Evidence map›Paper›PMID 35656979›Full record

Trial reportJournal of the American Heart Association2022

Predictors of Recurrent Stroke After Embolic Stroke of Undetermined Source in the RE-SPECT ESUS Trial.

Victor J Del Brutto, Han-Christoph Diener, J Donald Easton, Christopher B Granger, Lisa Cronin, Eva Kleine, Claudia Grauer, Martina Brueckmann, Kazunori Toyoda, Peter D Schellinger and 6 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. 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

16 authors at 13 institutions in 10 countries.

Victor J Del BruttoDepartment of Neurology University of Miami Miller School of Medicine Miami FL.ORCID 0000-0002-5115-6916
Han-Christoph DienerDepartment of Neurology University Duisburg-Essen Essen Germany.ORCID 0000-0002-6556-8612
J Donald EastonDepartment of Neurology University of California San Francisco CA.ORCID 0000-0002-8039-805X
Christopher B GrangerDuke Clinical Research Institute Durham NC.ORCID 0000-0002-0045-3291
Lisa CroninBoehringer Ingelheim Pharma Burlington Ontario Canada.
Eva KleineBoehringer Ingelheim Pharma GmbH & Co. KG Biberach Germany.
Claudia GrauerBoehringer Ingelheim Pharma GmbH & Co. KG Biberach Germany.
Martina BrueckmannBoehringer Ingelheim International GmbH Ingelheim Germany.ORCID 0000-0003-1215-0746
Kazunori ToyodaDepartment of Cerebrovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan.ORCID 0000-0002-8346-9845
Peter D SchellingerJohannes Wesling Medical Center, MindenUK RUB Minden Germany.ORCID 0000-0002-8517-0353
Philippe LyrerUniversity Hospital Basel Basel Switzerland.ORCID 0000-0002-1435-1114
Carlos A MolinaVall d'Hebron Stroke Center Barcelona Spain.
Aurauma ChutinetDepartment of Medicine Faculty of Medicine Chulalongkorn UniversityChulalongkorn Stroke CenterKing Chulalongkorn Memorial HospitalThai Red Cross Society Bangkok Thailand.
Christopher F BladinEastern Health Clinical School Monash University Melbourne Australia.ORCID 0000-0002-1729-0855
Conrado J EstolStroke UnitSanatorio Guemes and Breyna Buenos Aires Argentina.
Ralph L SaccoDepartment of Neurology University of Miami Miller School of Medicine Miami FL.ORCID 0000-0003-4629-684X
Boehringer Ingelheim (Germany) · DEUniversity of Miami · USBoehringer Ingelheim (Canada) · CAClinical Research Institute · USEastern Health · AUHebron University · PSHelios Salud · ARNational Cerebral and Cardiovascular Center · JPThai Red Cross Society · THUniversity Hospital of Basel · CHUniversity Hospitals of the Ruhr-University of Bochum · DEUniversity of California, San Francisco · USUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background We sought to determine recurrent stroke predictors among patients with embolic strokes of undetermined source (ESUS). Methods and Results We applied Cox proportional hazards models to identify clinical features associated with recurrent stroke among participants enrolled in RE-SPECT ESUS (Randomized, Double-Blind, Evaluation in Secondary Stroke Prevention Comparing the Efficacy and Safety of the Oral Thrombin Inhibitor Dabigatran Etexilate Versus Acetylsalicylic Acid in Patients With Embolic Stroke of Undetermined Source) trial, an international clinical trial evaluating dabigatran versus aspirin for patients with ESUS. During a median follow-up of 19 months, 384 of 5390 participants had recurrent stroke (annual rate, 4.5%). Multivariable models revealed that stroke or transient ischemic attack before the index event (hazard ratio [HR], 2.27 [95% CI, 1.83-2.82]), creatinine clearance <50 mL/min (HR, 1.69 [95% CI, 1.23-2.32]), male sex (HR, 1.60 [95% CI, 1.27-2.02]), and CHA

Indexed as

Embolic StrokeIntracranial EmbolismStrokeAspirinCerebral InfarctionDabigatranHumansMaleRisk FactorsTomography, Emission-Computed, Single-PhotonAspirinDabigatranembolic stroke of undetermined sourcerisk factorssecondary preventionstroke predictors

Identifiers

PMID35656979
PMCPMC9238731
OpenAlexW4281711102

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.