Evidence map›Paper›PMID 34715789›Full record

ArticleBMC cardiovascular disorders2021

Cohort study on the prognosis of acute cerebral infarction in different circulatory systems at 1-year follow-up.

Li-Li Chen, Wen-Ting Wang, Sai Zhang, Hui-Miao Liu, Xiao-Yang Yuan, Xu Yang, Ping Gu

Open access · goldAbstract read
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Article in BMC cardiovascular disorders, 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
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Li-Li ChenDepartment of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, 050031, Hebei, China.
Wen-Ting WangDepartment of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, 050031, Hebei, China.
Sai ZhangDepartment of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, 050031, Hebei, China.
Hui-Miao LiuDepartment of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, 050031, Hebei, China.
Xiao-Yang YuanDepartment of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, 050031, Hebei, China.
Xu YangDepartment of Neurology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, 100049, China.
Ping GuDepartment of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, 050031, Hebei, China. gpwh2000@163.com.
First Affiliated Hospital of Hebei Medical University · CNHebei Medical University · CNAerospace Center Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the prognosis of acute cerebral infarction at 1-year follow-up in different circulation infarctions.

methodsClinical data of 858 consecutive patients with acute cerebral infarction were collected. Of the 858 cases, 21 (2.45%) were lost to follow-up and 837 completed follow-up and thus were enrolled in this study. At 1-year follow-up, death or moderate-to-severe dysfunction (modified Rankin Scale (mRS) ≥ 3 points) was regarded as the poor prognostic endpoint. Univariate analysis and multivariate logistic stepwise regression analysis were performed to assess the prognosis. The prediction probability of indicators was obtained for the multivariate model, and the receiver operating characteristic curve was delineated to calculate the area under the curve (AUC) to predict the fitness of the model.

resultsThe older the age, the greater the probability of a poor prognosis. Patients with previous diabetes and cerebral infarction had a poor prognosis. The higher the National Institutes of Health Stroke Scale and mRS scores and the lower the Barthel index at admission, the worse the prognosis of the patients. The longer the hospital stay, the worse the prognosis of the patients. The prognosis of different circulation infarctions was different. The AUC of the multivariate model was AUC = 0.893, and the 95% confidence interval was 0.870-0.913, indicating a good fit. The prognosis of anterior circulation infarction (ACI) was worse than that of posterior circulation infarction (PCI) (P < 0.05). The prognosis of patients with ACI and PCI was not significantly different from that of patients with ACI or PCI alone (P > 0.05).

conclusionsDiabetes, the Barthel index at admission and previous cerebral infarction are poor prognostic factors of acute cerebral infarction. The prognosis of ACI is worse than that of PCI. Different factors affect the prognosis of different circulatory system infarctions.

Indexed as

Cerebral InfarctionDiabetes ComplicationsAcute DiseaseAgedAge FactorsFollow-Up StudiesHumansLength of StayMiddle AgedModels, StatisticalMultivariate AnalysisPrognosisRecurrenceROC CurveSeverity of Illness IndexAcute cerebral infarctionAnterior circulationPosterior circulationPrognosisPrognostic factor

Identifiers

PMID34715789
PMCPMC8557055
OpenAlexW3209961562

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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.