Evidence map›Paper›PMID 31008328›Full record

ArticleEuropean stroke journal2017

Frequency of post-stroke electroencephalographic epileptiform activity - a systematic review and meta-analysis of observational studies.

Carla Bentes, Filipe B Rodrigues, Diana Sousa, Gonçalo S Duarte, Ana C Franco, Raquel Marques, Hipólito Nzwalo, Ana R Peralta, José M Ferro, João Costa

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in European stroke journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06922734 (Post-stroke Seizures and EEG Analysis), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.2field-weighted citation impact, top 43% 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.

NCT06922734 active not recruitingnot on this map

Post-stroke Seizures and EEG Analysis

Typeobservational_patient_registrySponsorUniversity Medical Centre MariborRan2014 to 2026Enrolled602ConditionsStroke, Seizures, EEG Power Spectra, Serum Biomarkers
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Prevalence of clinical electroencephalography findings in stroke patients with delirium.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Article
  5. Review
  6. Article
  7. 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

10 authors at 4 institutions in 4 countries.

Carla Bentes1Department of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria - CHLN, Lisboa, Portugal.ORCID 0000-0003-2399-7678
Filipe B RodriguesLaboratory of Clinical Pharmacology and Therapeutics, Faculty of Medicine, University of Lisbon, Lisboa, Portugal.ORCID 0000-0002-5567-7938
Diana Sousa1Department of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria - CHLN, Lisboa, Portugal.
Gonçalo S DuarteLaboratory of Clinical Pharmacology and Therapeutics, Faculty of Medicine, University of Lisbon, Lisboa, Portugal.
Ana C Franco1Department of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria - CHLN, Lisboa, Portugal.
Raquel MarquesLaboratory of Clinical Pharmacology and Therapeutics, Faculty of Medicine, University of Lisbon, Lisboa, Portugal.
Hipólito NzwaloDepartment of Biomedical Sciences and Medicine, University of Faro, Faro, Portugal.
Ana R Peralta1Department of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria - CHLN, Lisboa, Portugal.
José M Ferro1Department of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria - CHLN, Lisboa, Portugal.
João CostaFaculty of Medicine, University of Lisbon, Lisboa, Portugal.
National Legal Medicine Institute · PTUniversity of Lisbon · PTHospital de Faro EPE · PTHospital de Santa Maria · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCerebrovascular diseases are the most frequent risk factor for epilepsy in the elderly, and epileptic phenomenon following stroke is known to worsen the prognosis. Although electroencephalography is the gold standard epilepsy biomarker, it is rarely used in post-stroke studies, and the frequency of post-stroke epileptiform activity is still uncertain. PATIENTS AND

methodsWe analysed studies indexed to MEDLINE, Embase, Web of Science, PsycINFO and OpenGrey (up to March 2015), reporting post-stroke electroencephalographic epileptiform activity frequency in adults. Epileptiform activity was classified as ictal (electrographic seizures) and interictal (non-periodic spikes and sharp waves). Data selection, extraction and appraisal were done in duplicate. Random-effects meta-analysis was used to pool frequencies.

resultsThe pooled frequency of post-stroke ictal and interictal epileptiform activity was 7% (95% CI 3%-12%) and 8% (95% CI 4%-13%), respectively. The use of continuous electroencephalogram was not associated with an increased frequency of electrographic seizures ( DISCUSSION: This study provides the best available estimates of the frequency of post-stroke electroencephalographic epileptiform activity. Due to detection bias, it was not possible to correlate clinical and electrographic seizures.

conclusionThe frequency of ictal and interictal epileptiform activity in the electroencephalogram was comparable with previous frequency analyses of clinical seizures. The frequency of ictal epileptiform activity did not change with continuous record or clinical setting, while the frequency of interictal epileptiform activity increased with continuous record.

Indexed as

electroencephalogramEpileptic seizuresmeta-analysisstrokesystematic review

Identifiers

PMID31008328
PMCPMC6453191
OpenAlexW2755040706

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.