Evidence map›Paper›PMID 27703444›Full record

ArticleFrontiers in neurology2016

Prevalence of Brain MRI Markers of Hemorrhagic Risk in Patients with Stroke and Atrial Fibrillation.

Christopher Karayiannis, Cathy Soufan, Ronil V Chandra, Thanh G Phan, Kitty Wong, Shaloo Singhal, Lee-Anne Slater, John Ly, Chris Moran, Velandai Srikanth

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 3 institutions in 1 country.

Christopher KarayiannisDepartment of Medicine, Stroke and Ageing Research Centre, School of Clinical Sciences at Monash Health, Monash University , Melbourne, VIC , Australia.
Cathy SoufanNeuroradiology Service, Monash Imaging, Monash Health , Melbourne, VIC , Australia.
Ronil V ChandraDepartment of Medicine, Stroke and Ageing Research Centre, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia; Neuroradiology Service, Monash Imaging, Monash Health, Melbourne, VIC, Australia.
Thanh G PhanDepartment of Medicine, Stroke and Ageing Research Centre, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia; Stroke Unit, Neurosciences, Monash Health, Melbourne, VIC, Australia.
Kitty WongDepartment of Medicine, Stroke and Ageing Research Centre, School of Clinical Sciences at Monash Health, Monash University , Melbourne, VIC , Australia.
Shaloo SinghalDepartment of Medicine, Stroke and Ageing Research Centre, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia; Stroke Unit, Neurosciences, Monash Health, Melbourne, VIC, Australia.
Lee-Anne SlaterNeuroradiology Service, Monash Imaging, Monash Health , Melbourne, VIC , Australia.
John LyDepartment of Medicine, Stroke and Ageing Research Centre, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia; Stroke Unit, Neurosciences, Monash Health, Melbourne, VIC, Australia.
Chris MoranDepartment of Medicine, Stroke and Ageing Research Centre, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia; Department of Medicine, Peninsula Health, Melbourne, VIC, Australia; Central Clinical School, Monash University, Melbourne, VIC, Australia; Aged Care, Alfred Health, Melbourne, VIC, Australia.
Velandai SrikanthDepartment of Medicine, Stroke and Ageing Research Centre, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia; Stroke Unit, Neurosciences, Monash Health, Melbourne, VIC, Australia; Department of Medicine, Peninsula Health, Melbourne, VIC, Australia; Central Clinical School, Monash University, Melbourne, VIC, Australia.
Monash University · AUMonash Health · AUPeninsula Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCerebral microbleeds (CMBs), cortical superficial siderosis, white matter lesions (WML), and cerebral atrophy may signify greater bleeding risk particularly in patients in whom anticoagulation is to be considered. We investigated their prevalence and associations with stroke type in patients with stroke and atrial fibrillation (AF). MATERIALS AND

methodsCross-sectional sample, Monash Medical Centre (Melbourne, Australia) between 2010 and 2013, with brain MRI. MRI abnormalities were rated using standardized methods. Logistic regression was used to study associations adjusting for age and sex.

resultsThere were 170 patients, mean age 78 years (SD 9.8), 154 (90.6%) with ischemic stroke. Prevalence of MRI markers were any microbleed 49%, multiple (≥2) microbleeds 30%, confluent WMLs 18.8%, siderosis 8.9%, severe cerebral atrophy 37.7%. Combinations of the severe manifestations of these markers were much less prevalent (2.9-12.4%). Compared with ischemic stroke, those with hemorrhagic stroke were more likely to have ≥10 microbleeds (OR 5.50 95% CI 1.46-20.77,

conclusionMultiple CMBs, severe WML, and severe cerebral atrophy were common individually in hospitalized patients with stroke and AF, but less so in combination. A higher burden of CMBs may be associated with intracerebral hemorrhage in stroke patients with AF.

Indexed as

atrial fibrillationmicrobleedsMRIstroke

Identifiers

PMID27703444
PMCPMC5028680
OpenAlexW2521665687

What OpenQuestion holds

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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.