Evidence map›Paper›PMID 34945207›Full record

ArticleJournal of clinical medicine2021

Selective Serotonin Reuptake Inhibitors for the Prevention of Post-Stroke Depression: A Systematic Review and Meta-Analysis.

Daniel Richter, Jeyanthan Charles James, Andreas Ebert, Aristeidis H Katsanos, Lisa Mazul-Wach, Quirin Ruland, Ralf Gold, Georg Juckel, Christos Krogias

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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The Immunologic Underpinnings of Post-Stroke Depression.Biological psychiatry global open science · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Post-stroke Everything.Current neurology and neuroscience reports · 2023
    Review
  11. Editorial: New Advances in Cerebrovascular Disorders.Journal of clinical medicine · 2023
    Article
  12. Review
  13. Review
  14. Article
  15. Article
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

9 authors at 3 institutions in 2 countries.

Daniel RichterDepartment of Neurology, Ruhr-University Bochum, St. Josef-Hospital, 44791 Bochum, Germany.ORCID 0000-0001-6947-8350
Jeyanthan Charles JamesDepartment of Neurology, Ruhr-University Bochum, St. Josef-Hospital, 44791 Bochum, Germany.
Andreas EbertDepartment of Psychiatry, Ruhr-University Bochum, LWL-Klinik, 44791 Bochum, Germany.
Aristeidis H KatsanosDivision of Neurology, McMaster University and Population Health Research Institute, Hamilton, ON L8S 3L8, Canada.ORCID 0000-0002-6359-0023
Lisa Mazul-WachDepartment of Neurology, Ruhr-University Bochum, St. Josef-Hospital, 44791 Bochum, Germany.
Quirin RulandDepartment of Neurology, Ruhr-University Bochum, St. Josef-Hospital, 44791 Bochum, Germany.
Ralf GoldDepartment of Neurology, Ruhr-University Bochum, St. Josef-Hospital, 44791 Bochum, Germany.
Georg JuckelDepartment of Psychiatry, Ruhr-University Bochum, LWL-Klinik, 44791 Bochum, Germany.
Christos KrogiasDepartment of Neurology, Ruhr-University Bochum, St. Josef-Hospital, 44791 Bochum, Germany.ORCID 0000-0003-2965-4051
St. Josef-Hospital · DELWL-Universitätsklinikum Bochum · DEPopulation Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are controversial data on the efficacy and safety profile of selective serotonin reuptake inhibitors (SSRIs) to prevent post-stroke depression (PSD). We performed a systematic search in MEDLINE and SCOPUS databases to identify randomized-controlled trials questioning the use of early SSRI therapy in the post-stroke population and its effect on PSD incidence. We included 6 studies with 6560 participants. We extracted the data on PSD occurrence in association with the treatment arm (SSRI versus placebo), as reported by each study. For safety analysis, we extracted the information on adverse events. A random-effects model was used to calculate the pooled relative risk estimates. Early SSRI therapy was associated with a significant reduction of PSD occurrence compared to placebo (10.4% versus 13.8%; relative risk: 0.75 [95% CI, 0.66-0.86]; absolute risk reduction: 3.4%). SSRI therapy increases the risk of bone fracture (RR 2.28 [95% CI, 1.58-3.30]) and nausea (RR 2.05 [95% CI, 1.10-3.82]) in the post-stroke population. Considering the risk-benefit ratio of early SSRI therapy in the post-stroke population, future research should identify high-risk patients for PSD to improve the risk-benefit consideration of this therapy for use in clinical practice.

Indexed as

post-stroke depressionserotonin reuptake inhibitorstroke

Identifiers

PMID34945207
PMCPMC8704665
OpenAlexW4200377604

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.