Evidence map›Paper›PMID 35985768›Full record

ArticleStroke and vascular neurology2023

Temporal trends and rural-urban disparities in cerebrovascular risk factors, in-hospital management and outcomes in ischaemic strokes in China from 2005 to 2015: a nationwide serial cross-sectional survey.

Chun-Juan Wang, Hong-Qiu Gu, Xin-Miao Zhang, Yong Jiang, Hao Li, Janet Prvu Bettger, Xia Meng, Ke-Hui Dong, Run-Qi Wangqin, Xin Yang and 16 more

Open access · goldAbstract read
In one paragraph

Article in Stroke and vascular neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. Review
  3. Review
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

26 authors at 12 institutions in 2 countries.

Chun-Juan Wang *China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Hong-Qiu Gu *China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0003-1608-1856
Xin-Miao ZhangVascular Neurology, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beiing, China.ORCID http://orcid.org/0000-0003-4571-6363
Yong JiangChina National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0001-7700-6054
Hao LiChina National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0002-8591-4105
Janet Prvu BettgerDuke Clinical Research Institute, Duke University, Durham, North Carolina, USA.
Xia MengChina National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Ke-Hui DongVascular Neurology, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beiing, China.
Run-Qi WangqinDepartment of Neurology, Duke Univeristy Medical Center, Durham, North Carolina, USA.ORCID http://orcid.org/0000-0001-8069-3676
Xin YangChina National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Meng WangChina National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0001-9678-4855
Chelsea LiuDepartment of Epidemiology, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.
Li-Ping LiuNeuro-intensive Care Unit, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Bei-Sha TangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Guo-Zhong LiDepartment of Neurology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Yu-Ming XuDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Zhi-Yi HeDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.
Yi YangDepartment of Neurology, The First Hospital of Jilin University, Changchun, Jilin, China.ORCID http://orcid.org/0000-0002-9729-8522
Winnie YipDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Gregg C FonarowAhmanson-UCLA Cardiomyopathy Center, Ronald Reagan-UCLA Medical Center, Los Angeles, CA, USA.
Lee H SchwammDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Ying XianDepartment of Neurology, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Xing-Quan ZhaoVascular Neurology, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beiing, China.ORCID http://orcid.org/0000-0001-8345-5147
Yi-Long WangVascular Neurology, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beiing, China.
Yongjun WangChina National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zixiao LiChina National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China lizixiao2008@hotmail.com.ORCID http://orcid.org/0000-0002-4713-5418
Capital Medical University · CNHarvard University · USCentral South University · CNDuke Medical Center · USDuke University · USFirst Hospital of China Medical University · CNHarbin Medical University · CNHarvard Global Health Institute · USJilin University · CNNational Health and Family Planning Commission · CNRonald Reagan UCLA Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is the leading cause of mortality in China, with limited evidence of in-hospital burden obtained from nationwide surveys. We aimed to monitor and track the temporal trends and rural-urban disparities in cerebrovascular risk factors, management and outcomes from 2005 to 2015.

methodsWe used a two-stage random sampling survey to create a nationally representative sample of patients admitted for ischaemic stroke in 2005, 2010 and 2015. We sampled participating hospitals with an economic-geographical region-stratified random-sampling approach first and then obtained patients with a systematic sampling approach. We weighed our survey data to estimate the national-level results and assess changes from 2005 to 2015.

resultsWe analysed 28 277 ischaemic stroke admissions from 189 participating hospitals. From 2005 to 2015, the estimated national hospital admission rate for ischaemic stroke per 100 000 people increased (from 75.9 to 402.7, P

conclusionsFrom 2005 to 2015, improvements in hospital admission and in-hospital management for ischaemic stroke in China were found. A temporal improvement in DAMA and improvements in in-hospital mortality and the composite outcome of in-hospital mortality or DAMA were observed. Disparities between rural and urban hospitals generally narrowed but persisted.

Indexed as

Brain IschemiaIschemic StrokeStrokeCross-Sectional StudiesHospitals, UrbanHumansRisk FactorsStroke

Identifiers

PMID35985768
PMCPMC9985802
OpenAlexW4292367114

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Registered trials

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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.