Evidence map›Paper›PMID 17478267›Full record

ArticleAmerican journal of preventive medicine2007

Cardiovascular risk in survivors of stroke.

Susan P Kopunek, Kathleen M Michael, Marianne Shaughnessy, Barbara Resnick, Eun-Shim Nahm, Jill Whitall, Andrew Goldberg, Richard F Macko

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. Physical activity correlates with arterial stiffness in community-dwelling individuals with stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2014
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  8. Longitudinal Progression of White Matter Hyperintensity Severity in Chronic Stroke Aphasia.Archives of rehabilitation research and clinical translation · 2023
    Article
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  13. Observational
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  15. Relative impact of neuromuscular and cardiovascular factors on bone strength index of the hemiparetic distal radius epiphysis among individuals with chronic stroke.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012
    Article
  16. Compromised bone strength index in the hemiparetic distal tibia epiphysis among chronic stroke patients: the association with cardiovascular function, muscle atrophy, mobility, and spasticity.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2010
    Article
  17. Tibial bone geometry in chronic stroke patients: influence of sex, cardiovascular health, and muscle mass.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2008
    Article
  18. Lifestyle Modification for Secondary Stroke Prevention.American journal of lifestyle medicine
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Susan P KopunekClaude D. Pepper Older Americans Independence Center, University of Maryland School of Medicine, Baltimore, Maryland, USA. skopunek@grecc.umaryland.edu
Kathleen M Michael
Marianne Shaughnessy
Barbara Resnick
Eun-Shim Nahm
Jill Whitall
Andrew Goldberg
Richard F Macko
University of Maryland, Baltimore · US

Funding

UPPER EXTREMITY TRAINING FOR CHRONIC STROKEP60AG012583 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI GOLDBERG, ANDREW P · 1994 to 2005
$7.8M
NIA NIH HHS P60 AG012583NIA NIH HHS P60AG12583
6 · The paper itself

Abstract

backgroundStroke survivors are at significant risk for recurrent stroke and cardiovascular disease. Inadequately managed modifiable risk factors increase the threat of recurrent stroke, development of new comorbidities, and double the risk of premature mortality. The purpose of this study was to determine the prevalence of modifiable cardiovascular risk factors in stroke survivors who completed a research screening evaluation for entry into exercise rehabilitation studies. The sample collected between January 2001 and June 2005 evaluated 364 community-dwelling men and women aged 34 to 88 years living in Baltimore, Maryland.

methodsEach participant's risk profile was evaluated from data obtained during a medical history and physical examination and from laboratory analysis of a fasting blood sample. Current practice guidelines were used to define risk categories.

resultsNinety-nine percent of participants had at least one suboptimally controlled risk factor. Ninety-one percent had two or more concurrent risk factors inadequately treated. Eighty percent of the participants had prehypertension or hypertension, 67% were overweight or obese, 60% had suboptimal low-density lipoprotein, 45% had impaired fasting glucose, 34% had low high-density lipoprotein, and 14% were current smokers, while reportedly receiving routine medical care.

conclusionsThese findings confirm that cardiovascular risk factors remain inadequately managed in stroke survivors, increasing the chance for repeat stroke and cardiovascular event. Systematic assessment of this vulnerable population is imperative at every healthcare encounter.

Indexed as

AdultAgedAged, 80 and overBaltimoreCardiovascular DiseasesComorbidityDiabetes MellitusDyslipidemiasFemaleHumansHypertensionMaleMiddle AgedObesityRisk FactorsStroke

Identifiers

PMID17478267
PMCPMC1963444
OpenAlexW1976141894

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.