Evidence map›Paper›PMID 34029889›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2021

Exploring the Relationship Between Air Quality and Ischemic Stroke Admissions During the COVID-19 Pandemic.

Sajid Hameed, Maria Khan, Zafar Fatmi, Mohammad Wasay

Abstract readComparative Study
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
  2. Emerging Stroke Risk Factors: A Focus on Infectious and Environmental Determinants.Journal of cardiovascular development and disease · 2024
    Review
  3. Review
  4. Air Pollution and Ischaemic Stroke.Annals of Indian Academy of Neurology · 2022
    Article
  5. Article
  6. 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

4 authors.

Sajid HameedSection of Neurology, Department of Medicine, Aga Khan University, Karachi, Pakistan.
Maria KhanDepartment of Neurology, Rashid Hospital, Dubai, UAE.
Zafar FatmiSection of Environmental-Occupational Health & Injuries, Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Mohammad WasayAga Khan University, Stadium Road, Karachi, Pakistan. Electronic address: Mohammad.wasay@aku.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAmongst all the global catastrophe due to Coronavirus disease 2019, a significant bright spot is a reduction in air pollution as countries undergo lockdowns to limit the spread of infection. Another reduction that has been reported is in the number of strokes presenting to hospitals, despite the virus implicated in causing a hypercoagulable state. Acute exposure to air pollution has been linked to increase in stroke incidence and the improvement in air quality may be responsible for the decrease in stroke presentations. MATERIALS AND

methodsTo explore this hypothesis, we compared the air quality index (AQI) of Karachi, the largest cosmopolitan city of Pakistan, during the lockdown period in 2020 to the same period in the previous year.

resultsWe found a significant drop in AQI depicting an improvement in air quality. Simultaneously, we identified a drop in number of stroke admissions to less than half from 2019 to 2020 at one of the largest tertiary care hospitals of the city, during this period of interest.

conclusionWe hypothesize that one important reason for this drop in stroke admissions, may be an actual reduction in stroke incidence brought about by an improvement in air quality.

Indexed as

COVID-19AgedAir PollutantsAir PollutionEnvironmental ExposureEnvironmental MonitoringFemaleHumansIncidenceIschemic StrokeMaleMiddle AgedPakistanPatient AdmissionRisk AssessmentRisk FactorsAir PollutantsAir pollutionAir quality indexCovidPandemicSouth AsiaStroke

Identifiers

PMID34029889
PMCPMC8106888

What OpenQuestion holds

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Registered trials

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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.