Evidence map›Paper›PMID 36777360›Full record

ArticleFrontiers in endocrinology2023

Impacts of stress hyperglycemia ratio on early neurological deterioration and functional outcome after endovascular treatment in patients with acute ischemic stroke.

Zheng Dai, Haiming Cao, Feng Wang, Lei Li, Hongquan Guo, Xiaohao Zhang, Haichang Jiang, Juehua Zhu, Yongjun Jiang, Dezhi Liu and 1 more

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

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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

11 authors.

Zheng DaiDepartment of Neurology, Jinling Hospital, Nanjing Medical University, Nanjing, China.
Haiming CaoDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Feng WangDepartment of Neurology, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Lei LiDepartment of Neurology, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Hongquan GuoDepartment of Neurology, Jinling Hospital, First School of Clinical Medicine, Southern Medical University, Nanjing, China.
Xiaohao ZhangDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Haichang JiangDepartment of Neurology, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Juehua ZhuDepartment of Neurology, First Affiliated Hospital of Soochow University, Suzhou, China.
Yongjun JiangDepartment of Neurology, Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Dezhi LiuDepartment of Neurology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Gelin XuDepartment of Neurology, Jinling Hospital, Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Purpose: Hyperglycemia has been associated with unfavorable outcome of acute ischemic stroke, but this association has not been verified in patients with endovascular thrombectomy treatment. This study aimed to assess the impact of stress hyperglycemia ratio on early neurological deterioration and favorable outcome after thrombectomy in patients with acute ischemic stroke. Methods: Stroke patients with endovascular thrombectomy in two comprehensive centers were enrolled. Early neurological deterioration was defined as ≥4 points increase of National Institutes of Health Stroke Scale (NIHSS) at 24 hours after endovascular procedure. Favorable outcome was defined as modified Rankin Scale (mRS) score of 0-2 at 90 days of stroke onset. Multivariate regression analysis was used to identify the predictors for early neurological deterioration and favorable outcome. Results: Among the 559 enrolled, 74 (13.2%) patients developed early neurological deterioration. The predictors for early neurological deterioration were high stress hyperglycemia ratio at baseline (OR =5.77; 95% CI, 1.878-17.742; Conclusion: High stress hyperglycemia ratio may be related to early neurological deterioration and decreased likelihood of favourable outcomes after endovascular thrombectomy in patients with acute ischemic stroke.

Indexed as

Brain IschemiaHyperglycemiaIschemic StrokeStrokeHumansTreatment OutcomeUnited Statesacute ischemic strokeearly neurological deteriorationendovascular thrombectomylarge artery occlusionstress hyperglycemia ratio

Identifiers

PMID36777360
PMCPMC9910688

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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.