Evidence map›Paper›PMID 32606083›Full record

ArticleStroke and vascular neurology2020

Gastrointestinal bleeding during acute ischaemic stroke hospitalisation increases the risk of stroke recurrence.

Wanliang Du, Xingquan Zhao, Yilong Wang, Yuesong Pan, Gaifen Liu, Anxin Wang, Ruijun Ji, Liping Liu, Hongqiu Gu, Kehui Dong and 3 more

Open access · goldAbstract read
In one paragraph

Article in Stroke and vascular neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Evolving of treatment options for cerebral infarction.World journal of clinical cases · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors at 2 institutions in 1 country.

Wanliang DuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-9066-5078
Xingquan ZhaoDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yilong WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yuesong PanChina National Clinical Research Center for Neurological Diseases, Beijing, China.ORCID 0000-0003-3082-6789
Gaifen LiuChina National Clinical Research Center for Neurological Diseases, Beijing, China.
Anxin WangChina National Clinical Research Center for Neurological Diseases, Beijing, China.ORCID 0000-0003-4351-2877
Ruijun JiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Liping LiuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Hongqiu GuChina National Clinical Research Center for Neurological Diseases, Beijing, China.ORCID 0000-0003-1608-1856
Kehui DongDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Penglian Wang *Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China yongjunwang@ncrcnd.org.cn wangpengliantth@163.com.
Yongjun Wang *Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China yongjunwang@ncrcnd.org.cn wangpengliantth@163.com.ORCID 0000-0002-9976-2341
China National Stroke Registry (CNSR) investigators
Capital Medical University · CNNational Clinical Research Center for Digestive Diseases · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGastrointestinal (GI) bleeding in patients who had a stroke is strongly associated with a higher risk of death and loss of independence. However, it is unknown whether GI bleeding increases risk for recurrence of stroke. In this study, we assess the potential relationship between GI bleeding and stroke recurrence in patients within 12 months of an acute ischaemic stroke (AIS), using the China National Stroke Registry (CNSR).

methodsThis study included 22 216 patients who had an ischaemic stroke included in the CNSR from 2007 to 2008. We analysed baseline patient characteristics, GI bleeding and outcomes of patients who had an AIS, specifically stroke recurrence at 3, 6 and 12 months. We used multivariable logistic regression to evaluate a possible association between GI bleeding and stroke recurrence.

resultsOf the 12 415 patients included in our study, 12.3%, 15.5% and 17.7% had a stroke recurrence at 3, 6 and 12 months, respectively. GI bleeding was an independent stroke recurrence risk factor in patients after ischaemic stroke at 3 months (adjusted OR 1.481, 95% CI 1.118 to 1.962), 6 months (adjusted OR 1.448, 95% CI 1.106 to 1.896) and 12 months (adjusted OR 1.350; 95% CI 1.034 to 1.763).

conclusionGI bleeding was associated with the increased risk of stroke recurrence after an AIS.

Indexed as

Patient AdmissionAgedBrain IschemiaChinaFemaleGastrointestinal HemorrhageHumansIncidenceMaleMiddle AgedPrognosisProspective StudiesRecurrenceRisk AssessmentRisk FactorsStrokecomplicationstroke

Identifiers

PMID32606083
PMCPMC7337367
OpenAlexW3015574114

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.