Evidence map›Paper›PMID 32561989›Full record

ArticleJournal of neurology2020

Investigation of poststroke epilepsy (INPOSE) study: a multicenter prospective study for prediction of poststroke epilepsy.

Shuichi Yamada, Ichiro Nakagawa, Kentaro Tamura, Fumihiko Nishimura, Yasushi Motoyama, Young-Soo Park, Hiroyuki Nakase

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 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

7 authors at 1 institution in 1 country.

Shuichi YamadaDepartment of Neurosurgery, Nara Medical University, 840, Shijo-cho, Kashihara, Nara, Japan. syamada@naramed-u.ac.jp.ORCID http://orcid.org/0000-0002-7278-3978
Ichiro NakagawaDepartment of Neurosurgery, Nara Medical University, 840, Shijo-cho, Kashihara, Nara, Japan.ORCID http://orcid.org/0000-0002-1340-3293
Kentaro TamuraDepartment of Neurosurgery, Nara Medical University, 840, Shijo-cho, Kashihara, Nara, Japan.
Fumihiko NishimuraDepartment of Neurosurgery, Nara Medical University, 840, Shijo-cho, Kashihara, Nara, Japan.ORCID http://orcid.org/0000-0002-9962-7852
Yasushi MotoyamaDepartment of Neurosurgery, Nara Medical University, 840, Shijo-cho, Kashihara, Nara, Japan.ORCID http://orcid.org/0000-0003-1957-2124
Young-Soo ParkDepartment of Neurosurgery, Nara Medical University, 840, Shijo-cho, Kashihara, Nara, Japan.ORCID http://orcid.org/0000-0003-2271-1332
Hiroyuki NakaseDepartment of Neurosurgery, Nara Medical University, 840, Shijo-cho, Kashihara, Nara, Japan.ORCID http://orcid.org/0000-0002-2726-5960
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePoststroke epilepsy is a common problem in clinical practice. This study aimed to determine the predictors of poststroke epilepsy and to identify the risk factors.

methodsA total of 436 patients were enrolled for this study. Baseline characteristics were recorded. Patients were followed up for 3 years. According to the occurrence of late seizures (i.e., seizure occurring 8 days or later after the stroke), the patients were separated into two groups: a seizure group and a seizure-free group. Baseline characteristics were compared between the groups. Univariate and multivariate Cox regression analysis was used to identify the risk factors for occurrence of poststroke epilepsy. The study was registered in the University Hospital Medical Information Network Center Clinical Trials Registry (registration number UMIN000009659, date 28/December/2012).

resultsAmong the 436 patients, 26 developed late seizures-an incidence rate of 5.96%. In univariate analysis, female, subarachnoid hemorrhage, hemorrhagic lesion, lesion affecting the cortex, lesion affecting the frontal lobe, and absence of comorbidities were the significant risk factors for occurrence of epilepsy. In multivariate analysis, the independent predictors of poststroke epilepsy were hemorrhagic lesion (hazard ratio (HR) = 3.03) and lesion location in the cortex (HR = 4.64). The incidence of poststroke epilepsy in patients with both two risk factors was 15.4%.

conclusionsPoststroke epilepsy occurs in almost 6% of patients within 3 years after stroke onset. Hemorrhagic stroke and subcortical lesion appear to be significantly associated with likelihood of developing epilepsy. Thus, prophylactic administration of antiepileptic drugs could be useful for stroke patients with these two risk factors.

Indexed as

EpilepsyStrokeAnticonvulsantsFemaleHumansProspective StudiesSeizuresAnticonvulsantsEpilepsyRisk factorSeizureStroke

Identifiers

PMID32561989
OpenAlexW3035860835

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.