Evidence map›Paper›PMID 30261857›Full record

ArticleBMC neurology2018

Pooling data from different populations: should there be regional differences in cerebral haemodynamics?

Angela S M Salinet, Ronney B Panerai, Juliana Caldas, Ricardo C Nogueira, Adriana B Conforto, Manoel J Texeira, Edson Bor-Seng-Shu, Thompson G Robinson

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. INFOMATAS multi-center systematic review and meta-analysis individual patient data of dynamic cerebral autoregulation in ischemic stroke.International journal of stroke : official journal of the International Stroke Society · 2020
    Pooled it
  2. Trial
  3. 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

8 authors at 2 institutions in 2 countries.

Angela S M SalinetNeurology Department, School of Medicine, University of São Paulo, São Paulo, SP, Brazil. salinetangela@gmail.com.ORCID http://orcid.org/0000-0002-4192-5160
Ronney B PaneraiDepartment of Cardiovascular Sciences, Cerebral Haemodynamics in Ageing and Stroke Medicine Research Group, University of Leicester, Leicester, UK.
Juliana CaldasNeurology Department, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Ricardo C NogueiraNeurology Department, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Adriana B ConfortoNeurology Department, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Manoel J TexeiraNeurology Department, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Edson Bor-Seng-ShuNeurology Department, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Thompson G RobinsonDepartment of Cardiovascular Sciences, Cerebral Haemodynamics in Ageing and Stroke Medicine Research Group, University of Leicester, Leicester, UK.
Universidade de São Paulo · BRUniversity of Leicester · GB

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Grant number 0411-10-8Fundação de Amparo à Pesquisa do Estado de São Paulo 2014/04955-8
6 · The paper itself

Abstract

backgroundThough genetic and environmental determinants of systemic haemodynamic have been reported, surprisingly little is known about their influences on cerebral haemodynamics. We assessed the potential geographical effect on cerebral haemodynamics by comparing the individual differences in cerebral blood flow velocity (CBFv), vasomotor tone (critical closing pressure- CrCP), vascular bed resistance (resistance-area product- RAP) and cerebral autoregulation (CA) mechanism on healthy subjects and acute ischaemic stroke (AIS) patients from two countries.

methodsParticipants were pooled from databases in Leicester, United Kingdom (LEI) and São Paulo, Brazil (SP) research centres. Stroke patients admitted within 48 h of ischaemic stroke onset, as well as age- and sex-matched controls were enrolled. Beat-to-beat blood pressure (BP) and bilateral mean CBFv were recorded during 5 min baseline. CrCP and RAP were calculated. CA was quantified using transfer function analysis (TFA) of spontaneous oscillations in arterial BP and mean CBFv, and the derived autoregulatory index (ARI).

resultsA total of 100 participants (50 LEI and 50 SP) were recruited. No geographical differences were found. Both LEI and SP AIS participants showed lower values of CA compared to controls. Moreover, the affected hemisphere presented lower resting CBFv and higher RAP compared to the unaffected hemisphere in both populations.

conclusionsImpairments of cerebral haemodynamics, demonstrated by several key parameters, was observed following AIS compared to controls irrespective of geographical region. These initial results should encourage further research on cerebral haemodynamic research with larger cohorts combining different populations.

Indexed as

Blood Flow VelocityBrazilCase-Control StudiesCerebrovascular CirculationFemaleHemodynamicsHomeostasisHumansMaleMiddle AgedStrokeUnited KingdomVascular ResistanceAcute strokeCerebral autoregulationCerebral haemodynamicsIschaemic strokeTranscranial Doppler ultrasound

Identifiers

PMID30261857
PMCPMC6161439
OpenAlexW2893260394

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.