Evidence map›Paper›PMID 27166707›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2016

Charlson comorbidity index as a predictor of in-hospital death in acute ischemic stroke among very old patients: a single-cohort perspective study.

Lorenzo Falsetti, Giovanna Viticchi, Nicola Tarquinio, Mauro Silvestrini, William Capeci, Vania Catozzo, Agnese Fioranelli, Laura Buratti, Francesco Pellegrini

Abstract read
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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 38 citations in OpenAlex.

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  9. Efficacy and safety of reperfusion treatments in middle-old and oldest-old stroke patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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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

9 authors at 2 institutions in 1 country.

Lorenzo FalsettiInternal and Sub-intensive Medicine Department, A.O.U. "Ospedali Riuniti", Via Conca no. 10, Ancona, Italy. drfalsetti@yahoo.it.
Giovanna ViticchiDepartment of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.
Nicola TarquinioDepartment of Internal Medicine, Ospedali "Santa Casa", Loreto (AN) e "S.S. Benvenuto e Rocco", Osimo, Ancona, Italy.
Mauro SilvestriniDepartment of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.
William CapeciDepartment of Internal Medicine, Ospedali "Santa Casa", Loreto (AN) e "S.S. Benvenuto e Rocco", Osimo, Ancona, Italy.
Vania CatozzoDepartment of Internal Medicine, Ospedali "Santa Casa", Loreto (AN) e "S.S. Benvenuto e Rocco", Osimo, Ancona, Italy.
Agnese FioranelliDepartment of Internal Medicine, Ospedali "Santa Casa", Loreto (AN) e "S.S. Benvenuto e Rocco", Osimo, Ancona, Italy.
Laura BurattiDepartment of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.
Francesco PellegriniDepartment of Internal Medicine, Ospedali "Santa Casa", Loreto (AN) e "S.S. Benvenuto e Rocco", Osimo, Ancona, Italy.
Marche Polytechnic University · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic diseases are increasing worldwide. Association of two or more chronic conditions is related with poor health status and reduced life expectancy, particularly among elderly patients. Comorbidities represent a risk factor for adverse events in several critical illnesses. We aimed to evaluate if elderly patients are affected by multiple chronic pathologies, assessed by Charlson comorbidity index (CCI), showed a reduced in-hospital survival after ischemic stroke. In a 3-year period, we evaluated all the subjects admitted to our internal medicine department for ischemic stroke. Age, sex, NIHSS score and all the comorbidities were recorded. Days of hospitalization, hospital-related infections and in-hospital mortality were also assessed. For each patient, we evaluated CCI, obtaining four classes: group 1 (CCI: 2-3), group 2 (CCI: 4-5), group 3 (CCI: 6-7) and group 4 (CCI: ≥8). Survival was evaluated with Kaplan-Meier and Cox regression analyses. The complete model considered in-hospital death as the main outcome, days of hospitalization as the time variable and CCI as the main predictor, adjusting for NIHSS, sex and nosocomial infections. Patients in CCI group 3 and 4 had an increased risk of in-hospital mortality, independently of NIHSS, sex and nosocomial infections. Elderly patients with multiple comorbidities have higher risk of in-hospital death when affected by ischemic stroke.

Indexed as

Geriatric AssessmentHospital MortalityAdultAgedAge FactorsBrain IschemiaCohort StudiesComorbidityFemaleHumansKaplan-Meier EstimateMaleMiddle AgedProspective StudiesRegression AnalysisRisk AssessmentCharlson comorbidity indexElderly patientIschemic strokeMultimorbidity

Identifiers

PMID27166707
OpenAlexW2373752271

What OpenQuestion holds

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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.