Evidence map›Paper›PMID 32733466›Full record

ArticleFrontiers in immunology2020

C-Reactive Protein Predicts Further Ischemic Events in Patients With Transient Ischemic Attack or Lacunar Stroke.

Manuela Mengozzi, Frances A Kirkham, Esme E R Girdwood, Eva Bunting, Erin Drazich, Jean Timeyin, Pietro Ghezzi, Chakravarthi Rajkumar

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 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
1.9field-weighted citation impact, top 13% 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, 26 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

8 authors at 2 institutions in 1 country.

Manuela MengozziDepartment of Clinical and Experimental Medicine, Brighton and Sussex Medical School, Brighton, United Kingdom.
Frances A KirkhamBrighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom.
Esme E R GirdwoodBrighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom.
Eva BuntingBrighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom.
Erin DrazichBrighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom.
Jean TimeyinBrighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom.
Pietro GhezziDepartment of Clinical and Experimental Medicine, Brighton and Sussex Medical School, Brighton, United Kingdom.
Chakravarthi RajkumarDepartment of Clinical and Experimental Medicine, Brighton and Sussex Medical School, Brighton, United Kingdom.
University Hospitals Sussex NHS Foundation Trust · GBBrighton and Sussex Medical School · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients who have experienced a first cerebral ischemic event are at increased risk of recurrent stroke. There is strong evidence that low-level inflammation as measured by high sensitivity C-reactive protein (hs-CRP) is a predictor of further ischemic events. Other mechanisms implicated in the pathogenesis of stroke may play a role in determining the risk of secondary events, including oxidative stress and the adaptive response to it and activation of neuroprotective pathways by hypoxia, for instance through induction of erythropoietin (EPO). This study investigated the association of the levels of CRP, peroxiredoxin 1 (PRDX1, an indicator of the physiological response to oxidative stress) and EPO (a neuroprotective factor produced in response to hypoxia) with the risk of a second ischemic event. Eighty patients with a diagnosis of lacunar stroke or transient ischemic attack (TIA) were included in the study and a blood sample was collected within 14 days from the initial event. Hs-CRP, PRDX1, and EPO were measured by ELISA. Further ischemic events were recorded with a mean follow-up of 42 months (min 24, max 64). Multivariate analysis showed that only CRP was an independent predictor of further events with an observed risk (OR) of 1.14 (

Indexed as

AgedBiomarkersC-Reactive ProteinErythropoietinFemaleHumansInflammationIschemic Attack, TransientMaleMiddle AgedPeroxiredoxinsRecurrenceSensitivity and SpecificityStroke, LacunarBiomarkersC-Reactive ProteinEPO protein, humanErythropoietinPeroxiredoxinsPRDX1 protein, humancerebral ischemiaCRPerythropoietininflammationlacunar strokeoxidative stressperoxiredoxin 1TIA

Identifiers

PMID32733466
PMCPMC7358589
OpenAlexW3034379910

What OpenQuestion holds

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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.