Evidence map›Paper›PMID 33679379›Full record

ArticleFrontiers in aging neuroscience2021

Plasma Neurofilament Light Chain as a Predictive Biomarker for Post-stroke Cognitive Impairment: A Prospective Cohort Study.

Zhiqiang Wang, Rongyu Wang, Yuxia Li, Mao Li, Yaodan Zhang, Lianyan Jiang, Jin Fan, Qingsong Wang, Dongdong Yang

Abstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Blood-Based Biomarkers for Post-Stroke Cognitive Impairment.Current issues in molecular biology · 2026
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  15. Clinical use and reporting of neurofilament quantification in neurological disorders: A global overview.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
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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.

Zhiqiang WangDepartment of Neurology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Rongyu WangDepartment of Neurology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yuxia LiDepartment of Neurology, The General Hospital of Western Theater Command, Chengdu, China.
Mao LiDepartment of Neurology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yaodan ZhangDepartment of Neurology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Lianyan JiangDepartment of Neurology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Jin FanSchool of Clinical Medicine, Chengdu University of TCM, Chengdu, China.
Qingsong WangDepartment of Neurology, The General Hospital of Western Theater Command, Chengdu, China.
Dongdong YangDepartment of Neurology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlasma neurofilaments light chain (pNfL) is a marker of axonal injury. The purpose of this study was to examine the role of pNfL as a predictive biomarker for post-stroke cognitive impairment (PSCI).

methodsA prospective single-center observational cohort study was conducted at the General Hospital of Western Theater Command between July 1, 2017 and December 31, 2019. Consecutive patients ≥18 years with first-ever acute ischemic stroke (AIS) of anterior circulation within 24 h of symptom onset were included. PSCI was defined by the Montreal Cognitive Assessment (MOCA) (MOCA < 26) at 90 days after stroke onset.

resultsA total of 1,694 patients [male, 893 (52.70%); median age, 64 (16) years] were enrolled in the cohort analysis, and 1,029 (60.70%) were diagnosed with PSCI. Patients with PSCI had significantly higher pNfL [median (IQR), 55.96 (36.13) vs. 35.73 (17.57) pg/ml;

conclusionThis prospective cohort study showed that the pNfL concentration within 48 h of onset was an independent risk factor for PSCI 90 days after an anterior circulation stroke, even after being adjusted for potential influencing factors regarded as clinically relevant. CLINICAL

trial registrationwww.chictr.org.cn, identifier ChiCTR1800020330.

Indexed as

biomarkersdementianeurofilament lightodds ratiopost-stroke cognitive impairmentstroke

Identifiers

PMID33679379
PMCPMC7933545

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