Evidence map›Paper›PMID 33103569›Full record

ArticleJournal of the American Heart Association2020

Risk Factors for Incident Stroke and Its Subtypes in China: A Prospective Study.

Wenwei Qi, Jing Ma, Tianjia Guan, Dongsheng Zhao, Ameen Abu-Hanna, Martijn Schut, Baohua Chao, Longde Wang, Yuanli Liu

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
9.0field-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

51 citing papers in PubMed, 91 citations in OpenAlex.

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  18. The Association Between Urbanization and Electrocardiogram Abnormalities in China: a Nationwide Longitudinal Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
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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

9 authors at 6 institutions in 3 countries.

Wenwei QiSchool of Health Policy and Management Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China.
Jing MaBrigham & Women's Hospital Harvard Medical School Boston MA.
Tianjia GuanSchool of Health Policy and Management Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China.
Dongsheng ZhaoInformation Center Academy of Military Medical Sciences Beijing China.
Ameen Abu-HannaDepartment of Medical Informatics Amsterdam UMC Amsterdam The Netherlands.
Martijn SchutDepartment of Medical Informatics Amsterdam UMC Amsterdam The Netherlands.
Baohua ChaoNational Health Commission of the People's Republic of China Beijing China.
Longde WangSchool of Public Health Peking University Health Science Center Beijing People's Republic of China.
Yuanli LiuSchool of Health Policy and Management Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNAmsterdam University Medical Centers · NLAcademy of Military Medical Sciences · CNBrigham and Women's Hospital · USNational Health and Family Planning Commission · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Managing risk factors is crucial to prevent stroke. However, few cohort studies have evaluated socioeconomic factors together with conventional factors affecting incident stroke and its subtypes in China. Methods and Results A 2014 to 2016 prospective study from the China National Stroke Screening and Intervention Program comprised 437 318 adults aged ≥40 years without stroke at baseline. There were 2429 cases of first-ever stroke during a median follow-up period of 2.1 years, including 2206 ischemic strokes and 237 hemorrhagic strokes. The multivariable Cox regression analysis indicated that age 50 to 59 years (versus 40-49 years), primary school or no formal education (versus middle school), having >1 child (versus 1 child), living in Northeast, Central, East, or North China (versus Southwest China), physical inactivity, hypertension, diabetes mellitus, and obesity were positively associated with the risk of total and ischemic stroke, whereas age 60 to 69 years and living with spouse or children (versus living alone) were negatively associated with the risk of total and ischemic stroke. Men, vegetable-based diet, underweight, physical inactivity, hypertension, living in a high-income region, having Urban Resident Basic Medical Insurance, and New Rural Cooperative Medical System were positively associated with the risk of hemorrhagic stroke, whereas age 60 to 69 years was negatively associated with the risk of hemorrhagic stroke. Conclusions We identified socioeconomic factors that complement traditional risk factors for incident stroke and its subtypes, allowing targeting these factors to reduce stroke burden.

Indexed as

AdultAgedAged, 80 and overAge FactorsChinaDietFemaleHealth StatusHumansIncidenceMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsSocioeconomic Factorsprimary preventionprospective studyrisk factorssocioeconomic statusstroke

Identifiers

PMID33103569
PMCPMC7763402
OpenAlexW3093789180

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.