Evidence map›Paper›PMID 32897811›Full record

ReviewStroke2020

Infection as a Stroke Risk Factor and Determinant of Outcome After Stroke.

Mitchell S V Elkind, Amelia K Boehme, Craig J Smith, Andreas Meisel, Marion S Buckwalter

Open access · bronzeAbstract readReview
In one paragraph

Review in Stroke, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 154 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed, 7 pooled it
11.6field-weighted citation impact, top 1% 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

154 citing papers in PubMed, 7 syntheses or guidelines pooled it, 246 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  8. Trial
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  10. Review
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  12. Observational
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  18. Infection and neonatal encephalopathy.Pediatric research · 2026
    Article
  19. Article
  20. Article

94 more citing papers are in PubMed but not listed here.

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

5 authors at 4 institutions in 3 countries.

Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY. (M.S.V.E., A.K.B.).
Amelia K BoehmeDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY. (M.S.V.E., A.K.B.).
Craig J SmithDivision of Cardiovascular Sciences, Lydia Becker Institute of Immunology and Inflammation, University of Manchester, Manchester Centre for Clinical Neurosciences, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, United Kingdom (C.J.S.).
Andreas MeiselCenter for Stroke Research Berlin, Department for Experimental Neurology, Department of Neurology, NeuroCure Clinical Research Center, Charité Universitätsmedizin Berlin, Germany (A.M.).
Marion S BuckwalterDepartment of Neurology and Neurological Sciences, Stanford University Medical Center, CA (M.S.B.).
Columbia University · USCharité - Universitätsmedizin Berlin · DESalford Royal NHS Foundation Trust · GBStanford University · US

Funding

AtRial Cardiopathy and Antithrombotic Drugs In prevention After cryptogenicstroke (ARCADIA)U01NS095869 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRODERICK, JOSEPH PAUL, KAMEL, HOOMAN · 2017 to 2022
$22.0M
STROKE INCIDENCE AND RISK FACTORS IN A TRI-ETHNIC REGIONR01NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 1993 to 2019
$19.2M
Inflammatory and Infectious Burden and Risk of StrokeR01NS048134 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ELKIND, MITCHELL S · 2004 to 2008
$1.5M
Racial Disparities, Influenza Like Illness and the Association between Short-term Exposure to Ambient Air Pollution and Cardiovascular OutcomesR21MD012451 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BOEHME, AMELIA K · 2017 to 2018
$440k
Health Disparities in Sepsis as a Risk Factor for StrokeR03NS101417 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BOEHME, AMELIA K · 2017 to 2018
$160k
American Heart Association-American Stroke AssociationNIMHD NIH HHS R21 MD012451NINDS NIH HHS R01 NS029993NINDS NIH HHS R01 NS048134NINDS NIH HHS R03 NS101417NINDS NIH HHS U01 NS095869
6 · The paper itself

Abstract

Understanding the relationship between infection and stroke has taken on new urgency in the era of the coronavirus disease 2019 (COVID-19) pandemic. This association is not a new concept, as several infections have long been recognized to contribute to stroke risk. The association of infection and stroke is also bidirectional. Although infection can lead to stroke, stroke also induces immune suppression which increases risk of infection. Apart from their short-term effects, emerging evidence suggests that poststroke immune changes may also adversely affect long-term cognitive outcomes in patients with stroke, increasing the risk of poststroke neurodegeneration and dementia. Infections at the time of stroke may also increase immune dysregulation after the stroke, further exacerbating the risk of cognitive decline. This review will cover the role of acute infections, including respiratory infections such as COVID-19, as a trigger for stroke; the role of infectious burden, or the cumulative number of infections throughout life, as a contributor to long-term risk of atherosclerotic disease and stroke; immune dysregulation after stroke and its effect on the risk of stroke-associated infection; and the impact of infection at the time of a stroke on the immune reaction to brain injury and subsequent long-term cognitive and functional outcomes. Finally, we will present a model to conceptualize the many relationships among chronic and acute infections and their short- and long-term neurological consequences. This model will suggest several directions for future research.

Indexed as

Arrhythmias, CardiacAtherosclerosisBacteremiaBetacoronavirusChronic DiseaseCoronavirus InfectionsCOVID-19Cytomegalovirus InfectionsEndotheliumHIV InfectionsHumansImmunocompromised HostInfectionsInflammationInfluenza, HumanPandemicscoronavirusdementiainfectionpneumoniarisk factorstroke

Identifiers

PMID32897811
PMCPMC7530056
OpenAlexW3080273663

What OpenQuestion holds

Textmetadata
LicenceTDM
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.