Evidence map›Paper›PMID 29473058›Full record

RevieweNeurologicalSci2016

Prevention, management, and rehabilitation of stroke in low- and middle-income countries.

Lijing L Yan, Chaoyun Li, Jie Chen, J Jaime Miranda, Rong Luo, Janet Bettger, Yishan Zhu, Valery Feigin, Martin O'Donnell, Dong Zhao and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in eNeurologicalSci, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 7 pooled it
5.0field-weighted citation impact, top 5% 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

56 citing papers in PubMed, 7 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Post-Stroke Depression and Determinants in Ethiopia; A Systematic Review and Meta-Analysis.International journal of methods in psychiatric research · 2026
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  18. Stroke mortality negatively associated with health, education, and safety: an ecological study, Minas Gerais, 2014-2022.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
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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

11 authors at 8 institutions in 5 countries.

Lijing L YanGlobal Health Research Center, Duke Kunshan University, Kunshan, China.
Chaoyun LiGlobal Health Research Center, Duke Kunshan University, Kunshan, China.
Jie ChenInstitute for Medical Humanities, Peking University Health Science Center, Beijing, China.
J Jaime MirandaCRONICAS Center of Excellence for Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Rong LuoThe George Institute for Global Health at Peking University Health Science Center, Beijing, China.
Janet BettgerDuke School of Nursing, Duke University, Durham, USA.
Yishan ZhuThe George Institute for Global Health at Peking University Health Science Center, Beijing, China.
Valery FeiginNational Institute for Stroke and Applied Neuroscience, Auckland University of Technology, Auckland, New Zealand.
Martin O'DonnellNational University of Ireland Galway, Galway, Ireland.
Dong ZhaoDepartment of Epidemiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Yangfeng WuThe George Institute for Global Health at Peking University Health Science Center, Beijing, China.
George Institute for Global Health · CNPeking University · CNAuckland University of Technology · NZBeijing Anzhen Hospital · CNDuke Kunshan University · CNDuke University · USOllscoil na Gaillimhe – University of Galway · IEUniversidad Peruana Cayetano Heredia · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although stroke incidence in high-income countries (HICs) decreased over the past four decades, it increased dramatically in low- and middle-income countries (LMICs). In this review, we describe the current status of primary prevention, treatment, and management of acute stroke and secondary prevention of and rehabilitation after stroke in LMICs. Although surveillance, screening, and accurate diagnosis are important for stroke prevention, LMICs face challenges in these areas due to lack of resources, awareness, and technical capacity. Maintaining a healthy lifestyle, such as no tobacco use, healthful diet, and physical activity are important strategies for both primary and secondary prevention of stroke. Controlling high blood pressure is also critically important in the general population and in the acute stage of hemorrhagic stroke. Additional primary prevention strategies include community-based education programs, polypill, prevention and management of atrial fibrillation, and digital health technology. For treatment of stroke during the acute stage, specific surgical procedures and medications are recommended, and inpatient stroke care units have been proven to provide high quality care. Patients with a chronic condition like stroke may require lifelong pharmaceutical treatment, lifestyle maintenance and self-management skills, and caregiver and family support, in order to achieve optimal health outcomes. Rehabilitation improves physical, speech, and cognitive functioning of disabled stroke patients. It is expected that home- or community-based services and tele-rehabilitation may hold special promise for stroke patients in LMICs.

Indexed as

Low- and middle-income countriesPreventionRehabilitationStrokeTreatment

Identifiers

PMID29473058
PMCPMC5818135
OpenAlexW2288689383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.