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Analysis of institutional authors

Amaro SAuthorTorné RCorresponding AuthorPedrosa LAuthorLlull LAuthorFerrés AAuthorMellado RAuthorEnseñat JAuthor

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May 23, 2022
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Minimally Invasive Surgery for Spontaneous Intracerebral Hematoma

Publicated to:Frontiers In Neurology. 13 884157- - 2022-05-02 13(), DOI: 10.3389/fneur.2022.884157

Authors: Mosteiro, A; Amaro, S; Torne, R; Pedrosa, L; Hoyos, J; Llull, L; Reyes, L; Ferres, A; de Riva, N; Mellado, R; Ensenat, J

Affiliations

Comprehens Stroke Ctr, Barcelona, Spain - Author
IDIBAPS Biomed Res Inst, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin Barcelona, Dept Anesthesiol & Crit Care, Barcelona, Spain August Pi I Sunyer Biomed Res Inst IDIBAPS, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin Barcelona, Dept Anesthesiol, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin, Dept Neurol, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin, Dept Neurosurg, Barcelona, Spain - Author
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Abstract

Spontaneous intracerebral hemorrhage is characterized by high fatality outcomes, even under best medical treatment. Recently, minimally invasive surgical (MIS) evacuation of the hematoma has shown promising results and may soon be implemented in the clinical practice. Hereby, we intended to foresee the logistic requirements for an early hematoma evacuation protocol, as well as to evaluate in a real-life implementation model the cost-utility of the two main MIS techniques for hemorrhagic stroke (catheter evacuation plus thrombolysis and neuroendoscopic aspiration).Data were obtained from the pool of hemorrhagic-stroke patients admitted to our institution during an annual period (2020-2021) and contrasted to the reported results in published trials of MIS techniques. Potential candidates for surgical treatment were identified according to the inclusion/exclusion criteria established in these trials. Then, a cost-utility analysis was performed, which explored the incremental cost per unit of health gained with a given treatment. The treatment effect was measured by differences in modified Rankin Score, and subsequently converted to quality-adjusted life years (QALY).Of the 137 patients admitted to our center with supratentorial spontaneous intracerebral hemorrhage in a 1-year period, 17 (12.4%) were potential candidates for the catheter evacuation plus thrombolysis technique (Minimally Invasive Surgery with Thrombolysis in Intracerebral Hemorrhage Evacuation trial, MISTIE III criteria) and 59 (43.0%) for the neuroendoscopic aspiration technique (Dutch Intracerebral Hemorrhage Surgery Trial Pilot Study, DIST criteria). The incremental cost-utility ratio was € 76,533.13 per QALY for the catheter-based evacuation and € 60,703.89 per QALY for the endoscopic-based technique.Around 12-43% of patients admitted to hospital with spontaneous hemorrhagic stroke could be potential candidates to MIS early evacuation of the cerebral hematoma. In our real-life implementation model, the cost-utility analysis favored the neuroendoscopic evacuation over the catheter aspiration technique. Further studies are advisable as new data from the ongoing randomized trials becomes available.Copyright © 2022 Mosteiro, Amaro, Torné, Pedrosa, Hoyos, Llull, Reyes, Ferrés, de Riva, Mellado and Enseñat.

Keywords

cost-utilityevacuationguidelinesminimally invasive surgeryspontaneous cerebral hematomaCost-utilityEvacuationHemorrhageHemorrhagic strokeMinimally invasive surgerySpontaneous cerebral hematoma

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Frontiers In Neurology due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position 91/212, thus managing to position itself as a Q2 (Segundo Cuartil), in the category Clinical Neurology. Notably, the journal is positioned en el Cuartil Q2 para la agencia Scopus (SJR) en la categoría Neurology (Clinical).

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 4.32, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-03, the following number of citations:

  • WoS: 6
  • Europe PMC: 4

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-03:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 15.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 17 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.45.
  • The number of mentions on the social network X (formerly Twitter): 5 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Enseñat Nora, Joaquim).

the author responsible for correspondence tasks has been Torné Torné, Ramon.