Evidence map›Paper›PMID 32309028›Full record

ArticleNeurology. Clinical practice2020

Risk of stroke after emergency department visits for neurologic complaints.

Marc B Rosenman, Elissa Oh, Christopher T Richards, Scott Mendelson, Julia Lee, Jane L Holl, Andrew M Naidech, Shyam Prabhakaran

Open access · greenAbstract read
In one paragraph

Article in Neurology. Clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Analysis of Telestroke Usage in Rural Critical Access Emergency Departments.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2021
    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

8 authors at 1 institution in 1 country.

Marc B RosenmanDepartment of Pediatrics (MRB, JLH), Northwestern University and Lurie Children's Hospital; Center for Healthcare Studies (EO, CTR, SM, JLH, AMN); Department of Emergency Medicine (CTR); Department of Neurology (SM, AMN), Department of Preventive Medicine (JL), Northwestern University, Chicago, IL, USA; and Department of Neurology (SP), University of Chicago, Chicago, IL.
Elissa OhDepartment of Pediatrics (MRB, JLH), Northwestern University and Lurie Children's Hospital; Center for Healthcare Studies (EO, CTR, SM, JLH, AMN); Department of Emergency Medicine (CTR); Department of Neurology (SM, AMN), Department of Preventive Medicine (JL), Northwestern University, Chicago, IL, USA; and Department of Neurology (SP), University of Chicago, Chicago, IL.
Christopher T RichardsDepartment of Pediatrics (MRB, JLH), Northwestern University and Lurie Children's Hospital; Center for Healthcare Studies (EO, CTR, SM, JLH, AMN); Department of Emergency Medicine (CTR); Department of Neurology (SM, AMN), Department of Preventive Medicine (JL), Northwestern University, Chicago, IL, USA; and Department of Neurology (SP), University of Chicago, Chicago, IL.
Scott MendelsonDepartment of Pediatrics (MRB, JLH), Northwestern University and Lurie Children's Hospital; Center for Healthcare Studies (EO, CTR, SM, JLH, AMN); Department of Emergency Medicine (CTR); Department of Neurology (SM, AMN), Department of Preventive Medicine (JL), Northwestern University, Chicago, IL, USA; and Department of Neurology (SP), University of Chicago, Chicago, IL.
Julia LeeDepartment of Pediatrics (MRB, JLH), Northwestern University and Lurie Children's Hospital; Center for Healthcare Studies (EO, CTR, SM, JLH, AMN); Department of Emergency Medicine (CTR); Department of Neurology (SM, AMN), Department of Preventive Medicine (JL), Northwestern University, Chicago, IL, USA; and Department of Neurology (SP), University of Chicago, Chicago, IL.
Jane L HollDepartment of Pediatrics (MRB, JLH), Northwestern University and Lurie Children's Hospital; Center for Healthcare Studies (EO, CTR, SM, JLH, AMN); Department of Emergency Medicine (CTR); Department of Neurology (SM, AMN), Department of Preventive Medicine (JL), Northwestern University, Chicago, IL, USA; and Department of Neurology (SP), University of Chicago, Chicago, IL.
Andrew M NaidechDepartment of Pediatrics (MRB, JLH), Northwestern University and Lurie Children's Hospital; Center for Healthcare Studies (EO, CTR, SM, JLH, AMN); Department of Emergency Medicine (CTR); Department of Neurology (SM, AMN), Department of Preventive Medicine (JL), Northwestern University, Chicago, IL, USA; and Department of Neurology (SP), University of Chicago, Chicago, IL.
Shyam PrabhakaranDepartment of Pediatrics (MRB, JLH), Northwestern University and Lurie Children's Hospital; Center for Healthcare Studies (EO, CTR, SM, JLH, AMN); Department of Emergency Medicine (CTR); Department of Neurology (SM, AMN), Department of Preventive Medicine (JL), Northwestern University, Chicago, IL, USA; and Department of Neurology (SP), University of Chicago, Chicago, IL.
Lurie Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the risk of subsequent stroke among older patients discharged from an emergency department (ED) without a diagnosis of TIA or stroke.

methodsUsing electronic health record data from a large urban, university hospital and a community-based hospital, we analyzed patients aged 60-89 years discharged to home from the ED without an

resultsAmong 35,622 patients (mean age 70 years, 59% women, and 16% African American), unadjusted rates of stroke in 365 days were as follows: group 4: 2.5%; group 3: 1.1%; group 2: 0.69%; and group 1: 0.54%. The adjusted OR for stroke was 3.30 (95% confidence interval [CI], 1.61-6.76) in group 4, 1.56 (95% CI, 1.16-2.09) in group 3, and 0.61 (95% CI, 0.22-1.67) in group 2.

conclusionsAmong patients discharged from the ED without a diagnosis of TIA or stroke, the occurrence of a head CT and/or specific neurologic symptoms established a clinically meaningful risk gradient for subsequent stroke.

Identifiers

PMID32309028
PMCPMC7156206
OpenAlexW2953801917

What OpenQuestion holds

Textmetadata
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.