Evidence map›Paper›PMID 36180827›Full record

ArticleBMC cardiovascular disorders2022

Elevated NT-proBNP levels are associated with CTP ischemic volume and 90-day functional outcomes in acute ischemic stroke: a retrospective cohort study.

Xiaozhu Shen, Juan Liao, Yi Jiang, Yiwen Xu, Mengqian Liu, Xianxian Zhang, Nan Dong, Liqiang Yu, Qingmei Chen, Qi Fang

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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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 3 institutions in 1 country.

Xiaozhu Shen *Department of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Juan Liao *Department of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Yi JiangDepartment of Geriatrics, Lianyungang Second People's Hospital, Lianyungang, China.
Yiwen XuDepartment of Geriatrics, Lianyungang Second People's Hospital, Lianyungang, China.
Mengqian LiuDepartment of Geriatrics, Lianyungang Second People's Hospital, Lianyungang, China.
Xianxian ZhangDepartment of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China. simplezxx@126.com.
Nan DongDepartment of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Liqiang YuDepartment of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Qingmei ChenDepartment of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Qi FangDepartment of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China. fangqi_008@126.com.
First Affiliated Hospital of Soochow University · CNXian Yang Central Hospital · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the impact of N-terminal pro-B-type natriuretic peptide (NT-proBNP) on CTP infarct core volume and poor 90-day functional outcomes in acute ischemic stroke (AIS).

methodsA total of 403 hospitalized patients with AIS in the Stroke Center of the First Hospital Affiliated to Soochow University were enrolled from March 2018 to January 2021. The association between NT-proBNP and clinical outcomes in acute ischemic patients was assessed by logistic regression and adjusted for confounding factors. Also, subgroup analyses were conducted based on treatment decisions.

resultsNT-proBNP was positively correlated with CTP ischemic volume (p < 0.001), infarct core volume (p < 0.001), and ischemic penumbra volume (p < 0.001). Univariate analysis showed that the influence of NT-proBNP and functional outcomes were statistically significant in model 1 (p = 0.002). This phenomenon was persistent after adjusted for age, sex, and body mass index in model 2 (p = 0.011), adjusted for SBP, current smoking, family history of stroke, hypertension, and diabetes mellitus in model 3 (p < 0.001), and adjusted for TnI, D-dimer, PLT, Cr, TC, TG, HDL-C, treatment decisions, and NIHSS score in model 4 (p = 0.027). A high NT-proBNP was associated with a high 90-days mRS score among the total population, IV rt-PA, and standardized treatment groups, but not in IV rt-PA + EVT, EVT, and EVT/IV rt-PA + EVT groups.

conclusionElevated NT-proBNP levels reveal large CTP infarct core volume and poor 90-day functional outcome in AIS. NT-pro BNP is an independent risk factor for functional outcomes.

Indexed as

Ischemic StrokeStrokeBiomarkersHumansInfarctionNatriuretic Peptide, BrainPeptide FragmentsRetrospective StudiesBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Acute ischemic strokeCTP perfusionN-terminal pro-B-type natriureticOutcomesTreatment decisions

Identifiers

PMID36180827
PMCPMC9524121
OpenAlexW4298143645

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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.