Evidence map›Paper›PMID 36212663›Full record

SynthesisFrontiers in neurology2022

Influence of pre-stroke dependency on safety and efficacy of endovascular therapy: A systematic review and meta-analysis.

Hengxiao Zhao, Xuesong Bai, Wei Li, Qiuyue Tian, Wenjiao Wang, Xiaofan Guo, Yao Feng, Linyan Duan, Adam A Dmytriw, Aman B Patel and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. 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

15 authors.

Hengxiao ZhaoDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xuesong BaiDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Wei LiDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Qiuyue TianBeijing Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China.
Wenjiao WangDepartment of Library, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xiaofan GuoDepartment of Neurology, Loma Linda University Health, Loma Linda, CA, United States.
Yao FengDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Linyan DuanDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
Adam A DmytriwNeuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Aman B PatelNeuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Tingyu YiDepartment of Neurology, Zhangzhou Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Wenbo CaoDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xiaoli MinDepartment of Cerebrovascular Diseases, The Second Affiliated Hospital, Kunming Medical University, Kunming, China.
Wenhuo ChenDepartment of Neurology, Zhangzhou Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Liqun JiaoDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: In the landmark trials studying endovascular thrombectomy (EVT), pre-stroke dependent (PSD) patients were generally excluded. This systematic review and meta-analysis aimed to compare the safety and efficacy of EVT between PSD and pre-stroke independent (PSI) patients. Methods: We searched CENTRAL, Embase, and Ovid MEDLINE up to 11 November 2021 for studies assessing PSD and PSI patients, which were separately defined as pre-stroke mRS score >2 or >1, and ≤2 or ≤1 accordingly. Two authors extracted data and assessed the risk of bias. A meta-analysis was carried out using the random-effects model. Adjusted OR and 95% CI were used to estimate adjusted pool effects. The main outcomes included favorable outcomes, successful recanalization, symptomatic intracranial hemorrhage, and 90-day mortality. Results: A total of 8,004 records met the initial search strategy, and ten studies were included in the final decision. Compared with PSI Conclusions: PSD does not innately influence the EVT outcomes regarding sICH and favorable outcomes but may increase the risk of 90-day mortality. Until further evidence is available, it is reasonable to suggest EVT for patients with PSD.

Indexed as

endovascular therapy (EVT)ischemic strokemeta-analysispatient selectionsystematic reviewtreatment outcome

Identifiers

PMID36212663
PMCPMC9532553

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.