{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T18:52:35Z","timestamp":1787597555201,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Minimally invasive surgical evacuation improved outcomes for patients with acute, spontaneous, lobar intracerebral hemorrhage (ICH) in the ENRICH trial (Early Minimally Invasive Removal of ICH). We determined the percentage of patients with ICH in a US population\u2013based study eligible for minimally invasive surgical evacuation and projected the annual number of patients with ICH in the United States in 2020 eligible for this therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>\n                      We ascertained adults (aged \u226518 years) with acute (&lt;24 hours from last known well), spontaneous ICH in Greater Cincinnati\/Northern Kentucky in 2015. Cases were identified by the\n                      <jats:italic toggle=\"yes\">International Classification of Diseases<\/jats:italic>\n                      codes, clinical data abstracted, and physician adjudicated. Location and volume of ICH were centrally adjudicated by neuroradiologists. We applied ENRICH trial criteria to calculate conservative and liberal estimates of the percentage of patients with (1) all ICH at any location and (2) lobar ICH eligible for minimally invasive surgical evacuation. We extrapolated our estimates to the 2020 US adult population using 2020 US census data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>We identified 196 patients in Greater Cincinnati\/Northern Kentucky in 2015 with acute, spontaneous ICH. After applying all criteria, 2.0% (n=5) of all patients with acute ICH (5.1%; n=5 lobar ICH) were eligible for minimally invasive surgical evacuation. The most common exclusion criteria were ICH volume &lt;30 mL (60%) and prestroke modified Rankin Scale score &gt;1 (52%). In liberal estimates, 2.6% to 3.6% (n=4\u20137) of all patients with acute ICH (4.1%\u20137.1% of lobar ICH) were eligible. We projected 1066 to 1848 patients of an estimated 72\u2009283 adult patients with ICH in the United States in 2020 met eligibility criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Approximately 2% to 4% of patients with ICH in our population were eligible for minimally invasive surgical evacuation based on ENRICH criteria, which extrapolates to 1066 to 1848 patients with ICH in the United States annually. Future research is needed to determine whether indications for effective surgical therapy for ICH can be expanded.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/strokeaha.125.052998","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T09:00:12Z","timestamp":1758099612000},"page":"3532-3537","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Projecting US Population Eligibility for Minimally Invasive Surgical Evacuation of Intracerebral Hemorrhage"],"prefix":"10.1161","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0314-1867","authenticated-orcid":true,"given":"Paul M.","family":"Wechsler","sequence":"first","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., A.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3933-1574","authenticated-orcid":true,"given":"Heidi","family":"Sucharew","sequence":"additional","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., A.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3221-3599","authenticated-orcid":true,"given":"David J.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., A.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3804-5063","authenticated-orcid":true,"given":"Robert J.","family":"Stanton","sequence":"additional","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., A.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3515-4005","authenticated-orcid":true,"given":"Yasmin N.","family":"Aziz","sequence":"additional","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., A.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5979-2378","authenticated-orcid":true,"given":"Charles","family":"Prestigiacomo","sequence":"additional","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., A.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3000-8420","authenticated-orcid":true,"given":"Stacie L.","family":"Demel","sequence":"additional","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., 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D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., A.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5107-438X","authenticated-orcid":true,"given":"Lily","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., M.H., T.T., R.S.C., J.P.B., B.M.K., M.L.F., E.A.M., A.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6076-2395","authenticated-orcid":true,"given":"Vivek J.","family":"Khandwala","sequence":"additional","affiliation":[{"name":"Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.M.W., H.S., D.J.R., R.J.S., Y.N.A., C.P., S.L.D., T.C.M., B.J.W., L.W., V.J.K., S.G., M.G.-S., 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Late Breaking Abstracts. Procedural safety and functional outcomes following minimally invasive surgery for deep and lobar intracranial hemorrhages: MIND study results. Paper\/Poster presented at: International Stroke Conference; February 5 2025. Los Angeles CA: 2025."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.1512"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.121.037332"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.08.023"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.077164"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fstro.2024.1403812"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bas.2024.102914"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000407"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2022.01.006"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2023.2754"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.3171\/2022.3.JNS22286"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/STROKEAHA.125.052998","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T12:31:39Z","timestamp":1781785899000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/STROKEAHA.125.052998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":17,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1161\/STROKEAHA.125.052998"],"URL":"https:\/\/doi.org\/10.1161\/strokeaha.125.052998","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-04-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-12","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}