Evidence map›Paper›PMID 32618498›Full record

ReviewInternational journal of stroke : official journal of the International Stroke Society2020

Preceding infection and risk of stroke: An old concept revived by the COVID-19 pandemic.

Kieron South, Laura McCulloch, Barry W McColl, Mitchell Sv Elkind, Stuart M Allan, Craig J Smith

Open access · hybridAbstract readReview
In one paragraph

Review in International journal of stroke : official journal of the International Stroke Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 12% 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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Stroke in COVID-19: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2021
    Pooled it
  4. Pooled it
  5. Stroke, infections, and New Mechanisms: a Narrative Review.Current neurology and neuroscience reports · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. New Directions in Infection-Associated Ischemic Stroke.Journal of clinical neurology (Seoul, Korea) · 2024
    Review
  11. DoFrontiers in nutrition · 2024
    Article
  12. Article
  13. Post-COVID-19 Syndrome Mechanisms, Prevention and Management.International journal of preventive medicine · 2023
    Review
  14. Review
  15. Ischemic and Hemorrhagic Cerebrovascular Events Related to COVID-19 Coagulopathy and Hypoxemia.International journal of environmental research and public health · 2022
    Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Review
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

6 authors at 3 institutions in 2 countries.

Kieron SouthDivision of Neuroscience and Experimental Psychology, Lydia Becker Institute of Immunology and Inflammation, School of Biological Sciences, Faculty of Biology, Medicine and Health, 5292The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.ORCID 0000-0002-9141-3438
Laura McCullochCentre for Discovery Brain Sciences, UK Dementia Research Institute, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-1396-6643
Barry W McCollCentre for Discovery Brain Sciences, UK Dementia Research Institute, University of Edinburgh, Edinburgh, UK.
Mitchell Sv ElkindVagelos College of Physicians and Surgeons and Mailman School of Public Health, 5798Columbia University, New York, NY, USA.
Stuart M AllanDivision of Neuroscience and Experimental Psychology, Lydia Becker Institute of Immunology and Inflammation, School of Biological Sciences, Faculty of Biology, Medicine and Health, 5292The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Craig J SmithDivision of Cardiovascular Sciences, Lydia Becker Institute of Immunology and Inflammation, School of Biological Sciences, Faculty of Biology, Medicine and Health, 5292The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.ORCID 0000-0002-9078-9919
Manchester Academic Health Science Centre · GBUK Dementia Research Institute · GBColumbia University · US

Funding

British Heart Foundation PG/17/86/33399MRF_ MRF-076-0004-RG-SOUT-C0756
6 · The paper itself

Abstract

Anecdotal reports and clinical observations have recently emerged suggesting a relationship between COVID-19 disease and stroke, highlighting the possibility that infected individuals may be more susceptible to cerebrovascular events. In this review we draw on emerging studies of the current pandemic and data from earlier, viral epidemics, to describe possible mechanisms by which SARS-CoV-2 may influence the prevalence of stroke, with a focus on the thromboinflammatory pathways, which may be perturbed. Some of these potential mechanisms are not novel but are, in fact, long-standing hypotheses linking stroke with preceding infection that are yet to be confirmed. The current pandemic may present a renewed opportunity to better understand the relationship between infection and stroke and possible underlying mechanisms.

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19HumansPandemicsPneumonia, ViralRisk FactorsSARS-CoV-2StrokeCOVID-19infectionischemic strokerisk factorsSARS-CoV-2stroke prevalencevascular events

Identifiers

PMID32618498
PMCPMC7534199
OpenAlexW3039658499

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.