Evidence map›Paper›PMID 31540205›Full record

ArticleJournal of clinical medicine2019

Baseline D-Dimer Levels as a Risk Assessment Biomarker for Recurrent Stroke in Patients with Combined Atrial Fibrillation and Atherosclerosis.

Kang-Ho Choi, Woo-Keun Seo, Man-Seok Park, Joon-Tae Kim, Jong-Won Chung, Oh Young Bang, Geong-Moon Kim, Tae-Jin Song, Bum Joon Kim, Sung Hyuk Heo and 10 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Clinical Characteristics of Stroke with COVID-19: A Systematic Review and Meta-Analysis.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
    Pooled it
  2. Screening strategies for the early detection of non-cardia gastric cancer in low- to moderate-prevalence regions: Asia-Pacific gastroesophageal cancer congress consensus 2026.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Review
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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

20 authors.

Kang-Ho ChoiDepartment of Neurology, Chonnam National University School of Medicine and Hospital, Gwangju 61469, Korea. ckhchoikang@hanmail.net.ORCID 0000-0001-8851-2104
Woo-Keun SeoDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea. mcastenosis@gmail.com.
Man-Seok ParkDepartment of Neurology, Chonnam National University School of Medicine and Hospital, Gwangju 61469, Korea. mspark@chonnam.ac.kr.
Joon-Tae KimDepartment of Neurology, Chonnam National University School of Medicine and Hospital, Gwangju 61469, Korea. alldelight2@chonnam.ac.kr.
Jong-Won ChungDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea. neurocjw@gmail.com.
Oh Young BangDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea. ohyoung.bang@samsung.com.
Geong-Moon KimDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea. gyeongmoon.kim@samsung.com.
Tae-Jin SongDepartment of Neurology, Ewha Womans University, Seoul 03760, Korea. knstar@hanmail.net.
Bum Joon KimDepartment of Neurology, Kyung Hee University College of Medicine, Seoul 02447, Korea. medicj80@daum.net.
Sung Hyuk HeoDepartment of Neurology, Kyung Hee University College of Medicine, Seoul 02447, Korea. shheo73@hanmail.net.
Jin-Man JungDepartment of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Kyungki-Do 15355, Korea. sodium75@hanmail.net.
Kyungmi OhDepartment of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea. okyungmi@korea.ac.kr.ORCID 0000-0002-7304-0308
Chi Kyung KimDepartment of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea. ckkim7@gmail.com.
Sungwook YuDepartment of Neurology, Korea University Hospital, Korea University College of Medicine, Seoul 02841, Korea. song4yu@korea.ac.kr.
Kwang Yeol ParkDepartment of Neurology, Chung-Ang University College of Medicine, Seoul 06974, Korea. kwangyeol.park@gmail.com.
Jeong-Min KimDepartment of Neurology, Chung-Ang University College of Medicine, Seoul 06974, Korea. bellokim@cau.ac.kr.
Jong-Ho ParkDepartment of Neurology, Myongji Hospital, Hanyang University College of Medicine, Goyang 10475, Korea. neurotector.jhp@gmail.com.ORCID 0000-0002-2681-1878
Jay Chol ChoiDepartment of Neurology, Jeju National University, Jeju 63241, Korea. jaychoi@jejunu.ac.kr.
Yang-Ha HwangDepartment of Neurology, Cerebrovascular Center Kyungpook National University School of Medicine and Hospital, Daegu 41944, Korea. yangha73@gmail.com.ORCID 0000-0002-6665-7481
Yong-Jae KimDepartment of Neurology, Eunpyeong St. Mary's Hospital, The Catholic University of Korea, Seoul 03312, Korea. brain930@ewha.ac.kr.

Funding

Korean Neurological Association KNA-17-MI-10National Research Foundation of Korea NRF-2019M3A9E8020261
6 · The paper itself

Abstract

backgroundWe investigated the effect of D-dimer levels and efficacy of different antithrombotic therapies according to the baseline D-dimer levels on recurrent stroke in patients with atrial fibrillation (AF)-related stroke and atherosclerosis.

methodsWe enrolled 1441 patients with AF-related stroke and atherosclerosis in this nationwide multicenter study. The primary outcome measure was the occurrence of recurrent ischemic stroke over a 3-year period.

resultsHigh D-dimer levels (≥2 μg/mL) were significantly associated with higher risk of recurrent ischemic stroke (adjusted hazard ratio (HR), 1.80; 95% confidence interval (CI), 1.13-2.84;

conclusionOur findings suggested that baseline D-dimer levels could be used as a risk assessment biomarker of recurrent stroke in patients with AF-related stroke and atherosclerosis. High D-dimer levels would facilitate the identification of patients who are more likely to benefit from anticoagulants to ensure secondary prevention of stroke.

Indexed as

antithromboticsatrial fibrillationd-dimerischemic strokeoutcome

Identifiers

PMID31540205
PMCPMC6780256

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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.