Evidence map›Paper›PMID 34300300›Full record

ArticleJournal of clinical medicine2021

Characterization of a Temporal Profile of Biomarkers as an Index for Ischemic Stroke Onset Definition.

Andrés Da Silva-Candal, Antonio Dopico-López, Maria Pérez-Mato, Manuel Rodríguez-Yáñez, José M Pumar, Paulo Ávila-Gómez, José Castillo, Tomás Sobrino, Francisco Campos, Pablo Hervella and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 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
0.4field-weighted citation impact, top 41% 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, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
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

11 authors at 3 institutions in 1 country.

Andrés Da Silva-CandalClinical Neurosciences Research Laboratories (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.
Antonio Dopico-LópezClinical Neurosciences Research Laboratories (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.
Maria Pérez-MatoNeuroscience and Cerebrovascular Research Laboratory, Department of Neurology and Stroke Center, La Paz University Hospital, Neuroscience Area of IdiPAZ Health Research Institute, Universidad Autónoma de Madrid, 28046 Madrid, Spain.
Manuel Rodríguez-YáñezStroke Unit, Department of Neurology, Hospital Clínico Universitario, 15006 Santiago de Compostela, Spain.
José M PumarDepartment of Neuroradiology, Hospital Clínico Universitario, Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.ORCID 0000-0002-6546-3992
Paulo Ávila-GómezClinical Neurosciences Research Laboratories (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.
José CastilloClinical Neurosciences Research Laboratories (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.
Tomás SobrinoClinical Neurosciences Research Laboratories (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.ORCID 0000-0002-9760-8690
Francisco CamposClinical Neurosciences Research Laboratories (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.ORCID 0000-0001-8665-1039
Pablo HervellaClinical Neurosciences Research Laboratories (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.
Ramón Iglesias-ReyClinical Neurosciences Research Laboratories (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15006 Santiago de Compostela, Spain.ORCID 0000-0002-9985-9135
Instituto de Investigación Sanitaria de Santiago · ESComplejo Hospitalario Universitario de Santiago · ESHospital La Paz Institute for Health Research · ES

Funding

Consellería de Economía, Emprego e Industria, Xunta de Galicia IN607A2018/3Instituto de Salud Carlos III PI17/01103Ministerio de Economía, Industria y Competitividad, Gobierno de España SAF2017-84267-R)Spanish Research Network on Cerebrovascular Diseases RETICS-INVICTUS PLUS RD16/0019
6 · The paper itself

Abstract

background and purposeStroke is a dynamic process in terms of molecular mechanisms, with prominent glutamate-mediated excitotoxicity at the onset of symptoms followed by IL-6-mediated inflammation. Our aim was to study a serum glutamate/IL-6 ratio as an index for stroke onset definition.

methodsA total of 4408 ischemic stroke patients were recruited and then subdivided into four quartiles according to latency time in minutes (0-121, 121-185, 185-277 and >277). Latency time is defined as the time between stroke onset and treatment at the neurological unit. The primary endpoint of the study was the association of early latency times with different clinical aspects and serum markers. Serum glutamate and interleukin-6 (IL-6) levels at admission were selected as the main markers for excitotoxicity and inflammation, respectively.

resultsGlutamate serum levels were significantly higher in the earlier latency time compared with the higher latency times (

conclusionsThe glutamate/IL-6 index allows the development of a ratio for an easy, non-invasive early identification of the onset of ischemic stroke symptoms, thus offering a new tool for selecting early stroke patient candidates for reperfusion therapies.

Indexed as

biomarkersglutamateinflammationneuroprotectionstroke

Identifiers

PMID34300300
PMCPMC8307571
OpenAlexW3178253596

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.