Evidence map›Paper›PMID 34788569›Full record

Trial reportNeurorehabilitation and neural repair2022

Program of Rehabilitative Exercise and Education to Avert Vascular Events After Non-Disabling Stroke or Transient Ischemic Attack (PREVENT Trial): A Randomized Controlled Trial.

Marilyn MacKay-Lyons, Gordon Gubitz, Stephen Phillips, Nicholas Giacomantonio, Wanda Firth, Kara Thompson, Chris Theriault, Howard Wightman, Sharon Slipp, David Marsters and 4 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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

14 authors at 4 institutions in 1 country.

Marilyn MacKay-LyonsSchool of Physiotherapy, 3688Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-9917-3117
Gordon GubitzNeurology, 3688Dalhousie University, Halifax, NS, Canada.ORCID 0000-0001-7999-7728
Stephen PhillipsNeurology, 3688Dalhousie University, Halifax, NS, Canada.
Nicholas Giacomantonio12361QEII Health Sciences Centre, Halifax, NS, Canada.ORCID 0000-0001-9734-0658
Wanda FirthCardiac Rehabilitation, QEII Community Cardiovascular Hearts-in-Motion, Halifax, NS, Canada.ORCID 0000-0002-3595-5734
Kara ThompsonNova Scotia Health, Research Methods Unit, Halifax, NS, Canada.
Chris TheriaultNova Scotia Health, Research Methods Unit, Halifax, NS, Canada.
Howard WightmanCardiology Associates, Valley Regional Hospital, Kentville, NS, Canada.
Sharon SlippCardiac Rehabilitation, Valley Regional Hospital, Kentville, NS, Canada.
David MarstersInternal Medicine, Valley Regional Hospital, Kentville, NS, Canada.ORCID 0000-0001-9617-7190
Gail EskesPhysical Medicine, Nova Scotia Health Authority, Halifax, NS, Canada.ORCID 0000-0001-5867-9616
Fiona PeacockCardiac Specialty Clinic, Valley Regional Hospital, Kentville, Canada.
Chris BlanchardMedicine, Nova Scotia Health, Halifax, NS, Canada.
Judy DewolfeCardiac Specialty Clinic, Valley Regional Hospital, Kentville, Canada.
Dalhousie University · CANova Scotia Health Authority · CAQueen Elizabeth II Health Sciences Centre · CAUpper River Valley Hospital · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundNon-disabling stroke (NDS) and transient ischemic attack (TIA) herald the possibility of future, more debilitating vascular events. Evidence is conflicting about potency of exercise and education in reducing risk factors for second stroke.

methodsThree-site, single-blinded, randomized controlled trial with 184 participants <3 months of NDS or TIA (mean age, 65 years; 66% male) randomized to usual care (UC) or UC + 12-week program of exercise and education (PREVENT). Primary (resting systolic blood pressure) and secondary outcomes (diastolic blood pressure [DBPrest], high-density lipoprotein cholesterol [HDL-C], low-density lipoprotein cholesterol [LDL-C], total cholesterol [TC], TC/HDL, triglycerides, fasting glucose, and body mass index) were assessed at baseline, post-intervention, and 6- and 12-month follow-up. Peak oxygen consumption (VO

resultsSignificant between-group differences at post-intervention favored PREVENT group over UC: DBPrest (mean difference [MD]: -3.2 mmHg, 95% confidence interval [CI]: -6.3, -.2,

conclusionImpact of PREVENT on vascular risk factor reduction was more modest than anticipated, possibly because several outcome variables approximated normative values at baseline and training intensity may have been sub-optimal. Further investigation is warranted to determine when exercise and education programs are viable adjuncts to pharmaceutical management for reduction of risk factors for second stroke.

Indexed as

Exercise TherapyHeart Disease Risk FactorsPatient Education as TopicStroke RehabilitationAgedFemaleFollow-Up StudiesHumansIschemic Attack, TransientMaleMiddle AgedOutcome Assessment, Health CarePatient AcuitySingle-Blind MethodStrokeeducationexerciseheart disease risk factorssecondary preventionStroke

Identifiers

PMID34788569
PMCPMC9066689
OpenAlexW3213245633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.