Publications by authors named "Chao You"

The causal association between the autoimmune disease and the development of glioma and its subtypes remains unclear. We performed a comprehensive Mendelian randomization (MR) to clarify their causal association from genetic perspective. We obtained the summary-level datasets for autoimmune diseases from recently published genome-wide association studies in the UK Biobank (UKB) and the FinnGen consortium.

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Background: Cranioplasty (CP), a surgical procedure that restores cranial integrity and potentially enhances neurological outcomes, is commonly performed following decompressive craniectomy for various reasons. However, there is considerable controversy and variation regarding the optimal timing for cranioplasty, particularly concerning its impact on neurological functional outcomes. This paper outlines the protocol for a multicenter, non-randomized controlled trial designed to investigate whether the timing of cranioplasty influences neurological outcomes.

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This study aims to assess the burden of young-onset dementia worldwide, regionally, and nationally during 1990-2021. Prevalence, incidence, mortality, and disability adjusted life years (DALYs) rates were used to estimate burden of the young-onset dementia. The average annual percentage was utilized to evaluate the trends during 1990-2021.

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Background: Temporal diffusion spectroscopy (TDS) is a noninvasive diffusion imaging technique used to characterizing cellular microstructures. The influence of multiband (MB) on TDS, particularly in breast tumor imaging remain unknown.

Purpose: To investigate the influence of MB on TDS in terms of scanning time, image quality, and quantitative parameters and to assess the diagnostic value of TDS with MB in breast tumors.

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Vegetation fires release a large fraction of light-absorbing components, which can contribute to the melting of snowpack and alpine glaciers. However, the relationship between variability in fire emissions and alpine glacier melting on the Third Pole (TP) remains poorly understood. This study provides evidence that carbon emissions from windward vegetation fires play a crucial role in comprehending glacier melting on the TP, particularly during the months of intense vegetation fires from March to May for monsoon-dominated glaciers and from June to October for westerlies-dominated glaciers.

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Currently, limited evidence exists on the impact of serum sodium variability in patients with aneurysmal subarachnoid hemorrhage (SAH) who underwent surgical clipping. We aimed to perform a detailed examination of the relationship between sodium variability and mortality in these patients. We conducted a cohort study including adult patients with aneurysmal SAH who underwent surgical clipping at a university hospital.

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Objective: Primary intraventricular hemorrhage (PIVH) is a rare type of neurologic disorder and remains a challenge for cerebrovascular surgeons. This study intended to investigate the factors associated with neurosurgical intervention and its impact on outcome after PIVH.

Methods: We retrospectively included consecutive patients with PIVH admitted to at a single tertiary academic medical center in China.

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Neuromuscular abnormality is the leading cause of disability in adults. Understanding the complex interplay between muscle structure and function is crucial for effective treatment and rehabilitation. However, the substantial deformation of muscles during movement (up to 40%) poses challenges for accurate assessment.

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Hydrocephalus, whether arising from post-hemorrhagic or post-traumatic origins, poses significant challenges in clinical management. Lumboperitoneal shunting (LPS) emerges as a viable therapeutic intervention, yet comparative analyses between these etiologies remain scarce. This retrospective study aims to compare the efficacy and safety of LPS placement in patients with post-hemorrhagic (PHH) and post-traumatic hydrocephalus (PTH).

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Background And Objectives: Patients who undergo craniotomy are at risk of developing seizures during the postoperative period. Preoperative serum potassium as an important potential risk factor has not been investigated yet.

Methods: We conducted a retrospective cohort study involving adults undergoing elective craniotomy at West China Hospital, from January 2011 and March 2021.

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Background: Surgical interventions for spontaneous supratentorial intracerebral haemorrhage (ICH) include conventional craniotomy (CC), decompressive craniectomy (DC), and minimally invasive surgery (MIS), with the latter encompassing endoscopic surgery (ES) and minimally invasive puncture surgery (MIPS). However, the superiority of surgery over conservative medical treatment (CMT) and the comparative benefits of different surgical procedures remain unclear. We aimed to evaluate the efficacy and safety of various surgical interventions for treating ICH.

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The third, stepped-wedge, cluster-randomized, Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial (INTERACT3), has shown that a goal-directed multi-faceted Care Bundle incorporating protocols for the management of physiological variables was safe and effective for improving functional recovery in a broad range of patients with acute intracerebral hemorrhage (ICH). The INTERACT3 Care Bundle included time- and target-based protocols for the management of early intensive lowering of systolic blood pressure (SBP, target <140mmHg), glucose control (target 6.1-7.

