Evidence map›Paper›PMID 27780987›Full record

ArticleAnnals of neurosciences2016

Prediction of Outcome in Diabetic Acute Ischemic Stroke Patients: A Hospital-Based Pilot Study Report.

Amit R Nayak, Shweta R Badar, Neha Lande, Anuja P Kawle, Dinesh P Kabra, Nitin H Chandak, Dhananjay V Raje, Lokendra R Singh, Hatim F Daginawala, Rajpal S Kashyap

Open access · bronzeAbstract read
In one paragraph

Article in Annals of neurosciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 21% 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, 19 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Diabetes complications and extracellular vesicle therapy.Reviews in endocrine & metabolic disorders · 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

10 authors at 1 institution in 1 country.

Amit R NayakBiochemistry Research Centre, Central India Institute of Medical Sciences, Bajaj Nagar, Nagpur, India.
Shweta R BadarMDS Bioanalytics Pvt. Ltd., Sakar Enclave, Nagpur, India.
Neha LandeBiochemistry Research Centre, Central India Institute of Medical Sciences, Bajaj Nagar, Nagpur, India.
Anuja P KawleBiochemistry Research Centre, Central India Institute of Medical Sciences, Bajaj Nagar, Nagpur, India.
Dinesh P KabraBiochemistry Research Centre, Central India Institute of Medical Sciences, Bajaj Nagar, Nagpur, India.
Nitin H ChandakBiochemistry Research Centre, Central India Institute of Medical Sciences, Bajaj Nagar, Nagpur, India.
Dhananjay V RajeMDS Bioanalytics Pvt. Ltd., Sakar Enclave, Nagpur, India.
Lokendra R SinghBiochemistry Research Centre, Central India Institute of Medical Sciences, Bajaj Nagar, Nagpur, India.
Hatim F DaginawalaBiochemistry Research Centre, Central India Institute of Medical Sciences, Bajaj Nagar, Nagpur, India.
Rajpal S KashyapBiochemistry Research Centre, Central India Institute of Medical Sciences, Bajaj Nagar, Nagpur, India.
Central India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDemographic and clinical characteristics are known to influence the outcome in acute ischemic stroke (AIS) patients. PURPOSE: This study is aimed at evaluating short- and long-term outcomes in diabetic AIS patients. In addition, the study also evaluates the impact of diabetes on the performance of indigenously reported biomarker, inter-alpha-trypsin inhibitor heavy chain 4 (ITIH4) and known biomarkers, neuron-specific enolase (NSE) and glial-derived S-100 beta beta protein (S-100ββ).

methodsThis study was performed on 29 diabetes and 75 non-diabetes AIS patients. Outcome of AIS patients was analyzed by using modified Rankin scale at discharge, then at 12 and 18 months after discharge. Based on the obtained scores, patients were classified as improved group (scales 1-3) and dependent/expired group (scales 3-6). Blood samples were collected during admission and at discharge/expired time. Levels of NSE, S100ββ, and ITIH4 were analyzed in all samples.

resultsOn discharge, frequencies of dependent/expired outcome were 4/29 (14%) and 19/75 (17%) in diabetic and non-diabetic AIS patients. However, follow-up outcome at 12 and 18 months showed higher dependent/expired cases of 43 and 41% among diabetic AIS patients compared to 27 and 21% in non-diabetic patients. Multivariate analysis revealed that diabetes is an independent risk factor for dependent/expired outcome in AIS patients (OR 0.484 (at discharge); 1.307 (at 12 months) and 1.675 (at 18 months)). NSE, S100ββ, and ITIH4 showed a differential expression in both the outcome groups of AIS patients, irrespective of diabetes.

conclusionDiabetes increases the risk of dependent/expired outcome in AIS patients. Also, serum NSE, S100ββ, and ITIH4 are independent biomarkers for prognosis of outcome in AIS patients, irrespective of diabetes.

Indexed as

Acute ischemic strokeBiomarkersDiabetes mellitusInter-alpha-trypsin inhibitor heavy chain 4 proteinNeuron-specific enolase

Identifiers

PMID27780987
PMCPMC5075738
OpenAlexW2542195406

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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.