Evidence map›Paper›PMID 30621696›Full record

ArticleLipids in health and disease2019

Non-traditional lipid profiles associated with ischemic stroke not hemorrhagic stroke in hypertensive patients: results from an 8.4 years follow-up study.

Jia Zheng, Zhaoqing Sun, Xingang Zhang, Zhao Li, Xiaofan Guo, Yanxia Xie, Yingxian Sun, Liqiang Zheng

Open access · goldAbstract read
In one paragraph

Article in Lipids in health and disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  15. The Impact of Sex and Gender on Stroke.Circulation research · 2022
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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

8 authors at 1 institution in 1 country.

Jia ZhengDepartment of Clinical Epidemiology, Library, Department of Health Policy and Hospital Management, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.
Zhaoqing SunDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.
Xingang ZhangDepartment of Cardiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, People's Republic of China.
Zhao LiDepartment of Cardiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, People's Republic of China.
Xiaofan GuoDepartment of Cardiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, People's Republic of China.
Yanxia XieDepartment of Clinical Epidemiology, Library, Department of Health Policy and Hospital Management, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.
Yingxian SunDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China. sunyingxian12@126.com.
Liqiang ZhengDepartment of Clinical Epidemiology, Library, Department of Health Policy and Hospital Management, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China. liqiangzheng@126.com.ORCID http://orcid.org/0000-0003-0101-9398
China Medical University · CN

Funding

National Key R&D Program of China #2017YFC1307600National Nature Science Foundation of China 81773510Nature Science Foundation of Liaoning Province 20170541048Science and Technology Program of Shenyang, China #17-230-9-06
6 · The paper itself

Abstract

backgroundStudies have shown that non-traditional lipid profiles have a better association with stroke than traditional blood lipids in clinical applications, other studies have drawn different conclusions.

methodsThis study was a large-scale study with a median follow-up of 8.4 years. The hazard ratio (HR) and 95% Confidence interval (CI) of lipid variables for risk of incident stroke were analyzed by multivariable Cox proportional hazard models.

resultsDuring the follow-up, 502 new strokes (310 ischemic, 187 hemorrhagic, and 5 unclassified strokes) occurred among the 5099 hypertensive patients. Comparing with the lowest quarter, the HR of future ischemic stroke (IS) in the highest were 1.41(95%CI, 1.03-1.92) for TC, 1.60 (95%CI, 1.15-2.22) for TG, 1.03 (95%CI, 0.75-1.42) for HDL-C, 1.77 (95%CI, 1.29-2.44) for LDL-C, 1.42 (95%CI, 1.03-1.94) for non-HDL, 2.09 (95%CI, 1.45-3.00) for TC/HDL, 2.08 (95%CI, 1.46-2.96) for LDL/HDL, 1.86 (95%CI 1.33-2.60) for TG/HDL, respectively. No significant association was observed between lipid-related indicators and hemorrhagic stroke. The results of statistical differences showed that the correlation between LDL/HDL and the risk of ischemic stroke in non-traditional lipids was higher than that of other traditional lipids (P < 0.001), except for LDL (P = 0.056).

conclusionsWe didn't find that HDL was associated with the risk of stroke and all the lipid parameters were not associated with the risk of hemorrhagic stroke. LDL/HDL was associated with a higher risk of ischemic stroke than other lipids and should be considered for clinical diagnosis and future disease prevention.

Indexed as

AdultAgedBrain IschemiaCerebral HemorrhageCholesterol, HDLCholesterol, LDLFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsStrokeCholesterol, HDLCholesterol, LDLTriglyceridesHemorrhagic strokeIschemic strokeNon-traditional lipidsProspective studyTraditional lipids

Identifiers

PMID30621696
PMCPMC6325839
OpenAlexW2923768356

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.