Evidence map›Paper›PMID 29959399›Full record

Observational studyScientific reports2018

Impact of varying levels of hyperglycemia on clinicoradiographic outcomes after endovascular reperfusion treatment.

Seong-Joon Lee, Yang-Ha Hwang, Ji Man Hong, Jin Wook Choi, Bok Seon Yoon, Dong-Hun Kang, Yong-Won Kim, Yong-Sun Kim, Jeong-Ho Hong, Joonsang Yoo and 5 more

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Observational
  4. 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

15 authors.

Seong-Joon LeeDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, South Korea.
Yang-Ha HwangDepartment of Neurology, Kyungpook National University School of Medicine and Hospital, Daegu, South Korea.ORCID 0000-0002-6665-7481
Ji Man HongDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, South Korea.
Jin Wook ChoiDepartment of Radiology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, South Korea.
Bok Seon YoonDepartment of Biomedical Sciences, Ajou University Graduate School of Medicine, Suwon, South Korea.
Dong-Hun KangDepartment of Neurosurgery, Kyungpook National University School of Medicine and Hospital, Daegu, South Korea.
Yong-Won KimDepartment of Neurology, Kyungpook National University School of Medicine and Hospital, Daegu, South Korea.
Yong-Sun KimDepartment of Radiology, Kyungpook National University School of Medicine and Hospital, Daegu, South Korea.
Jeong-Ho HongDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Joonsang YooDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.ORCID 0000-0003-1169-6798
Chang-Hyun KimDepartment of Neurosurgery, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Bruce OvbiageleDepartment of Neurology, Medical University of South Carolina, Charleston, South Carolina, USA.
Andrew M DemchukDepartment of Clinical Neurosciences and Radiology, Hotchkiss Brain Institute, University of Calgary, Alberta, Canada.
Sung-Il SohnDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea. sungil.sohn@gmail.com.ORCID 0000-0002-6900-1242
Jin Soo LeeDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, South Korea. jinsoo22@gmail.com.

Funding

National Research Foundation of Korea (NRF) NRF-2018R1A2B6007094; J.S.L.
6 · The paper itself

Abstract

We evaluated the effects of admission hyperglycemia with different cut-off levels on 3-month outcomes, infarct growth, and hemorrhagic transformation in acute stroke patients with large artery occlusion of anterior circulation who received endovascular treatment (EVT). Between January 2011 and May 2016, patients that underwent EVT with pre-procedural and post-procedural diffusion-weighted imaging were identified from a multicenter registry. Normoglycemia was defined as a glucose level ≤ 110 mg/dL, moderate hyperglycemia as >110 and ≤170 mg/dL, and overt hyperglycemia as >170 mg/dL. Its effects on poor outcomes (3-month modified Rankin Scale score 3-6), infarct growth, and parenchymal hematoma type 2 were analyzed. Of 720 patients encountered, 341 patients were eligible. There was a statistically significant difference in glycated hemoglobin levels between the normoglycemia/moderate hyperglycemia and overt hyperglycemia groups (p < 0.001). Moderate hyperglycemia (odds ratio 2.37 [95% confidence interval 1.26-4.45], p = 0.007) and overt hyperglycemia (2.84 [1.19-6.81], p = 0.019) were associated with poor outcomes. Post-procedural infarct volumes were significantly greater in hyperglycemic patients (p

Indexed as

AgedBlood GlucoseBrain InfarctionBrain IschemiaCerebral HemorrhageDiffusion Magnetic Resonance ImagingEndovascular ProceduresFemaleHumansHyperglycemiaMaleReperfusionStrokeTreatment OutcomeBlood Glucose

Identifiers

PMID29959399
PMCPMC6026188

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.