Evidence map›Paper›PMID 30477534›Full record

ArticleJournal of neuroinflammation2018

Inflammation is correlated with severity and outcome of cerebral venous thrombosis.

Liyan Wang, Jiangang Duan, Tingting Bian, Ran Meng, Longfei Wu, Zhen Zhang, Xuxiang Zhang, Chunxiu Wang, Xunming Ji

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% 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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Liyan WangNeurosurgery Department of Xuanwu Hospital Capital Medical University, Changchun st 45, Xicheng District, Beijing, China.
Jiangang DuanEmergency Department of Xuanwu Hospital Capital Medical University, Changchun street 45, Xicheng District, Beijing, China. djg333@163.com.
Tingting BianNeurosurgery Department of Xuanwu Hospital Capital Medical University, Changchun st 45, Xicheng District, Beijing, China.
Ran MengNeurosurgery Department of Xuanwu Hospital Capital Medical University, Changchun st 45, Xicheng District, Beijing, China.
Longfei WuNeurosurgery Department of Xuanwu Hospital Capital Medical University, Changchun st 45, Xicheng District, Beijing, China.
Zhen ZhangNeurosurgery Department of Xuanwu Hospital Capital Medical University, Changchun st 45, Xicheng District, Beijing, China.
Xuxiang ZhangOphtalmology Department of Xuanwu Hospital Capital Medical University, Changchun street 45, Xicheng District, Beijing, China.
Chunxiu WangEvidence-based Medicine Department of Xuanwu Hospital Capital Medical University, Changchun street 45, Xicheng District, Beijing, China.
Xunming JiNeurosurgery Department of Xuanwu Hospital Capital Medical University, Changchun st 45, Xicheng District, Beijing, China. jixm@ccmu.edu.cn.
Capital Medical University · CN

Funding

The Scientific and Technological plan of Beijing Municipal Commission of Science and Technology Z181100001918026
6 · The paper itself

Abstract

backgroundFew studies have suggested a relationship between inflammation and cerebral venous thrombosis (CVT). This retrospective study aimed to explore the changes in inflammation in different CVT stages and the correlation between inflammation and severity and outcome of CVT.

methodsIn total, 95 suitable patients with CVT and 41 controls were compared. Patients with CVT were divided into three groups. The inflammatory factors studied included hypersensitive C-reactive protein (Hs-CRP), interleukin-6 (IL-6), and neutrophil-to-lymphocyte ratio (NLR) in the peripheral blood and immunoglobulin A (IgA), immunoglobulin M (IgM), and immunoglobulin G (IgG) in the cerebrospinal fluid (CSF). The severity of CVT was evaluated with the modified Rankin Scale (mRS), the National Institutes of Health Stroke Scale (NIHSS), fundus condition, intracranial pressure (ICP), and complications on admission. The short-term outcome was evaluated with the mRS at discharge.

resultsThe following results were obtained: (1) Inflammatory factor levels in patients with CVT were higher than those in the controls. (2) Inflammatory factor levels in the acute and subacute stages were significantly higher than those in the chronic stage (all P < 0.05). (3) Serum NLR and CSF IgM levels were positively related to baseline degree of disability (odds ratio [OR], 1.279, 95% confidence interval [CI] 1.009-1.621, P = 0.042; OR 1.402, 95% CI 1.036-1.896, P = 0.028). The Hs-CRP level was positively correlated with the baseline occurrence of seizure (OR 1.040, 95% CI 1.001-1.080, P = 0.043). The baseline serum NLR (r = 0.244, P = 0.017), CSF IgA (r = 0.615, P < 0.001), CSF IgM (r = 0.752, P < 0.001), and CSF IgG (r = 0.248, P = 0.015) levels were positively associated with NIHSS. (4) The baseline NLR was significantly associated with high risk of poor outcome at discharge (OR 1.339, 95% CI 1.097-1.784, P = 0.007). Moreover, the ROC showed that NLR ≥ 4.205 could better predict the poor outcome at discharge. The data were analyzed using SPSS.

conclusionsInflammation may develop after CVT and gradually decrease during the course. Inflammation was significantly correlated with severity on admission and short-term poor outcome at discharge in CVT.

Indexed as

AdultCase-Control StudiesC-Reactive ProteinFemaleHumansImmunoglobulinsImmunoproteinsInflammationInterleukin-6Intracranial PressureIntracranial ThrombosisLymphocytesMaleMiddle AgedNeuroimagingNeutrophilsC-Reactive ProteinImmunoglobulinsImmunoproteinsInterleukin-6Cerebral venous thrombosisInflammationOutcomeSeverityStage

Identifiers

PMID30477534
PMCPMC6260678
OpenAlexW2903388297

What OpenQuestion holds

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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.