke Scale.
Adjusted multivariable data;
Unadjusted descriptive data.