Evidence map›Paper›PMID 32476299›Full record

ArticleJournal of Korean medical science2020

Impact of the Dedicated Neurointensivists on the Outcome in Patients with Ischemic Stroke Based on the Linked Big Data for Stroke in Korea.

Tae Jung Kim, Ji Sung Lee, Jae Sun Yoon, Mi Sun Oh, Ji Woo Kim, Keun Hwa Jung, Kyung Ho Yu, Byung Chul Lee, Sang Bae Ko, Byung Woo Yoon and 1 more

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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

11 authors.

Tae Jung Kim *Department of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-3616-5627
Ji Sung Lee *Department of Clinical Research Center, Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8194-3462
Jae Sun YoonDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-4303-2964
Mi Sun OhDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0002-6741-0464
Ji Woo KimHealth Insurance Review and Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0002-4070-3021
Keun Hwa JungDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-1433-8005
Kyung Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0002-8997-5626
Byung Chul LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0002-3885-981X
Sang Bae KoDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-9429-9597
Byung Woo YoonDepartment of Neurology, Seoul National University Hospital, Seoul, Korea. bwyoon@snu.ac.kr.ORCID https://orcid.org/0000-0002-8597-807X
Clinical Research Collaboration for Stroke (CRCS) investigators

Funding

Korean Neurocritical Care SocietyMinistry of Health and Welfare HI 16C1078
6 · The paper itself

Abstract

backgroundNeurocritical care by dedicated neurointensivists may improve outcomes of critically ill patients with severe brain injury. In this study, we aimed to validate whether neurointensive care could improve the outcome in patients with critically ill acute ischemic stroke using the linked big dataset on stroke in Korea.

methodsWe included 1,405 acute ischemic stroke patients with mechanical ventilator support in the intensive care unit after an index stroke. Patients were retrieved from linking the Clinical Research Center for Stroke Registry and the Health Insurance Review and Assessment Service data from the period between January 2007 and December 2014. The outcomes were mortality at discharge and at 3 months after an index stroke. The main outcomes were compared between the centers with and without dedicated neurointensivists.

resultsAmong the included patients, 303 (21.6%) were admitted to the centers with dedicated neurointensivists. The patients treated by dedicated neurointensivists had significantly lower in-hospital mortality (18.3% vs. 26.8%,

conclusionTreatment by dedicated neurointensivists is associated with lower in-hospital and 3-month mortality using the linked big datasets for stroke in Korea. This finding stresses the importance of neurointensivists in treating patients with severe ischemic stroke.

Indexed as

Physician's RoleAgedAged, 80 and overComorbidityDatabases, FactualFemaleHospital MortalityHumansIntensive Care UnitsIschemic StrokeLogistic ModelsMaleMiddle AgedOdds RatioPatient DischargeRegistriesBig DataIschemic StrokeNeurocritically Ill PatientsNeurointensivistOutcome

Identifiers

PMID32476299
PMCPMC7261699

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.