Evidence map›Paper›PMID 35621091›Full record

SynthesisCardiology journal2022

The diagnostic and prognostic value of copeptin in patients with acute ischemic stroke and transient ischemic attack: A systematic review and meta-analysis.

Natasza Blek, Piotr Szwed, Paulina Putowska, Adrianna Nowicka, Wiktoria L Drela, Aleksandra Gasecka, Jerzy R Ladny, Yaroslaw Merza, Milosz J Jaguszewski, Lukasz Szarpak

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cardiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  7. Article
  8. Article
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  10. Biomarkers and the outcomes of ischemic stroke.Frontiers in molecular neuroscience · 2023
    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

10 authors at 4 institutions in 2 countries.

Natasza BlekInstitute of Clinical Science, Maria Sklodowska-Curie Medical A cademy, Warsaw, Poland, Warsaw, Poland. natasza.blek@uczelniamedyczna.com.pl.ORCID 0000-0002-3213-7330
Piotr SzwedChair and Department of Cardiology, Medical University of Warsaw, Poland.ORCID 0000-0001-6835-9720
Paulina PutowskaChair and Department of Cardiology, Medical University of Warsaw, Poland.
Adrianna NowickaStudents Research Club, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
Wiktoria L DrelaStudents Research Club, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
Aleksandra GaseckaChair and Department of Cardiology, Medical University of Warsaw, Poland.ORCID 0000-0001-5083-7587
Jerzy R LadnyDepartment of Emergency Medicine, Medical University of Bialystok, Bialystok, Poland.
Yaroslaw MerzaOdesa National Medical University, Kyiv, Ukraine.
Milosz J JaguszewskiFirst Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.ORCID 0000-0002-2555-593X
Lukasz SzarpakInstitute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.ORCID 0000-0002-0973-5455
Medical University of Warsaw · PLMedical University of Białystok · PLGdańsk Medical University · PLOdessa National Medical University · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is the second main cause of mortality and the third leading cause of mortality and permanent disability combined. Many potential biomarkers have been described to contribute to the diagnosis, prognosis of outcomes, and risk stratification after stroke. Copeptin is an inactive peptide that is produced in an equimolar ratio to arginine vasopressin (AVP) in response to the activation of the endogenous stress system.

methodsThe present study isa systematic review and meta-analysis to assess plasma copeptin concentrations, diagnostic and prognostic values for risk stratification after acute ischemic stroke and transient ischemic attack.

resultsMean copeptin level in stroke vs. non-stroke groups varied and amounted to 19.8 ± 17.4 vs. 9.7 ± 6.6 pmol/L, respectively (mean differences [MD]: 12.75; 95% confidence interval [CI]: 5.00 to 20.49; p < 0.001), in good vs. poor outcome 12.0 ± 3.6 vs. 29.4 ± 14.5 (MD: -8.13; 95% CI: -8.37 to -7.88; p < 0.001) and in survive vs. non-survive stroke patients: 13.4 ± 3.2 vs. 33.0 ± 12.3, respectively (MD: -13.43; 95% CI: -17.82 to -9.05; p < 0.001).

conclusionsThe above systematic review and meta-analysis suggests that monitoring the copeptin levels may help predict the long-term prognosis of ischemic stroke efficiently. Determining the copeptin level may help individualize the management of ischemic stroke patients, keep stroke risk lower, reduce post-stroke complications, including patient death, and minimize healthcare costs.

Indexed as

Ischemic Attack, TransientIschemic StrokeStrokeBiomarkersGlycopeptidesHumansPrognosisBiomarkerscopeptinsGlycopeptidesacute ischemic strokecopeptinC-terminal (pre)pro-vasopressinmeta-analysisprognostic biomarkersystematic review

Identifiers

PMID35621091
PMCPMC9273240
OpenAlexW4281650228

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.