Evidence map›Paper›PMID 30371192›Full record

ArticleJournal of the American Heart Association2018

Differential Impact of Acute Lesions Versus White Matter Hyperintensities on Stroke Recovery.

Rachel L Hawe, Sonja E Findlater, Jeffrey M Kenzie, Michael D Hill, Stephen H Scott, Sean P Dukelow

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. 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.

Rachel L Hawe1 Department of Clinical Neurosciences Hotchkiss Brain Institute University of Calgary Alberta Canada.
Sonja E Findlater1 Department of Clinical Neurosciences Hotchkiss Brain Institute University of Calgary Alberta Canada.
Jeffrey M Kenzie1 Department of Clinical Neurosciences Hotchkiss Brain Institute University of Calgary Alberta Canada.
Michael D Hill1 Department of Clinical Neurosciences Hotchkiss Brain Institute University of Calgary Alberta Canada.
Stephen H Scott2 Department of Biomedical and Molecular Sciences Queen's University Kingston Ontario Canada.
Sean P Dukelow1 Department of Clinical Neurosciences Hotchkiss Brain Institute University of Calgary Alberta Canada.

Funding

CIHR MOP 106662
6 · The paper itself

Abstract

Background Understanding how the size of acute lesions and white matter hyperintensities ( WMH ) impact stroke recovery can improve our ability to predict outcomes and tailor treatments. The aim of this exploratory study was to investigate the role of acute lesion volume and WMH volume on longitudinal recovery of specific sensory, motor, and cognitive impairments after stroke using robotic and clinical measures. Methods and Results Eighty-two individuals were assessed at 1, 6, 12, and 26 weeks poststroke with robotic tasks and commonly used clinical measures. The volumes of acute lesions and WMH were measured on fluid-attenuated inversion recovery images. Linear mixed models were used to investigate the role of acute lesions and WMH on parameters derived from the robotic tasks and clinical measures. Regression analysis determined the added value of acute lesion and WMH volumes along with measures of initial performance to predict outcomes at 6 months. Acute lesion volume has widespread effects on sensory, motor, and overall functional recovery poststroke. The impact of WMH was specific to cognitive impairments. Apart from the robotic position sense task, neither lesion volume nor WMH measure had significant ability to predict outcomes at 6 months over using initial impairment as measured by robotic assessments alone. Conclusions While acute lesion volume and WMH may impact different impairments poststroke, their clinical utility in predicting outcomes at 6 months poststroke is limited.

Indexed as

Recovery of FunctionAcute DiseaseAdolescentAdultAgedAged, 80 and overCognitionFemaleFollow-Up StudiesGaitHumansMagnetic Resonance ImagingMaleMiddle AgedMotor ActivityNeuropsychological Testslesion volumerehabilitationroboticsstroke recoverywhite matter hyperintensities

Identifiers

PMID30371192
PMCPMC6222954

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.