Evidence map›Paper›PMID 32661738›Full record

ArticleActa neurologica Belgica2021

Association of chronic kidney disease with outcomes in acute stroke.

Iong Man Tung, Raphae S Barlas, Priya Vart, Joao H Bettencourt-Silva, Allan B Clark, Kittisak Sawanyawisuth, Kannikar Kongbunkiat, Narongrit Kasemsap, Somsak Tiamkao, Phyo K Myint

Open access · hybridAbstract read
In one paragraph

Article in Acta neurologica Belgica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

10 authors at 3 institutions in 2 countries.

Iong Man TungACER, School of Medicine, Medical Sciences and Nutrition, Institute of Applied Health Sciences, University of Aberdeen Foresthill, Room 4.013 Polwarth Building, Aberdeen, AB25 2ZD, Scotland, UK.ORCID http://orcid.org/0000-0002-5393-809X
Raphae S BarlasACER, School of Medicine, Medical Sciences and Nutrition, Institute of Applied Health Sciences, University of Aberdeen Foresthill, Room 4.013 Polwarth Building, Aberdeen, AB25 2ZD, Scotland, UK.
Priya VartACER, School of Medicine, Medical Sciences and Nutrition, Institute of Applied Health Sciences, University of Aberdeen Foresthill, Room 4.013 Polwarth Building, Aberdeen, AB25 2ZD, Scotland, UK.
Joao H Bettencourt-SilvaStroke Research Group, Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK.
Allan B ClarkStroke Research Group, Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK.
Kittisak SawanyawisuthAmbulatory Medicine Division, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Kannikar KongbunkiatNeurology Division, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Narongrit KasemsapNeurology Division, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Somsak TiamkaoNeurology Division, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Phyo K MyintACER, School of Medicine, Medical Sciences and Nutrition, Institute of Applied Health Sciences, University of Aberdeen Foresthill, Room 4.013 Polwarth Building, Aberdeen, AB25 2ZD, Scotland, UK. phyo.myint@abdn.ac.uk.
Khon Kaen University · THUniversity of Aberdeen · GBUniversity of East Anglia · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have found an association between chronic kidney disease and poor outcomes in stroke patients. However, there is a paucity of literature evaluating this association by stroke type. We therefore aimed to explore the association between CKD and stroke outcomes according to type of stroke. The data consisting of 594,681 stroke patients were acquired from Universal Coverage Health Security Insurance Scheme Database in Thailand. Binary logistic regression was used to assess the relationship of CKD and outcomes, which were as follows; in-hospital mortality, long length of stay (>3 days), pneumonia, sepsis, respiratory failure and myocardial infarction. Results: after fully adjusting for covariates, CKD was associated with increased odds of in-hospital mortality in patients with ischemic (OR 1.32; 95% CI = 1.27-1.38), haemorrhagic (OR 1.31; 95% CI = 1.24-1.39), and other undetermined stroke type (OR 1.44; 95% CI = 1.21-1.73). CKD was found to be associated with increased odds of pneumonia, sepsis, respiratory failure and myocardial infarction in ischaemic stroke. While CKD was found to be associated with increase odds of sepsis, respiratory failure, and myocardial infarction, decrease odds of pneumonia was observed in patients with haemorrhagic stroke. In other undetermined stroke type, CKD was found to only be associated with increase odds of sepsis and respiratory failure, while there is no significant association of CKD and increase or decrease odds with pneumonia and myocardial infarction. CKD was associated with poor outcomes in all stroke types. CKD should be considered as part of stroke prognosis as well as identifying at risk patient population for in-hospital complications.

Indexed as

AgedAged, 80 and overComorbidityFemaleHemorrhagic StrokeHospital MortalityHumansIschemic StrokeLength of StayMaleMiddle AgedPrognosisRenal Insufficiency, ChronicSurvival RateThailandChronic kidney diseaseComplicationsHaemorrhagicIschaemicOutcomeStrokeStroke type

Identifiers

PMID32661738
PMCPMC8443515
OpenAlexW3040919954

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.