Evidence map›Paper›PMID 35125784›Full record

ArticleJournal of emergencies, trauma, and shock

Stroke Incidence and Outcome Disparity in Rural Regions of Southern West Virginia.

Frank Harrison Annie, Mark C Bates, Muhammad Khan, Salman Zahid, Syed Imran Shah, Aravinda Nanjundappa, Joshua R Wyner, Elise Anderson, Ali Farooq, Megan Wood and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 2 institutions in 1 country.

Frank Harrison AnnieCAMC Health Education and Research Institute, Charleston, WV, USA.
Mark C BatesCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Muhammad KhanCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Salman ZahidCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Syed Imran ShahCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Aravinda NanjundappaCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Joshua R WynerCAMC Health Education and Research Institute, Charleston, WV, USA.
Elise AndersonCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Ali FarooqCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Megan WoodCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Abhiram ChallaCAMC Vascular Center of Excellence, Charleston Area Medical Center, Charleston, WV, USA.
Charleston Area Medical Center · USCAMC Health Education and Research Institute · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

introductionWest Virginia has the highest incidence of obesity, smoking, and diabetes within the United States, placing its population at higher risk of stroke. In addition to these endemic risk factors, Appalachia faces various socioeconomic and health care access challenges that could negatively impact stroke incidence and outcomes. At present, there are limited data regarding geographic variables on stroke outcomes in rural Appalachia. We set out to quantify Appalachian geographic patterns of stroke incidence and outcomes.

methodsThis is a retrospective analysis of all patients hospitalized with a diagnosis of stroke in West Virginia's largest tertiary hospital. During the study (2000-2018), 14,488 patients were analyzed, with an emphasis on those who died from stroke (

resultsData analysis revealed several hot spots of increasing stroke and mortality rates, many of which achieved statistically significant variance compared to expected norms (

conclusionsStroke incidence and mortality were found to be higher than expected in many areas of rural West Virginia. The higher stroke risk populations correlate with area that may be impacted by socioeconomic factors and limited access to primary care. These high-risk areas may therefore benefit from investments in infrastructure, patient education, and unrestricted primary care.

Indexed as

Accessruralstroke

Identifiers

PMID35125784
PMCPMC8780634
OpenAlexW4210860219

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.