Evidence map›Paper›PMID 34250487›Full record

ArticleBMJ neurology open2021

Predicting 90-day modified Rankin Scale score with discharge information in acute ischaemic stroke patients following treatment.

Andrew K ElHabr, Jeffrey M Katz, Jason Wang, Mehrad Bastani, Gabriela Martinez, Michele Gribko, Danny R Hughes, Pina Sanelli

Abstract read
In one paragraph

Article in BMJ neurology open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 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

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Endovascular thrombectomy for posterior cerebral artery strokes in the national inpatient sample (EaT PeCANpIeS) study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
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  17. Early results with EmboTrap III stent retriever: A multicenter US experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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2 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

8 authors.

Andrew K ElHabrDepartment of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, Georgia, USA.ORCID 0000-0003-3778-5350
Jeffrey M KatzDepartment of Neurology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York, USA.
Jason WangDepartment of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
Mehrad BastaniCenter for Health Innovations and Outcomes Research, Feinstein Institute for Medical Research, Manhasset, New York, USA.
Gabriela MartinezSiemens Healthineers, Malvern, Pennsylvania, USA.
Michele GribkoDepartment of Neurology, North Shore University Hospital at Manhasset, Manhasset, New York, USA.
Danny R HughesSchool of Economics, Georgia Institute of Technology, Atlanta, Georgia, USA.
Pina SanelliDepartment of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.

Funding

Comparative Effectiveness of Imaging Strategies in Acute Ischemic Stroke Based on Patient Profiles - Resubmission - 1R56NS114275 · NINDS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SANELLI, PINA CHRISTINE · 2020 to 2020
$628k
NINDS NIH HHS R56 NS114275
6 · The paper itself

Abstract

objectivesTo understand variability in modified Rankin Scale scores from discharge to 90 days in acute ischaemic stroke patients following treatment, and examine prediction of 90-day modified Rankin Scale score by using discharge modified Rankin Scale and discharge disposition. MATERIALS AND

methodsRetrospective analysis of acute ischaemic stroke patients following treatment was performed from January 2016 to March 2020. Data collection included demographic and clinical characteristics and outcomes data (modified Rankin Scale score at discharge, 30 days and 90 days and discharge disposition). Pearson's χ

resultsA total of 280 acute ischaemic stroke patients (65.4% aged ≥65 years, 47.1% female, 60.7% white) were included in the analysis. The modified Rankin Scale score significantly changed between 30 and 90 days from discharge (p<0.001) after remaining stable from discharge to 30 days (p=0.665). The positive and negative predictive values of an unfavourable long-term outcome for discharge modified Rankin Scale scores of 3-5 were 67.7% (95% CI 60.4% to 75.0%) and 82.0% (95% CI 75.1% to 88.8%), and for non-home discharge disposition were 72.4% (95% CI 64.5% to 80.2%) and 74.5% (95% CI 67.8% to 81.3%), respectively.

conclusionsDischarge modified Rankin Scale score and non-home discharge disposition are good individual predictors of 90-day modified Rankin Scale score for ischaemic stroke patients following treatment.

Indexed as

stroke

Identifiers

PMID34250487
PMCPMC8231000

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