Evidence map›Paper›PMID 25406859›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2014

Increased risk of ischemic stroke in patients with mild traumatic brain injury: a nationwide cohort study.

Yi-Kung Lee, Chen-Wen Lee, Ming-Yuan Huang, Chen-Yang Hsu, Yung-Cheng Su

Abstract readMulticenter Study
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Stroke risk following traumatic brain injury: Systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2021
    Pooled it
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  13. Increased Risk of Stroke in Patients of Concussion: A Nationwide Cohort Study.International journal of environmental research and public health · 2017
    Article
  14. Article
  15. Increased risk of ischemic stroke in patients with burn injury: a nationwide cohort study in Taiwan.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016
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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

5 authors.

Yi-Kung Lee
Chen-Wen Lee
Ming-Yuan Huang
Chen-Yang Hsu
Yung-Cheng SuEmergency Department, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No,2, Minsheng Rd, Chiayi County 622, Dalin Township, Taiwan. drsu119@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is known that the risk of stroke in patients with traumatic brain injury might be increased. However, the relationship between mild traumatic brain injury and ischemic stroke has never been established. We conducted a study of patients in Taiwan with mild traumatic brain injury to evaluate if they had a higher risk of stroke compared with the general population.

methodsWe utilized a sampled National Health Insurance claims database containing one million beneficiaries. We followed all adult beneficiaries older than 18 years from January 1, 2007 to December 31, 2010 to determine if they were diagnosed with ischemic stroke. We further identified patients with mild traumatic brain injury and compared their risk of ischemic stroke with the general population.

resultsWe identified 24,905 patients with mild traumatic brain injury and 719,811 patients without mild traumatic brain injury. After controlling for age, gender, urbanization level, socioeconomic status, diabetes, hypertension, coronary artery disease, hyperlipidemia, history of alcohol intoxication, malignancies, heart failure, atrial fibrillation, smoking, obesity, epilepsy, peripheral artery disease and Charlson Comorbidity Index score, the adjusted hazard ratio for ischemic stroke was 1.46 (95% confidence interval, 1.33-1.62).

conclusionMild traumatic brain injury is an independent significant risk factor for ischemic stroke.

Indexed as

AdolescentAdultAge DistributionBrain InjuriesBrain IschemiaConfidence IntervalsFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsSex DistributionTaiwan

Identifiers

PMID25406859
PMCPMC4239396

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Registered trials

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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.