Evidence map›Paper›PMID 31468121›Full record

ArticleJournal of neurology2019

Low-dose statin pretreatment reduces stroke severity and improves functional outcomes.

Shuju Dong, Jian Guo, Jinghuan Fang, Ye Hong, Shuhui Cui, Li He

Abstract read
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In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 14 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

6 authors at 1 institution in 1 country.

Shuju DongDepartment of Neurology, West China Hospital, Chengdu, Sichuan Province, China.
Jian GuoDepartment of Neurology, West China Hospital, Chengdu, Sichuan Province, China.
Jinghuan FangDepartment of Neurology, West China Hospital, Chengdu, Sichuan Province, China.
Ye HongDepartment of Neurology, West China Hospital, Chengdu, Sichuan Province, China.
Shuhui CuiDepartment of Neurology, West China Hospital, Chengdu, Sichuan Province, China.
Li HeDepartment of Neurology, West China Hospital, Chengdu, Sichuan Province, China. heli2003new@126.com.ORCID http://orcid.org/0000-0002-2034-1027
Sichuan University · CN

Funding

National Key R&D Program of China 2018YFC1311400;2018YFC1311401
6 · The paper itself

Abstract

objectivesPre-stroke statin use reduces stroke severity and improves functional outcomes; however, whether low-dose statins as a primary preventive measure have similar effects on the Chinese population remains unclear.

methodsConsecutive cases of ischaemic stroke between May 2011 and January 2017 were retrospectively analysed. The primary endpoints were stroke severity on admission and functional outcomes at 90 days. The secondary endpoints were factors related to lower stroke severity on admission. Propensity score matching and logistic regression analyses were performed.

resultsOf the 1878 patients, 6.4% and 23.8% were pre-stroke statin users before and after propensity matching, respectively, reducing the National Institutes of Health Stroke Scale (NIHSS) score on admission from 5 (2-9) to 3 (2-4) (P < 0.001). Patients receiving pretreatment with low-dose statins tended to have a better mRS distribution (median mRS score 2 [1-3] vs. 3 [2-4], P = 0.007) and a higher likelihood of favourable functional outcomes (FFOs) at 90 days (61 [65.6%] vs. 151 [50.8%], P = 0.005). The logistic regression analysis showed that low-dose statins taken before stroke (odds ratio [OR] = 0.15, 95% confidence interval [CI] = 0.08-0.27, P < 0.001) and being male (OR = 0.81, 95% CI = 0.66-0.99, P = 0.035) were related to a lower stroke severity on admission but not among patients with atrial fibrillation (OR = 1.65, 95% CI = 1.12-2.44, P = 0.012) or elevated white blood cell (WBC) counts (OR = 1.12, 95% CI = 1.08-1.17, P < 0.001).

conclusionsPretreatment with low-dose statins reduced initial stroke severity, improved functional outcomes at 90 days and was independently associated with a lower stroke severity on admission among Chinese patients.

Indexed as

Brain IschemiaOutcome Assessment, Health CareStrokeAgedFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedRisk FactorsSeverity of Illness IndexHydroxymethylglutaryl-CoA Reductase InhibitorsLow-dose statinsOutcomeSeverityStroke

Identifiers

PMID31468121
OpenAlexW2971014440

What OpenQuestion holds

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Registered trials

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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.