Evidence map›Paper›PMID 34845923›Full record

ArticleJournal of the American Heart Association2021

Hemoglobin Concentration and Clinical Outcomes After Acute Ischemic Stroke or Transient Ischemic Attack.

Runhua Zhang, Qin Xu, Anxin Wang, Yong Jiang, Xia Meng, Maigeng Zhou, Yongjun Wang, Gaifen Liu

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 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

8 authors at 2 institutions in 1 country.

Runhua ZhangNational Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and Prevention Beijing China.ORCID 0000-0003-4825-191X
Qin XuBeijing Tiantan Hospital, Capital Medical University Beijing China.
Anxin WangBeijing Tiantan Hospital, Capital Medical University Beijing China.ORCID 0000-0003-4351-2877
Yong JiangBeijing Tiantan Hospital, Capital Medical University Beijing China.
Xia MengBeijing Tiantan Hospital, Capital Medical University Beijing China.
Maigeng ZhouNational Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and Prevention Beijing China.
Yongjun WangBeijing Tiantan Hospital, Capital Medical University Beijing China.ORCID 0000-0002-9976-2341
Gaifen LiuBeijing Tiantan Hospital, Capital Medical University Beijing China.ORCID 0000-0002-7038-3444
Capital Medical University · CNNational Center for Chronic and Noncommunicable Disease Control and Prevention · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Anemia or low hemoglobin can increase the risk of stroke. However, the association between hemoglobin and outcomes after stroke is uncertain. In this study, we aimed to investigate the association between hemoglobin and clinical outcomes, including mortality, poor functional outcome, stroke recurrence, and composite vascular events at 1 year. Methods and Results We included the patients diagnosed with acute ischemic stroke or transient ischemic attack from the Third China National Stroke Registry. We used the Cox model for mortality, stroke recurrence, and composite vascular events and the logistic model for the poor functional outcome to examine the relationship between hemoglobin and clinical outcomes. In addition, we used the restricted cubic spline to evaluate the nonlinear relationship. This study included 14 159 patients with acute ischemic stroke or transient ischemic attack. After adjusted for potential cofounders, both anemia and high hemoglobin were associated with the higher risk of mortality (hazard ratio [HR], 1.73; 95% CI, 1.39-2.15; HR, 2.71; 95% CI, 1.95-3.76) and poor functional outcome (odds ratio [OR], 1.36; 95% CI, 1.18-1.57; OR, 1.42; 95% CI, 1.07-1.87). High hemoglobin, but not anemia, increased the risk of stroke recurrence (HR, 1.37; 95% CI, 1.05-1.79) and composite vascular events (HR, 1.41; 95% CI, 1.08-1.83). There was a U-shaped relationship between hemoglobin and mortality and poor functional outcome. Conclusions Abnormal hemoglobin was associated with a higher risk of all-cause mortality, poor functional outcome, stroke recurrence, and composite vascular events. More well-designed clinical studies are needed to confirm the relationship between hemoglobin and clinical outcomes after stroke.

Indexed as

HemoglobinsIschemic Attack, TransientIschemic StrokeFunctional StatusHumansMortalityRecurrenceRisk AssessmentTreatment OutcomeHemoglobinsanemiafunctional outcomehemoglobinmortalityrecurrencestroke

Identifiers

PMID34845923
PMCPMC9075388
OpenAlexW3215993186

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.