Evidence map›Paper›PMID 23652265›Full record

ArticleStroke2013

An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association.

Ralph L Sacco, Scott E Kasner, Joseph P Broderick, Louis R Caplan, J J Buddy Connors, Antonio Culebras, Mitchell S V Elkind, Mary G George, Allen D Hamdan, Randall T Higashida and 16 more

Erratum issued 21 registry-linked trialsOpen access · bronzeAbstract readHistorical Article
In one paragraph

Article in Stroke, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 21 registered trials, which are not on this map. Cited by 1,635 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,635citing papers in PubMed, 14 pooled it
71.0field-weighted citation impact, top 1% 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.

NCT02956096 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Evaluation of Autonomic Modulation in the Hemiparetic Patients After Transcranial Direct Current Stimulation (tDCS) and Treadmill Training: Clinical Trial, Controlled, a Randomized, Double-blind

TypeinterventionalSponsorUniversity of Nove de JulhoRan2016 to 2017Enrolled30ConditionsStrokeArmsTranscranial direct current stimulation (tDCS), training on the running belt
NCT03052036 naactive not recruitingnot on this mapstarted 2016, after this paper: background citation

The British Heart Foundation Older Patients With Non-ST SEgmeNt elevatIOn myocaRdial Infarction Randomized Interventional TreAtment Trial

TypeinterventionalSponsorNewcastle-upon-Tyne Hospitals NHS TrustRan2016 to 2029Enrolled1,518ConditionsNSTEMI - Non-ST Segment Elevation MIArmsCoronary Angiography, Coronary revascularisation, Optimal Medical Therapy
NCT03335787 nacompletednot on this map

The Long Term Effects Of Kinesio Taping On Balance In Patients With Stroke: A Single Blinded Randomized Controlled Trial

TypeinterventionalSponsorAbant Izzet Baysal UniversityRan2013 to 2018Enrolled61ConditionsStrokeArmsIntervention, Control
NCT03774342 unknown statusnot on this mapstarted 2018, after this paper: background citation

The Influence of Cognitive Decline on Quality of Life After Coronary Bypass

TypeobservationalSponsorUniversity Medical Center GroningenRan2018 to 2020Enrolled140ConditionsCoronary Artery Bypass, Cognitive DysfunctionArmsCoronary Artery Bypass Grafting
NCT03943966 nacompletednot on this mapstarted 2019, after this paper: background citation

In-vivo Thrombus Imaging With 18F-GP1, a Novel Platelet PET Radiotracer

TypeinterventionalSponsorUniversity of EdinburghRan2019 to 2021Enrolled73ConditionsThrombosis, Atherothrombosis, Myocardial Infarction, STEMIArms18F-GP1 PET CT
NCT04173481 nacompletednot on this mapstarted 2019, after this paper: background citation

Effects of ROOD's Sensory Motor Training Along With Constraint Induced Movement Therapy in Sub-acute Stroke

TypeinterventionalSponsorRiphah International UniversityRan2019 to 2019Enrolled29ConditionsStrokeArmsRood's Group, Conventional Physical Therapy Group
NCT04425590 phase2 / phase3unknown statusnot on this mapstarted 2020, after this paper: background citation

The Role of DLBS1033 in the Management of Acute Ischemic Stroke Patients: Study Protocol for a Randomized Controlled Study

TypeinterventionalSponsorDuta Wacana Christian UniversityRan2020 to 2020Enrolled180ConditionsIschemic StrokeArmsDLBS1033, Aspirin, Statin, Vit B12
NCT04468945 nacompletednot on this mapstarted 2019, after this paper: background citation

Effects of Mirror Therapy Versus Repetitive Facilitation Exercise on Upper Limb Function in Post-stroke Patient

TypeinterventionalSponsorRiphah International UniversityRan2019 to 2020Enrolled40ConditionsStroke PatientArmsmirror box therapy, Repetitive Facilitation Exercise
NCT04477252 nacompletednot on this mapstarted 2020, after this paper: background citation

Mobile App as a Guide to Lumbopelvic Stability Exercises in Patients With Chronic Stroke: a Pilot Study of a Randomized Clinical Trial

