Evidence map›Paper›PMID 23736109›Full record

Trial reportAmerican journal of hypertension2013

Blood pressure after recent stroke: baseline findings from the secondary prevention of small subcortical strokes trial.

Carole L White, Pablo E Pergola, Jeff M Szychowski, Robert Talbert, Amin Cervantes-Arriaga, Heather D Clark, Oscar H Del Brutto, Ivan Esteban Godoy, Michael D Hill, Antoni Pelegrí and 7 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of hypertension, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04226157 (Home Blood Pressure Self-Management in Hypertensive Stroke Survivors), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT04226157 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Home Blood Pressure Self-Management in Hypertensive Stroke Survivors: a Pilot Study

TypeinterventionalSponsorMedStar Georgetown University HospitalRan2019 to 2021Enrolled32ConditionsIschemic Stroke, HypertensionArmsHome Blood Pressure Monitoring Device (Qardio Arm), Primary Care Provider Blood Pressure Management
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Review
  9. Article
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  11. Review
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  14. Brazilian Guidelines of Hypertension - 2020.Arquivos brasileiros de cardiologia · 2021
    Article
  15. Review
  16. Article
  17. Effect of Postural Hypotension on Recurrent Stroke: Secondary Prevention of Small Subcortical Strokes (SPS3) Study.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2019
    Article
  18. Article
  19. Review
  20. Article
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

17 authors at 14 institutions in 8 countries.

Carole L WhiteSchool of Nursing, University of Texas Health Sciences Center at San Antonio, San Antonio, TX.
Pablo E Pergola
Jeff M Szychowski
Robert Talbert
Amin Cervantes-Arriaga
Heather D Clark
Oscar H Del Brutto
Ivan Esteban Godoy
Michael D Hill
Antoni Pelegrí
Craig R Sussman
Addison A Taylor
José Valdivia
Dave C Anderson
Robin Conwit
Oscar R Benavente
SPS3 Investigators
Baylor College of Medicine · USThe University of Texas Health Science Center at San Antonio · USAllen Institute for Brain Science · USAustin College · USHennepin County Medical Center · USNational Institutes of Health · USOttawa Hospital · CAPontificia Universidad Católica de Chile · CLUniversidad de Especialidades Espíritu Santo · ECUniversitat de Barcelona · ESUniversity of Alabama at Birmingham · USUniversity of Calgary · CAUniversity of Minnesota · USVietnam National Children's Hospital · VN

Funding

SECONDARY PREVENTION OF SMALL SUBCORTICAL STROKES (SPSS)U01NS038529 · NINDS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI BENAVENTE, OSCAR R · 2003 to 2012
$62.9M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
NINDS NIH HHS 2 U01 NS38529-04A1NINDS NIH HHS U01 NS038529
6 · The paper itself

Abstract

backgroundHypertension is the most powerful risk factor for stroke. The aim of this study was to characterize baseline blood pressure in participants in the Secondary Prevention of Small Subcortical Strokes trial.

methodsFor this cross-sectional analysis, participants were categorized by baseline systolic blood pressure (SBP) < 120, 120-139, 140-159, 160-179, and ≥ 180 mm Hg and compared on demographic and clinical characteristics. Predictors of SBP < 140 mm Hg were examined.

resultsMean SBP was 143±19 mm Hg while receiving an average of 1.7 antihypertensive medications; SBP ≥ 140 mm Hg for 53% and ≥ 160 mm Hg for 18% of the 3,020 participants. Higher SBP was associated with a history of hypertension and hypertension for longer duration (both P < 0.0001). Higher SBPs were associated with more extensive white matter disease on magnetic resonance imaging (P < 0.0001). There were significant differences in entry-level SBP when participants were categorized by race and region (both P < 0.0001). Black participants were more likely to have SBP ≥ 140 mm Hg. Multivariable logistic regression showed an independent effect for region with those from Canada more likely (odds ratio = 1.7; 95% confidence interval, 1.29, 2.32) to have SBP < 140 mm Hg compared with participants from United States.

conclusionsIn this cohort with symptomatic lacunar stroke, more than half had uncontrolled hypertension at approximately 2.5 months after stroke. Regional, racial, and clinical differences should be considered to improve control and prevent recurrent stroke.

Indexed as

AdultAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsBlack or African AmericanBlack PeopleBlood PressureCanadaCross-Sectional StudiesHumansHypertensionLatin AmericaSecondary PreventionStrokeUnited StatesAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive Agentsblood pressureblood pressure controlethnicityhypertensionischemic strokelacunar strokerisk factorsstroke preventionwhite matter disease.

Identifiers

PMID23736109
PMCPMC3816319
OpenAlexW2128957710

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.