Evidence map›Paper›PMID 36340757›Full record

ArticleFrontiers in neuroscience2022

Prognostic nomogram for the outcomes in acute stroke patients with intravenous thrombolysis.

Zheng Ping, Li Min, Lu Qiuyun, Chen Xu, Bai Qingke

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Article in Frontiers in neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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

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  10. Development and validation of outcome prediction model for reperfusion therapy in acute ischemic stroke using nomogram and machine learning.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Zheng PingKey Laboratory and Neurosurgery, Shanghai Pudong New Area People's Hospital, Shanghai, China.
Li MinDepartment of Neurology, Shanghai Pudong New Area People's Hospital, Shanghai, China.
Lu QiuyunDepartment of Neurology, Shanghai Eighth People's Hospital, Shanghai, China.
Chen XuDepartment of Neurology, Shanghai Eighth People's Hospital, Shanghai, China.
Bai QingkeDepartment of Neurology, Shanghai Pudong New Area People's Hospital, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: The prediction of neurological outcomes in ischemic stroke patients is very useful in treatment choices, as well as in post-stroke management. This study is to develop a convenient nomogram for the bedside evaluation of stroke patients with intravenous thrombolysis. Materials and methods: We reviewed all enrolled stroke patients with intravenous thrombolysis retrospectively. Favorable outcome was defined as modified Rankin Score (mRs) less than 2 at 90 days post thrombolysis. We compared the clinical characteristics between patients with favorable outcome and poor outcome. Then, we applied logistic regression models and compared their predictability. Results: A total of 918 patients were enrolled in this study, 448 patients from one hospital were included to develop a nomogram, whereas 470 patients from the other hospital were used for the external validation. Associated risk factors were identified by multivariate logistic regression. The nomogram was validated by the area under the receiver operating characteristic curve (AUC). A nomogram was developed with baseline NIHSS, blood sugar, blood cholesterol level, part-and full anterior circulation infarction (OCSP type). The AUC was 0.767 (95% CI 0.653-0.772) and 0.836 (95% CI 0.697-0.847) in the derivation and external validation cohorts, respectively. The calibration plot for the probability of severe neurological outcome showed an optimal agreement between the prediction by nomogram and actual observation in both derivation and validation cohorts. Conclusion: A convenient outcome evaluation nomogram for patients with intravenous thrombolysis was developed, which could be used by physicians in making clinical decisions and predicting patients' prognosis.

Indexed as

cerebral infarctionintravenous thrombolysisischemic strokelogistic regression modelOCSP

Identifiers

PMID36340757
PMCPMC9627298

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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.