TypeinterventionalSponsorClínica de NeurorehabilitaciónRan2020 to 2021Enrolled30ConditionsTelerehabilitation, Stroke Sequelae, Therapeutic Adherence and Compliance, Mobile Phone UseArmsApp-core, Conventional physiotherapy
NCT04679727 unknown statusnot on this mapstarted 2020, after this paper: background citation

Detecting the Vulnerable Carotid Plaque: "The Carotid Artery Multi-modality Imaging Prognostic (CAMP) Study" - Implications for Stroke and Cognitive Decline Prediction in Asymptomatic Carotid Artery Disease

TypeobservationalSponsorAzienda Ospedaliero, Universitaria PisanaRan2020 to 2024Enrolled200ConditionsCarotid Artery Diseases, Carotid Artery Plaque, Carotid Atherosclerosis
NCT04757467 nacompletednot on this mapstarted 2020, after this paper: background citation

Comparison of Frequency & Duration of Task Practice During Constraint-Induced Movement Therapy on Lower Limb in Stroke Patients

TypeinterventionalSponsorRiphah International UniversityRan2020 to 2021Enrolled96ConditionsStrokeArmsStandard physiotherapy neuro-rehabilitation, Repetition-CIMT, Hour-CIMT
NCT04807426 nacompletednot on this mapstarted 2020, after this paper: background citation

Combine Effects Of Multisensory Stimulation Exercises And Task Oriented Exercises On Upper Limb Function In Post Stroke Patients.

TypeinterventionalSponsorRiphah International UniversityRan2020 to 2020Enrolled32ConditionsStrokeArmsMulti Sensory stimulation exercises, Task Oriented Exercises, Task-oriented exercises and Multisensory stimulation Exercises
NCT05026099 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of Boxing Training on Upper Limb Function, Balance and Quality of Life in Stroke Patients

TypeinterventionalSponsorRiphah International UniversityRan2021 to 2022Enrolled30ConditionsStrokeArmsBoxing training, Task Oriented Training
NCT05306522 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Effects of Telerehabilitation-Based Spinal Stabilization Exercises on Physical Activity Level and Fatigue in Chronic Stroke Patients

TypeinterventionalSponsorHacettepe UniversityRan2022 to 2024Enrolled30ConditionsStrokeArmsSpinal stabilization exercise
NCT05825391 nacompletednot on this mapstarted 2023, after this paper: background citation

Guided Versus Standard Antiplatelet Therapy in Intracranial Aneurysm Intervention With Stents: a Cluster Randomized Controlled Cohort Study

TypeinterventionalSponsorBeijing Tiantan HospitalRan2023 to 2023Enrolled590ConditionsIntracranial AneurysmArmsAdjustment of Antiplatelet Drugs
NCT06379854 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Effects Of Trunk Rotation And Lateral Flexion Exercises On Peak Cough Flow And Chest Expansion In Stroke Patients

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2024Enrolled54ConditionsStroke, AcuteArmschest physiotherapy, trunk rotation exercises,deep diaphragmatic also chest physiotherapy
NCT06895005 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effectiveness of Transcutaneous Auricular Vagus Nerve Stimulation on Upper Limb Motor Recovery After Stroke

TypeinterventionalSponsorFundación Cardiovascular de ColombiaRan2025 to 2025Enrolled30ConditionsMotor Impairment, Motor Impairments, Stroke, StrokeArmsTranscutaneous auricular vagus nerve stimulation + rehabilitation therapy, sham stimulation + rehabilitation therapy
NCT07167628 completednot on this mapstarted 2021, after this paper: background citation

Neurological Complications and Intensive-Care Workload After Emergency Repair of Acute Type A Aortic Dissection: A Retrospective Cohort Study

TypeobservationalSponsorChina Medical University HospitalRan2021 to 2025Enrolled274ConditionsAortic Dissection, Stroke, Paraplegia, AKI - Acute Kidney Injury
NCT07287059 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Wearable Robotic and Virtual Reality-Assisted Interventions on Hand Function in Stroke Rehabilitation

