Evidence map›Paper›PMID 30284767›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2018

Interarm Blood Pressure Difference is Associated with Early Neurological Deterioration, Poor Short-Term Functional Outcome, and Mortality in Noncardioembolic Stroke Patients.

Yoonkyung Chang, Jinkwon Kim, Min Ho Kim, Yong Jae Kim, Tae Jin Song

Abstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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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

13 citing papers in PubMed.

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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

5 authors.

Yoonkyung ChangDepartment of Neurology, College of Medicine, Ewha Woman's University, Seoul, Korea.
Jinkwon KimDepartment of Neurology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Min Ho KimDepartment of Biostatistics, Ewha Institute of Convergency Medicine, Seoul, Korea.
Yong Jae KimDepartment of Neurology, College of Medicine, Ewha Woman's University, Seoul, Korea.
Tae Jin SongDepartment of Neurology, College of Medicine, Ewha Woman's University, Seoul, Korea. knstar@ewha.ac.kr.

Funding

National Research Foundation of Korea 2015R1D1A1A01057934National Research Foundation of Korea 2018R1D1A1B07040959
6 · The paper itself

Abstract

background and purposeInterarm differences in the systolic and diastolic blood pressures (IASBD and IADBD, respectively) are found in various populations, including stroke patients, but their significance for stroke outcomes has rarely been reported. We aimed to determine the associations of IASBD and IADBD with early neurological deterioration (END), functional outcome, and mortality.

methodsThis study included 1,008 consecutive noncardioembolic cerebral infarction patients who were admitted within 24 hours of onset and had automatic measurements of blood pressures in the bilateral arms. END was assessed within 72 hours of stroke onset according to predefined criteria. A poor functional outcome was defined as a score on the modified Rankin Scale ≥3 at 3 months after the index stroke. All-cause mortality was also investigated during a median follow-up of 24 months. The absolute difference of blood pressure measurements in both arms were used to define IASBD and IADBD.

resultsEND occurred in 15.3% (155/1,008) of the patients. A multivariate analysis including sex, age, and variables for which the

conclusionsThis study suggests that an interarm blood pressure difference of ≥10 mm Hg could be a useful indicator for the risks of END, poor functional outcome, and mortality.

Indexed as

ankle-brachial indexearly neurological deteriorationfunctional outcomeinterarm blood pressure differencesmortalitystroke

Identifiers

PMID30284767
PMCPMC6172494

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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.