Evidence map›Paper›PMID 25576348›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2015

Determinants of white matter hyperintensity burden differ at the extremes of ages of ischemic stroke onset.

Cathy R Zhang, Lisa Cloonan, Kaitlin M Fitzpatrick, Allison S Kanakis, Alison M Ayres, Karen L Furie, Jonathan Rosand, Natalia S Rost

Abstract readComparative Study
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Quantifying brain health in acute ischemic stroke through effective reserve.medRxiv : the preprint server for health sciences · 2024
    Article
  3. Observational
  4. Article
  5. Review
  6. Prospectively Collected Cardiovascular Biomarkers and White Matter Hyperintensity Volume in Ischemic Stroke Patients.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
    Observational
  7. Review
  8. Patient-specific Conditional Joint Models of Shape, Image Features and Clinical Indicators.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. Insulin resistance in ischemic stroke.Metabolic brain disease · 2017
    Review
  13. Article
  14. 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

8 authors.

Cathy R ZhangStroke Service, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Lisa CloonanStroke Service, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Kaitlin M FitzpatrickStroke Service, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Allison S KanakisStroke Service, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Alison M AyresStroke Service, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Karen L FurieRhode Island Hospital, Providence, Rhode Island.
Jonathan RosandStroke Service, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts; Center for Human Genetic Research, Massachusetts General Hospital, Boston, Massachusetts.
Natalia S RostStroke Service, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts; Center for Human Genetic Research, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: nrost@partners.org.

Funding

Specialized Programs of Translational Research in Acute Stroke at the PartnersP50NS051343 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ROSAND, JONATHAN · 2006 to 2013
$17.5M
Gene Discovery for Warfarin-Related Intracerebral HemorrhageR01NS059727 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ROSAND, JONATHAN · 2008 to 2012
$4.2M
Statins augment small vessel function and improve stroke outcomesR01NS082285 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ROST, NATALIA S · 2013 to 2017
$2.6M
Sharing canonical human stroke dataR01NS063925 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WU, ONA · 2009 to 2010
$1.4M
Genetic variation in white matter hyperintensity and risk of ischemic strokeK23NS064052 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ROST, NATALIA S · 2009 to 2013
$915k
NINDS NIH HHS 5P50NS051343NINDS NIH HHS 5P50NS051343-04NINDS NIH HHS 5R01NS059727NINDS NIH HHS K23 NS064052NINDS NIH HHS K23NS064052NINDS NIH HHS P50 NS051343NINDS NIH HHS R01 NS059727NINDS NIH HHS R01 NS063925NINDS NIH HHS R01NS063925NINDS NIH HHS R01 NS082285NINDS NIH HHS R01NS082285
6 · The paper itself

Abstract

backgroundAge is a well-known risk factor for both stroke and increased burden of white matter hyperintensity (WMH), as detected on magnetic resonance imaging (MRI) scans. However, in patients diagnosed with ischemic stroke (IS), WMH volume (WMHv) varies significantly across age groups. We sought to examine the determinants of WMH burden across the ages of stroke onset with the goal to uncover potential age-specific stroke prevention targets.

methodsAdult subjects from an ongoing hospital-based cohort study of IS patients with admission brain MRI were categorized as having early (<55 years), late (>75 years), or average (55-75 years) age of stroke onset. WMHv was measured using a previously validated, MRI-based semi-automated method and normalized for linear regression analyses.

resultsOf 1008 IS subjects, 249 had early-onset stroke (24.7%), and 311 had late-onset stroke (30.9%). In multivariable analysis of WMHv using backward stepwise selection, only age (β = .02, P = .018), hypertension (β = .24, P = .049), and history of tobacco use (β = .38, P = .001) were independently associated with WMHv in patients with early-onset stroke, whereas male sex (β = -.30, P = .007), hyperlipidemia (β = -.27, P = .015), and current alcohol use (β = .23, P = .034) were independently associated with WMHv in patients with late-onset stroke.

conclusionsHistory of tobacco use is a strong independent predictor of WMH burden in patients with early-onset stroke, whereas age is no longer associated with WMHv in IS patients older than 75 years of age. These findings suggest that the major risk factors to target for stroke prevention differ across age groups and may be modifiable.

Indexed as

Magnetic Resonance ImagingAdultAgedAged, 80 and overAge of OnsetAutomationBostonBrain IschemiaFemaleHumansImage Interpretation, Computer-AssistedLeukoencephalopathiesLinear ModelsMaleMiddle AgedMultivariate Analysisacute cerebral infarctionCT and MRILeukoaraiosisrisk factorrisk factors for strokewhite matter disease

Identifiers

PMID25576348
PMCPMC4359634

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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.