Evidence map›Paper›PMID 32489775›Full record

ArticleGlobal heart2020

Impact of Diabetes on Complications, Long Term Mortality and Recurrence in 608,890 Hospitalised Patients with Stroke.

Weronika A Szlachetka, Tiberiu A Pana, Somsak Tiamkao, Allan B Clark, Kannikar Kongbunkiat, Kittisak Sawanyawisuth, Joao H Bettencourt-Silva, Narongrit Kasemap, Mamas A Mamas, Phyo K Myint

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Global heart, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  10. Predictor Role ofMedicina (Kaunas, Lithuania) · 2025
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  16. Prevalence of diabetes mellitus among stroke patients in Ethiopia: Systematic review and meta-analysis.International journal of cardiology. Cardiovascular risk and prevention · 2024
    Review
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  20. Observational
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

10 authors at 6 institutions in 2 countries.

Weronika A SzlachetkaAgeing Clinical and Experimental Research (ACER) Team, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
Tiberiu A PanaAgeing Clinical and Experimental Research (ACER) Team, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
Somsak TiamkaoNeurology Division, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, TH.
Allan B ClarkNorwich Medical School, University of East Anglia, Norwich, UK.
Kannikar KongbunkiatNeurology Division, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, TH.
Kittisak SawanyawisuthAmbulatory Medicine Division, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, TH.
Joao H Bettencourt-SilvaClinical Informatics, Department of Medicine, University of Cambridge, Cambridge, UK.
Narongrit KasemapNeurology Division, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, TH.
Mamas A MamasKeele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University, Stoke-on-Trent, UK.
Phyo K MyintAgeing Clinical and Experimental Research (ACER) Team, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
Khon Kaen University · THUniversity of Aberdeen · GBKeele University · GBNorth Eastern University · THUniversity of Cambridge · GBUniversity of East Anglia · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with diabetes mellitus (DM) have been found to be at an increased risk of suffering a stroke. However, research on the impact of DM on stroke outcomes is limited. Objectives: We aimed to examine the influence of DM on outcomes in ischaemic (IS) and haemorrhagic stroke (HS) patients. Methods: We included 608,890 consecutive stroke patients from the Thailand national insurance registry. In-hospital mortality, sepsis, pneumonia, acute kidney injury (AKI), urinary tract infection (UTI) and cardiovascular events were evaluated using logistic regressions. Long-term analysis was performed on first-stroke patients with a determined pathology (n = 398,663) using Royston-Parmar models. Median follow-ups were 4.21 and 4.78 years for IS and HS, respectively. All analyses were stratified by stroke sub-type. Results: Mean age (SD) was 64.3 (13.7) years, 44.9% were female with 61% IS, 28% HS and 11% undetermined strokes. DM was associated with in-hospital death, pneumonia, sepsis, AKI and cardiovascular events (odds ratios ranging from 1.13-1.78, p < 0.01) in both stroke types. In IS, DM was associated with long-term mortality and recurrence throughout the follow-up: HR Conclusions: Regardless of stroke type, DM was associated with in-hospital death and complications, long-term mortality and stroke recurrence.

Indexed as

RegistriesAgedDiabetes ComplicationsFollow-Up StudiesHospital MortalityHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsStrokeSurvival RateThailandTime Factorscomplicationsdiabetes mellitusmortalityrecurrencestrokeThailand

Identifiers

PMID32489775
PMCPMC7218766
OpenAlexW2990409008

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.