Evidence map›Paper›PMID 33918503›Full record

Observational studySensors (Basel, Switzerland)2021

Actigraphic Measurement of the Upper Limbs for the Prediction of Ischemic Stroke Prognosis: An Observational Study.

Giuseppe Reale, Silvia Giovannini, Chiara Iacovelli, Stefano Filippo Castiglia, Pietro Picerno, Aurelia Zauli, Marco Rabuffetti, Maurizio Ferrarin, Giulio Maccauro, Pietro Caliandro

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Sensors (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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 4 institutions in 1 country.

Giuseppe RealeDepartment of Geriatrics, Neurosciences and Orthopedics, Università Cattolica del Sacro Cuore, L. Go F. Vito, 1-00168 Rome, Italy.ORCID 0000-0003-3097-4298
Silvia GiovanniniUnità Operativa Complessa Medicina Fisica e Riabilitazione, Largo A. Gemelli, Fondazione Policlinico Universitario A. Gemelli IRCCS, 8-00168 Rome, Italy.
Chiara IacovelliUnità Operativa Complessa Medicina Fisica e Riabilitazione, Largo A. Gemelli, Fondazione Policlinico Universitario A. Gemelli IRCCS, 8-00168 Rome, Italy.ORCID 0000-0002-3547-6055
Stefano Filippo CastigliaDepartment of Medical and Surgical Sciences and Biotechnologies, Sapienza University of Rome, Polo Pontino, Viale XXIV Maggio, 7-04100 Latina, Italy.ORCID 0000-0001-5329-5197
Pietro PicernoSMART Engineering Solutions & Technologies Research Center, Università Telematica "e-Campus", Via Isimbardi, 10-22060 Novedrate, Italy.ORCID 0000-0003-3478-7692
Aurelia ZauliDepartment of Geriatrics, Neurosciences and Orthopedics, Università Cattolica del Sacro Cuore, L. Go F. Vito, 1-00168 Rome, Italy.
Marco RabuffettiBiomedical Technology Department, IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66-20148 Milan, Italy.ORCID 0000-0003-1638-7978
Maurizio FerrarinBiomedical Technology Department, IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66-20148 Milan, Italy.ORCID 0000-0002-7797-2399
Giulio MaccauroDepartment of Geriatrics, Neurosciences and Orthopedics, Università Cattolica del Sacro Cuore, L. Go F. Vito, 1-00168 Rome, Italy.
Pietro CaliandroUnità Operativa Neurologia, Largo A, Fondazione Policlinico Universitario A. Gemelli IRCCS, Gemelli, 8-00168 Rome, Italy.
Agostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · ITDon Carlo Gnocchi Foundation · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is often challenging to formulate a reliable prognosis for patients with acute ischemic stroke. The most accepted prognostic factors may not be sufficient to predict the recovery process. In this view, describing the evolution of motor deficits over time via sensors might be useful for strengthening the prognostic model. Our aim was to assess whether an actigraphic-based parameter (Asymmetry Rate Index for the 24 h period (AR2_24 h)) obtained in the acute stroke phase could be a predictor of a 90 d prognosis.

methodsIn this observational study, we recorded and analyzed the 24 h upper limb movement asymmetry of 20 consecutive patients with acute ischemic stroke during their stay in a stroke unit. We recorded the motor activity of both arms using two programmable actigraphic systems positioned on patients' wrists. We clinically evaluated the stroke patients by NIHSS in the acute phase and then assessed them across 90 days using the modified Rankin Scale (mRS).

resultsWe found that the AR2_24 h parameter positively correlates with the 90 d mRS (r = 0.69,

conclusionsSensor-based parameters might provide useful information for predicting ischemic stroke prognosis in the acute phase.

Indexed as

Brain IschemiaIschemic StrokeStrokeActigraphyHumansPrognosisUpper Extremityactigraphycerebrovascular diseasesinertial sensorsischemic strokeprognosis

Identifiers

PMID33918503
PMCPMC8038235
OpenAlexW3147332695

What OpenQuestion holds

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LicenceCC BY
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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.