TypeinterventionalSponsorMedipol UniversityRan2025 to 2026Enrolled42ConditionsPost-Stroke HemiplegiaArmsSoft Robotic Glove (SRG), Leap Motion Controller (LMC), Neurodevelopmental Therapy (NDT)
NCT07364110 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of High Intensity Laser Therapy (HILT) and Extracorporeal Shock Wave Therapy (ESWT) for the Treatment of Plantar Flexor Spasticity in Post-Stroke Patients

TypeinterventionalSponsorNecmettin Erbakan UniversityRan2021 to 2022Enrolled39ConditionsStroke Gait RehabilitationArmsRehabilitation Protocol, Extracorporeal Shock Wave Therapy (ESWT), High-Intensity Laser Therapy (HILT)
NCT07736885 narecruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of Clinical Efficacy and Mechanism of Hand Jing-Well Acupoint Transcutaneous Electrical Stimulation in Improving Post-Stroke Cognitive Impairment

TypeinterventionalSponsorFirst Teaching Hospital of Tianjin University of Traditional Chinese MedicineRan2026 to 2027Enrolled70ConditionsPost-Stroke Cognitive Impairment (PSCI), Ischemic Stroke, Cognitive Dysfunction, Cognitive Disorder, Hemorrhagic StrokesArmsTranscutaneous Electrical Stimulation at Jing-Well Acupoints, Transcutaneous Sham Electrical Stimulation at Jing-Well Acupoints
3 · Its place in the literature

Who cites it

1,635 citing papers in PubMed, 14 syntheses or guidelines pooled it, 3,402 citations in OpenAlex.

  1. Post-Stroke Depression and Determinants in Ethiopia; A Systematic Review and Meta-Analysis.International journal of methods in psychiatric research · 2026
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  19. Effect ofInternational journal of medical sciences · 2026
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1,575 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 1 institution in 1 country.

Ralph L Sacco
Scott E Kasner
Joseph P Broderick
Louis R Caplan
J J Buddy Connors
Antonio Culebras
Mitchell S V Elkind
Mary G George
Allen D Hamdan
Randall T Higashida
Brian L Hoh
L Scott Janis
Carlos S Kase
Dawn O Kleindorfer
Jin-Moo Lee
Michael E Moseley
Eric D Peterson
Tanya N Turan
Amy L Valderrama
Harry V Vinters
American Heart Association Stroke Council, Council on Cardiovascular Surgery and Anesthesia
Council on Cardiovascular Radiology and Intervention
Council on Cardiovascular and Stroke Nursing
Council on Epidemiology and Prevention
Council on Peripheral Vascular Disease
Council on Nutrition, Physical Activity and Metabolism
Neurology, Inc · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Despite the global impact and advances in understanding the pathophysiology of cerebrovascular diseases, the term "stroke" is not consistently defined in clinical practice, in clinical research, or in assessments of the public health. The classic definition is mainly clinical and does not account for advances in science and technology. The Stroke Council of the American Heart Association/American Stroke Association convened a writing group to develop an expert consensus document for an updated definition of stroke for the 21st century. Central nervous system infarction is defined as brain, spinal cord, or retinal cell death attributable to ischemia, based on neuropathological, neuroimaging, and/or clinical evidence of permanent injury. Central nervous system infarction occurs over a clinical spectrum: Ischemic stroke specifically refers to central nervous system infarction accompanied by overt symptoms, while silent infarction by definition causes no known symptoms. Stroke also broadly includes intracerebral hemorrhage and subarachnoid hemorrhage. The updated definition of stroke incorporates clinical and tissue criteria and can be incorporated into practice, research, and assessments of the public health.

Indexed as

American Heart AssociationHistory, 21st CenturyHumansNeurologyStrokeUnited StatesVoluntary Health AgenciesAHA Scientific Statementscerebral hemorrhagecerebral infarctionstrokesubarachnoid hemorrhagetransient ischemic attack

Identifiers

PMID23652265
PMCPMC11078537
OpenAlexW1987751736

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 15 more above

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.