Evidence map›Paper›PMID 28693521›Full record

ArticleBMC neurology2017

Predictors of intensive care unit admission and mortality in patients with ischemic stroke: investigating the effects of a pulmonary rehabilitation program.

Belma Doğan Güngen, Abdulkadir Tunç, Yeşim Güzey Aras, Aslı Aksoy Gündoğdu, Adil Can Güngen, Serdar Bal

2 registry-linked trialsOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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.

NCT03195907 completednot on this map

Predictors of Intensive Care Unit Admission and Mortality in Patients With Ischemic Stroke: Investigating the Effects of a Pulmonary Rehabilitation Program

TypeobservationalSponsorAbdulkadir TuncRan2015 to 2016Enrolled181ConditionsStroke, Ischemic, Intensive Care Neurological Disorder, Morality, RehabilitationArmsPulmonary physiotherapy
NCT05678816 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect Of Breather On Pulmonary And Physical Function In Post Stroke Survivors

TypeinterventionalSponsorCairo UniversityRan2022 to 2022Enrolled50ConditionsStrokeArmsBREATHER, physiotherapy prgramme for rehabilitation of stroke patients
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. 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

6 authors at 1 institution in 1 country.

Belma Doğan GüngenBezmialem Vakif Universitesi Tip Fakultesi Hastanesi, Istanbul, Turkey.
Abdulkadir TunçBezmialem Vakif Universitesi Tip Fakultesi Hastanesi, Istanbul, Turkey. drkadirtunc@hotmail.com.
Yeşim Güzey ArasBezmialem Vakif Universitesi Tip Fakultesi Hastanesi, Istanbul, Turkey.
Aslı Aksoy GündoğduBezmialem Vakif Universitesi Tip Fakultesi Hastanesi, Istanbul, Turkey.
Adil Can GüngenBezmialem Vakif Universitesi Tip Fakultesi Hastanesi, Istanbul, Turkey.
Serdar BalBezmialem Vakif Universitesi Tip Fakultesi Hastanesi, Istanbul, Turkey.
Bezmialem Foundation University Medical Faculty Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the predictors of intensive care unit (ICU) admission and mortality among stroke patients and the effects of a pulmonary rehabilitation program on stroke patients.

methodsThis prospective study enrolled 181 acute ischemic stroke patients aged between 40 and 90 years. Demographical characteristics, laboratory tests, diffusion-weighed magnetic resonance imaging (DWI-MRI) time, nutritional status, vascular risk factors, National Institute of Health Stroke Scale (NIHSS) scores and modified Rankin scale (MRS) scores were recorded for all patients. One-hundred patients participated in the pulmonary rehabilitation program, 81 of whom served as a control group.

resultsStatistically, one- and three-month mortality was associated with NIHSS and MRS scores at admission and three months (p<0.001; r=0.440, r=0.432, r=0.339 and r=0.410, respectively). One and three months mortality- ICU admission had a statistically significant relationship with parenteral nutrition (p<0.001; r=0.346, r=0.300, respectively; r=0.294 and r=0.294, respectively). Similarly, there was also a statistically significant relationship between pneumonia onset and one- and three-month mortality- ICU admission (p<0.05; r=0.217, r=0.127, r=0.185 and r=0.185, respectively). A regression analysis showed that parenteral nutrition (odds ratio [OR] =13.434, 95% confidence interval [CI] =1.148-157.265, p=0.038) was a significant predictor of ICU admission. The relationship between pulmonary physiotherapy (PPT) and ICU admission- pneumonia onset at the end of three months was statistically significant (p=0.04 and p=0.043, respectively).

conclusionThis study showed that PPT improved the prognosis of ischemic stroke patients. We believe that a pulmonary rehabilitation program, in addition to general stroke rehabilitation programs, can play a critical role in improving survival and functional outcomes.

trial registrationNCT03195907 . Trial registration date: 21.06.2017 'Retrospectively registered'.

Indexed as

Intensive Care UnitsStroke RehabilitationAgedAged, 80 and overBrain IschemiaDiffusion Magnetic Resonance ImagingFemaleHospitalizationHumansMaleMiddle AgedPrognosisProspective StudiesRegression AnalysisRisk FactorsStrokeIntensive care unitMortalityPulmonary rehabilitationStroke

Identifiers

PMID28693521
PMCPMC5504678
OpenAlexW2735183339

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.