Evidence map›Paper›PMID 35985839›Full record

ArticleJournal of neurointerventional surgery2023

Locked-in syndrome responding to endovascular treatment.

Jiaxing Song, Jiacheng Huang, Linyu Li, Jie Yang, Chengsong Yue, Shuai Liu, Weilin Kong, Xiaojun Luo, Jiasheng Liao, Jie Du and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurointerventional surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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 6 institutions in 1 country.

Jiaxing Song *Army Medical University Xinqiao Hospital Department of Neurology, Chongqing, China.ORCID http://orcid.org/0000-0002-1945-2360
Jiacheng Huang *Army Medical University Xinqiao Hospital Department of Neurology, Chongqing, China.
Linyu Li *Army Medical University Xinqiao Hospital Department of Neurology, Chongqing, China.
Jie YangArmy Medical University Xinqiao Hospital Department of Neurology, Chongqing, China.
Chengsong YueArmy Medical University Xinqiao Hospital Department of Neurology, Chongqing, China.
Shuai LiuArmy Medical University Xinqiao Hospital Department of Neurology, Chongqing, China.
Weilin KongArmy Medical University Xinqiao Hospital Department of Neurology, Chongqing, China.
Xiaojun LuoDepartment of Cerebrovascular Diseases, Guangyuan Central Hospital, Guangyuan, Sichuan, China.
Jiasheng LiaoDepartment of Neurology, Suining No.1 People's Hospital, Suining, China.
Jie DuDepartment of Neurology, The People's Hospital of Kaizhou District, Chongqing, Chongqing, China.
Bo SongDepartment of Neurology, Meishan People's Hospital, Meishan, Sichuan, China.
Jiazuo LiuDepartment of Neurology, Dazhou Central Hospital, Dazhou, Sichuan, China.
Xiaolong TianDepartment of Neurology, Qianjiang Central Hospital, Chongqing, Chongqing, China.
Xiaolin TanDepartment of Neurology, Meishan Second People's Hospital, Meishan, Sichuan, China.
Fengli LiArmy Medical University Xinqiao Hospital Department of Neurology, Chongqing, China ziwenjie@126.com lifengli01@yeah.net.
Wenjie ZiArmy Medical University Xinqiao Hospital Department of Neurology, Chongqing, China ziwenjie@126.com lifengli01@yeah.net.ORCID http://orcid.org/0000-0001-6323-2659
Army Medical University · CNMeizhou City People's Hospital · CNDazhou Central Hospital · CNPeople's Hospital of Kaizhou District · CNQianjiang Central Hospital · CNTaiyuan Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocked-in syndrome (LiS) is a rare and devastating condition in patients with acute basilar artery occlusion. However, the benefits of endovascular treatment (EVT) for LiS remain unclear.

objectiveTo assess the outcomes associated with EVT and identify the factors associated with outcomes of LiS.

methodsWe used the data of the Endovascular Treatment for Acute Basilar Artery Occlusion Study Registry (BASILAR) from 47 tertiary stroke centers in China. The included patients had LiS and received EVT or standard medical treatment (SMT) alone. The primary outcome was improvement in the modified Rankin Scale (mRS) score at 90 days.

resultsAmong the 120 patients with LiS, 92 (76.7%) received EVT and 28 (23.3%) received SMT. Compared with SMT, EVT was associated with improved mRS score (common OR (cOR)=2.68 (95% CI 1.16 to 6.20); p=0.02) and decreased mortality (aOR=0.35 (95% CI 0.13 to 0.90); p=0.03). Moreover, the benefit of EVT for LiS was sustained for at least 1 year (p=0.008). Higher baseline posterior circulation Alberta Stroke Prognosis Early CT Score (pc-ASPECTS, aOR=2.04 (95% CI 1.34 to 3.10); p<0.001) and absence of pneumonia (aOR=0.26 (95% CI 0.08 to 0.90); p=0.03) were significantly associated with favorable functional outcome at 90 days in patients who received EVT, while lower pc-ASPECTS (aOR=0.52 (95% CI 0.36 to 0.76); p<0.001) was associated with increased 90-day mortality.

conclusionsThis study found that EVT was associated with favorable functional outcomes and decreased mortality among patients with LiS. Baseline pc-ASPECTS and pneumonia were independent predictors of outcomes.

Indexed as

Arterial Occlusive DiseasesEndovascular ProceduresLocked-In SyndromeStrokeBasilar ArteryHumansThrombectomyTreatment OutcomeInterventionStrokeThrombectomy

Identifiers

PMID35985839
PMCPMC10359522
OpenAlexW4292385244

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.