Evidence map›Paper›PMID 32203235›Full record

ArticleEuropean journal of clinical nutrition2020

Being at risk of malnutrition predicts poor outcomes at 3 months in acute ischemic stroke patients.

Zhong-Ming Cai, Yan-Zhi Wu, Hao-Man Chen, Ren-Qian Feng, Cheng-Wei Liao, Sheng-Lie Ye, Zhi-Peng Liu, Man-Man Zhang, Bei-Lei Zhu

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Article in European journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% 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, 1 synthesis or guideline pooled it, 87 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

9 authors at 2 institutions in 1 country.

Zhong-Ming CaiDepartment of Medicine, First Clinical Medical School, Wenzhou Medical University, Wenzhou, China.
Yan-Zhi WuDepartment of Medicine, First Clinical Medical School, Wenzhou Medical University, Wenzhou, China.
Hao-Man ChenDepartment of Medicine, First Clinical Medical School, Wenzhou Medical University, Wenzhou, China.
Ren-Qian FengDepartment of Medicine, First Clinical Medical School, Wenzhou Medical University, Wenzhou, China.
Cheng-Wei LiaoDepartment of Medicine, First Clinical Medical School, Wenzhou Medical University, Wenzhou, China.
Sheng-Lie YeDepartment of Medicine, First Clinical Medical School, Wenzhou Medical University, Wenzhou, China.
Zhi-Peng LiuDepartment of Medicine, First Clinical Medical School, Wenzhou Medical University, Wenzhou, China.
Man-Man ZhangDepartment of Neurology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Bei-Lei ZhuDepartment of Neurology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. doczbl@163.com.
Wenzhou Medical University · CNFirst Affiliated Hospital of Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition is confirmed to be associated with poor outcomes in stroke patients. The present study aimed to confirm that being at risk of malnutrition assessed by Nutritional Risk Screening Tool 2002 (NRS-2002) and the Controlling Nutritional Status (CONUT) score predicts poor outcomes at 3 months in acute ischemic stroke (AIS) patients.

methodsIn total, 682 patients with AIS were recruited within 7 days of stroke onset consecutively and 110 were dropped out. They were screened for risk of malnutrition using NRS-2002 and the CONUT score. The primary outcome is the follow-up modified Rankin Scale (mRS) score. Poor outcomes were defined as an (mRS) score ≥ 3 at 3 months post discharge.

resultsThere was a significant difference in the mRS score at 3 months between patients at risk of malnutrition compared to those not at risk assessed by NRS-2002(P < 0.001) and CONUT (P = 0.011). The logistic regression model showed that the risk of malnourishment (according to NRS-2002), low risk of malnourishment (according to CONUT), and the moderate-to-severe risk of malnourishment (according to CONUT) were associated with higher risk of poor outcomes at 3 months (P < 0.001, P = 0.033, and P = 0.007). The multivariate logistic regression model (adjusted for confounding factors) demonstrated that the risk of malnourishment, according to the NRS-2002, was associated with the increasing risk of poor outcomes at 3 months (odds ratio = 2.31; 95% CI: 1.24-4.30; P = 0.008).

conclusionsThe risk of malnutrition assessed by NRS-2002 and CONUT can predict poor outcomes at 3 months in AIS patients. NRS-2002 is superior to CONUT in predicting poor outcomes at 3 months.

Indexed as

Nutritional StatusAftercareAgedBrain IschemiaFemaleHumansIschemic StrokeMaleMalnutritionMiddle AgedNutrition AssessmentPatient DischargePrognosisRisk FactorsTime Factors

Identifiers

PMID32203235
OpenAlexW3011821075

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.