Evidence map›Paper›PMID 36771220›Full record

SynthesisNutrients2023

25-Hydroxy-Vitamin D and Risk of Recurrent Stroke: A Dose Response Meta-Analysis.

Anita Vergatti, Veronica Abate, Aquilino Flavio Zarrella, Fiore Manganelli, Stefano Tozza, Rosa Iodice, Gianpaolo De Filippo, Lanfranco D'Elia, Pasquale Strazzullo, Domenico Rendina

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

10 authors at 2 institutions in 2 countries.

Anita VergattiDepartment of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.
Veronica AbateDepartment of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0003-0085-0067
Aquilino Flavio ZarrellaDepartment of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-7720-6870
Fiore ManganelliDepartment of Neuroscience, Reproductive and Odontostomatology Science, University of Naples "Federico II", 80131 Naples, Italy.
Stefano TozzaDepartment of Neuroscience, Reproductive and Odontostomatology Science, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-9672-4577
Rosa IodiceDepartment of Neuroscience, Reproductive and Odontostomatology Science, University of Naples "Federico II", 80131 Naples, Italy.
Gianpaolo De FilippoAssistance Publique-Hôpitaux de Paris, Hôpital Robert-Debré, Service d'Endocrinologie-Diabétologie, 75019 Paris, France.ORCID 0000-0003-1313-5599
Lanfranco D'EliaDepartment of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-1782-0211
Pasquale StrazzulloInternal Medicine, University of Naples "Federico II", 80131 Naples, Italy.
Domenico RendinaDepartment of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-0331-0392
University of Naples Federico II · ITAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke recurrence significantly improves the prognosis quoad vitam et valetudinem of patients with a first ischemic or haemorrhagic stroke. Other than in bone and skeletal metabolism, vitamin D is involved in the pathogenesis of cardiovascular disorders. This meta-analysis was performed to evaluate the relationship between 25OH-vitamin D [25(OH)D] levels at the first stroke and the stroke recurrence. To 31 July 2022, four prospective studies were identified. The potential non-linear relationship was evaluated by modelling 25(OH)D, using restricted cubic splines of 25(OH)D distribution. The pooled estimated risk (and 95% CI) of the recurrence of stroke, comparing the highest and the lowest levels, was assessed using a random-effect model. A non-linear association was found by dose-response analysis. This study found that 25(OH)D levels at the first stroke ≥9.3 ng/mL were associated with a lower risk of stroke recurrence, compared with 25(OH)D levels ≤8.5 ng/mL. In the pooled analysis, higher 25(OH)D levels at the first stroke significantly reduce the risk of stroke recurrence, with a significant heterogeneity among studies. In conclusion, 25(OH)D levels ≤8.5 ng/mL at the first stroke are significantly associated with a higher risk of recurrent stroke.

Indexed as

StrokeVitamin D DeficiencyCalcifediolHumansProspective StudiesRisk FactorsVitamin DVitamins25-hydroxyvitamin DCalcifediolVitamin DVitamins25-hydroxy-vitamin Dmeta-analysisstroke

Identifiers

PMID36771220
PMCPMC9921019
OpenAlexW4317508207

What OpenQuestion holds

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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.