Evidence map›Paper›PMID 30896327›Full record

ArticleStroke2019

Risk Factors for Stroke in Patients With Sepsis and Bloodstream Infections.

Iris Yuefan Shao, Mitchell S V Elkind, Amelia K Boehme

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
5.4field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Neurological and Head/Eyes/Ears/Nose/Throat Manifestations of COVID-19: A Systematic Review and Meta-Analysis.The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques · 2022
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  18. Prevalence, predictors, and outcomes of acute respiratory distress syndrome in severe stroke.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

3 authors at 1 institution in 1 country.

Iris Yuefan ShaoFrom the Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA (I.Y.S.), Columbia University, New York, NY.
Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians and Surgeons (M.S.V.E., A.K.B.), Columbia University, New York, NY.
Amelia K BoehmeDepartment of Neurology, Vagelos College of Physicians and Surgeons (M.S.V.E., A.K.B.), Columbia University, New York, NY.
Emory University · US

Funding

Racial Disparities, Influenza Like Illness and the Association between Short-term Exposure to Ambient Air Pollution and Cardiovascular OutcomesR21MD012451 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BOEHME, AMELIA K · 2017 to 2018
$440k
Health Disparities in Sepsis as a Risk Factor for StrokeR03NS101417 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BOEHME, AMELIA K · 2017 to 2018
$160k
NIMHD NIH HHS R21 MD012451NINDS NIH HHS L30 NS093600NINDS NIH HHS R03 NS101417
6 · The paper itself

Abstract

Background and Purpose- Sepsis has been identified as a trigger for stroke, but the underlying mechanisms and risk factors that predispose patients with sepsis to increased stroke risk remain unclear. We sought to identify predictors of stroke after sepsis and bloodstream infections. Methods- The 2007-2009 California State Inpatient Database from the Health Care Utilization Project was used to identify patients over the age of 18 years and hospitalized with sepsis or bloodstream infection defined by International Classification of Diseases, Ninth Revision codes. Patients who died during their sepsis hospitalization were excluded. The primary outcome was a primary diagnosis of ischemic or hemorrhagic stroke on a subsequent hospitalization within 1 year. Associations between risk factors, also defined by International Classification of Diseases, Ninth Revision codes, and stroke were analyzed using multivariable logistic regression. A composite risk score was generated to predict stroke risk. Results- Of 121 947 patients with sepsis, 0.5% (n=613) had a primary diagnosis of stroke within a year of their sepsis hospitalization. Significant predictors for stroke were identified. A score was generated from these risk factors with points assigned based on regression coefficients: valvular heart diseases (1 point), congestive heart failure (1), renal failure (1), lymphoma (2), peripheral vascular diseases (2), pulmonary circulation disorders (2), and coagulopathy (3). The C statistic for the receiver operating characteristic curve for the score was 0.68. The risk of stroke increased 43% (odds ratio, 1.43; 95% CI, 1.37-1.48) per-point increase in the score. The effect of increase in score was greater among younger patients. Conclusions- Risk factors and a composite risk score for stroke may help identify a subpopulation of sepsis patients that could be targeted to reduce the short-term risk of stroke after serious infections.

Indexed as

AdultAgedAged, 80 and overBacteremiaCaliforniaDatabases, FactualFemaleHospitalizationHospital MortalityHumansMaleMiddle AgedRisk FactorsSepsisStrokeepidemiologyheart failurepulmonary circulationrisk factors sepsis

Identifiers

PMID30896327
PMCPMC6476655
OpenAlexW2923204020

What OpenQuestion holds

Textmetadata
LicenceTDM
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.