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Article Synopsis
  • The study investigated the link between mitochondrial DNA copy number (mtDNA-CN) and the development of glioma and glioblastoma (GBM) using data from large health datasets.
  • The analysis found no significant causal relationship between mtDNA-CN and glioma or low-grade glioma, while a potential association with GBM was suggested.
  • The results were confirmed through various robust statistical analyses, leading to the conclusion that while mtDNA-CN does not impact glioma risk, it may play a role in the development of GBM.
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Background: There are few proven treatments for acute spontaneous intracerebral haemorrhage, and they all target reducing expansion of the haematoma. The traditional Chinese medicine FYTF-919 (Zhongfeng Xingnao) in an oral solution is comprised of several Chinese herbs that are widely used to treat patients with intracerebral haemorrhage in China on the understanding that they enhance resorption of the haematoma and reduce neuroinflammation. We aimed to provide a reliable assessment of the safety and efficacy of FYTF-919 in patients with moderate to severe acute intracerebral haemorrhage.

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  • The study analyzed lower limb and pelvic fractures in hospitalized children across 27 hospitals in China, focusing on factors like causes, locations, and associated injuries from 2015 to 2019.
  • Preschool children had the highest incidence of fractures, with a total of 14,398 fractures recorded, primarily affecting the femur, tibia, fibula, and pelvis.
  • The leading causes of fractures were falls, traffic accidents, and falls from height, with respiratory traumas being the most common concurrent injuries observed.
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Background: Predicting long-term survival in intensive care unit patients with intracerebral hemorrhage (ICH) is crucial. This study aimed to develop a platelet-to-white blood cell ratio (PWR) incorporated nomogram for long-term survival prediction.

Methods: A retrospective analysis was conducted on 1,728 ICH patients in the MIMIC-IV 2.

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Introduction: Accurately predicting a patient's prognosis is an important component of decision-making in intracerebral hemorrhage (ICH). We aimed to determine clinicians' ability to predict survival, functional recovery, and return to premorbid activities in patients with ICH.

Methods: Pre-specified secondary analysis of the third intensive care bundle with blood pressure reduction in acute cerebral hemorrhage trial (INTERACT3), an international, multicenter, stepped-wedge cluster randomized controlled trial.

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Article Synopsis
  • A study was conducted to explore the link between serum sodium levels and mortality in patients with aneurysmal subarachnoid hemorrhage (aSAH) who underwent surgical clipping.
  • Out of 618 patients, those with hypernatremia had a significantly increased risk of follow-up mortality, with adjusted odds ratios showing around double the risk compared to those with normal sodium levels.
  • The research highlights the importance of monitoring and managing serum sodium levels, as it can serve as an independent predictive factor for mortality in aSAH patients.
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Article Synopsis
  • * Results indicate a decline in overall stroke burden trends, but with notable increases in East Asia and Southern Sub-Saharan Africa, highlighting a variated impact across different regions and genders.
  • * A key finding is that stroke burden correlates negatively with the sociodemographic index, suggesting higher burdens in regions with lower socioeconomic status, while trends also shifted upward between 2019 and 2021, coinciding with the pandemic.
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  • Researchers wanted to see if using special imaging techniques from contrast-enhanced mammography (CEM) could help tell if breast cancer cells are HER2-positive or HER2-negative.
  • They looked at images from 352 patients and used different computer models to analyze features from the tumors.
  • The best model combined a few imaging features and improved how accurately they could identify the HER2 status, showing that these methods could be really helpful for doctors.
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Breast cancer is a common disease that causes great health concerns to women worldwide. During the diagnosis and treatment of breast cancer, medical imaging plays an essential role, but its interpretation relies on radiologists or clinical doctors. Radiomics can extract high-throughput quantitative imaging features from images of various modalities via traditional machine learning or deep learning methods following a series of standard processes.

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Article Synopsis
  • Radiomics provides a noninvasive way to predict clinical factors in breast cancer, with this study focusing on a robust model for prognosis prediction and its biological significance.
  • The researchers analyzed MRI data from three breast cancer patient groups, using Lasso and Cox regression to create a 13-feature radiomic signature that predicts relapse-free and overall survival.
  • The findings highlight the importance of metabolic dysregulation related to the radiomic signature and suggest its potential in enhancing predictions for treatment responses, paving the way for future research in personalized breast cancer therapies.
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Background And Objectives: Hypoglycemia is a known risk of intensive postoperative glucose control in neurosurgical patients. However, the impact of postoperative hypoglycemia after craniotomy remains unexplored. This study aimed to determine the association between postoperative hypoglycemia and mortality in patients undergoing elective craniotomy.

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Background: The association between fibrinogen-to-albumin ratio (FAR) and in-hospital mortality in patients with spontaneous intracerebral hemorrhage (ICH) has been established. However, the association with long-term mortality in spontaneous ICH remains unclear. This study aims to investigate the association between FAR and long-term mortality in these patients.

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