Evidence map›Paper›PMID 27355961›Full record

ArticleInternational journal of environmental research and public health2016

The Relationship between C-Reactive Protein Level and Discharge Outcome in Patients with Acute Ischemic Stroke.

He-Hong Geng, Xin-Wang Wang, Rong-Li Fu, Meng-Juan Jing, Ling-Ling Huang, Qing Zhang, Xiao-Xiao Wang, Pei-Xi Wang

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. State of the science in inflammation and stroke recovery: A systematic review.Annals of physical and rehabilitation medicine · 2022
    Pooled it
  3. Pooled it
  4. The Role of Biomarkers in Atherothrombotic Stroke-A Systematic Review.International journal of molecular sciences · 2021
    Pooled it
  5. Article
  6. Review
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  10. Observational
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  18. Observational
  19. Article
  20. Update on Inflammatory Biomarkers and Treatments in Ischemic Stroke.International journal of molecular sciences · 2016
    Review
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 at 1 institution in 1 country.

He-Hong GengInstitute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China. hehong0409@163.com.
Xin-Wang WangDepartment of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou 510182, China. xinwwang@aliyun.com.
Rong-Li FuDepartment of Neurology of Huai-He Hospital, Kaifeng 475000, China. 15225475563@163.com.
Meng-Juan JingInstitute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China. jing53905@163.com.
Ling-Ling HuangInstitute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China. huanglingling0703@163.com.
Qing ZhangInstitute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China. zq71200@163.com.
Xiao-Xiao WangInstitute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China. xiaoxiao52625@163.com.
Pei-Xi WangInstitute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China. peixi001@163.com.
Henan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies showed that C-reactive protein (CRP), an inflammatory marker, was associated with stroke severity and long-term outcome. However, the relationship between the acute-phase CRP level and discharge outcome has received little attention. We prospectively studied 301 patients with acute ischemic stroke (over a period of two weeks) from two hospital stroke wards and one rehabilitation department in Henan, China. Patients' demographic and clinical data were collected and evaluated at admission. Poor discharge outcome was assessed in patients at discharge using the Modified Rankin Scale (MRS > 2). Multivariate logistic regression analysis was performed to determine the risk factors of poor discharge outcome after adjusting for potential confounders. Poor discharge outcome was observed in 78 patients (25.9%). Univariate analyses showed that factors significantly influencing poor discharge outcome were age, residence, recurrent acute ischemic stroke, coronary heart disease, the National Institutes of Health Stroke Scale (NIHSS) score at admission, non-lacunar stroke, time from onset of stroke to admission, CRP, TBIL (total bilirubin), direct bilirubin (DBIL), ALB (albumin), FIB (fibrinogen) and D-dimer (p < 0.05). After adjusting for age, residence, recurrent ischemic stroke, coronary heart disease, NIHSS score at admission, lacunar stroke, time from onset of stroke to admission, CRP, TBIL, DBIL, ALB, FIB and D-dimer, multivariate logistic regression analyses revealed that poor outcome at discharge was associated with recurrent acute ischemic stroke (OR, 2.115; 95% CI, 1.094-4.087), non-lacunar stroke (OR, 2.943; 95% CI, 1.436-6.032), DBIL (OR, 1.795; 95% CI, 1.311-2.458), and CRP (OR, 4.890; 95% CI, 3.063-7.808). In conclusion, the CRP level measured at admission was found to be an independent predictor of poor outcome at discharge. Recurrent acute ischemic stroke, non-lacunar stroke and DBIL were also significantly associated with discharge outcome in acute ischemic stroke.

Indexed as

HospitalizationPatient DischargeAgedChinaC-Reactive ProteinFemaleHumansLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisProspective StudiesRisk FactorsStrokeC-Reactive Proteinacute ischemic strokeC-reactive proteindischarge outcomerecurrence

Identifiers

PMID27355961
PMCPMC4962177
OpenAlexW2472135993

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.