Evidence map›Paper›PMID 36003294›Full record

ArticleFrontiers in neurology2022

Remote ischemic conditioning for acute ischemic stroke part 2: Study protocol for a randomized controlled trial.

Kentaro Ishizuka, Takao Hoshino, Sono Toi, Takafumi Mizuno, Megumi Hosoya, Moeko Saito, Yasuto Sato, Yoshiki Yagita, Kenichi Todo, Manabu Sakaguchi and 11 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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

21 authors.

Kentaro IshizukaDepartment of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Takao HoshinoDepartment of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Sono ToiDepartment of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Takafumi MizunoDepartment of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Megumi HosoyaDepartment of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Moeko SaitoDepartment of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Yasuto SatoDepartment of Public Health, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Yoshiki YagitaDepartment of Stroke Medicine, Kawasaki Medical School, Okayama, Japan.
Kenichi TodoDepartment of Neurology, Osaka University Graduate School of Medicine, Osaka, Japan.
Manabu SakaguchiDepartment of Neurology, Osaka General Medical Center, Osaka, Japan.
Takashi OhashiDepartment of Neurology, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Kenji MaruyamaDepartment of Neurology, Toda Chuo General Hospital, Saitama, Japan.
Shuji HinoDepartment of Neurology, Saitama Red Cross Hospital, Saitama, Japan.
Yutaka HonmaDepartment of Neurology, Showa General Hospital, Tokyo, Japan.
Ryosuke DoijiriDepartment of Neurology, Iwate Prefectural Central Hospital, Iwate, Japan.
Hiroshi YamagamiDepartment of Stroke Neurology, National Hospital Organization, Osaka National Hospital, Osaka, Japan.
Yasuyuki IguchiDepartment of Neurology, The Jikei University School of Medicine, Tokyo, Japan.
Teruyuki HiranoDepartment of Stroke and Cerebrovascular Medicine, Kyorin University, Tokyo, Japan.
Kazumi KimuraDepartment of Neurology, Nippon Medical School, Tokyo, Japan.
Takanari KitazonoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kazuo KitagawaDepartment of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Remote ischemic conditioning (RIC) refers to the application of repeated short periods of ischemia intended to protect remote areas against tissue damage during and after prolonged ischemia. Aim: We aim to evaluate the efficacy of RIC, determined by the modified Rankin Scale (mRS) score at 90 days after stroke onset. Design and methods: This study is an investigator-initiated, multicenter, prospective, randomized, open-label, parallel-group clinical trial. The sample size is 400, comprising 200 patients who will receive RIC and 200 controls. The patients will be divided into three groups according to their National Institutes of Health Stroke Scale score at enrollment: 5-9, mild; 10-14, moderate; 15-20, severe. The RIC protocol will be comprised of four cycles, each consisting of 5 min of blood pressure cuff inflation (at 200 mmHg or 50 mmHg above the systolic blood pressure) followed by 5 min of reperfusion, with the cuff placed on the thigh on the unaffected side. The control group will only undergo blood pressure measurements before and after the intervention period. This trial is registered with the UMIN Clinical Trial Registry (https://www.umin.ac.jp/: UMIN000046225). Study outcome: The primary outcome will be a good functional outcome as determined by the mRS score at 90 days after stroke onset, with a target mRS score of 0-1 in the mild group, 0-2 in the moderate group, and 0-3 in the severe group. Discussion: This trial may help determine whether RIC should be recommended as a routine clinical strategy for patients with ischemic stroke.

Indexed as

acute ischemic strokegood functional outcomeneurological severityrandomized controlled trialremote ischemic conditioning (RIC)

Identifiers

PMID36003294
PMCPMC9393485

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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.