Evidence map›Paper›PMID 37026459›Full record

Observational studyStroke2023

Plasma Inflammatory Biomarkers Are Associated With Poststroke Cognitive Impairment: The Nor-COAST Study.

Heidi Vihovde Sandvig, Stina Aam, Katinka Nordheim Alme, Torunn Askim, Mona K Beyer, Hanne Ellekjær, Hege Ihle-Hansen, Stian Lydersen, Tom Eirik Mollnes, Ragnhild Munthe-Kaas and 6 more

Registry-linked trialOpen access · hybridAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02650531 (Norwegian COgnitive Impairment After STroke), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.3field-weighted citation impact, top 5% 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.

NCT02650531 completednot on this map

Norwegian COgnitive Impairment After STroke (NorCOAST) Study

TypeobservationalSponsorNorwegian University of Science and TechnologyRan2015 to 2018Enrolled816ConditionsDementia, Mild Cognitive Impairment, Stroke
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Blood-Based Biomarkers for Post-Stroke Cognitive Impairment.Current issues in molecular biology · 2026
    Review
  3. Article
  4. Article
  5. Longitudinal plasma interleukin-6 and post-stroke cognitive outcomes: The Stroke-IMPaCT study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. The enigma of vascular dementia: current state and emerging perspectives.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  8. Article
  9. Review
  10. Observational
  11. Observational
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Vascular cognitive impairment and dementia: Mechanisms, treatment, and future directions.International journal of stroke : official journal of the International Stroke Society · 2024
    Review
  20. Review
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

16 authors at 6 institutions in 2 countries.

Heidi Vihovde SandvigDepartment of Medicine, Kristiansund Hospital, Møre og Romsdal Hospital Trust, Norway (H.V.S.).ORCID 0000-0002-0591-8377
Stina AamDepartment of Neuromedicine and Movement Science (H.V.S., S.A., T.A., H.E., I.S., P.T., T.W.), NTNU - Norwegian University of Science and Technology, Trondheim.ORCID 0000-0002-9116-6991
Katinka Nordheim AlmeDepartment of Internal Medicine, Haraldsplass Deaconess Hospital, Bergen, Norway (K.N.A.).ORCID 0000-0002-3925-4169
Torunn AskimDepartment of Neuromedicine and Movement Science (H.V.S., S.A., T.A., H.E., I.S., P.T., T.W.), NTNU - Norwegian University of Science and Technology, Trondheim.ORCID 0000-0002-9818-9272
Mona K BeyerDivision of Radiology and Nuclear Medicine (M.K.B.), Oslo University Hospital, Norway.ORCID 0000-0001-9156-6357
Hanne EllekjærDepartment of Neuromedicine and Movement Science (H.V.S., S.A., T.A., H.E., I.S., P.T., T.W.), NTNU - Norwegian University of Science and Technology, Trondheim.
Hege Ihle-HansenOslo Stroke Unit, Department of Neurology (H.I.-H.), Oslo University Hospital, Norway.ORCID 0000-0001-6298-9799
Stian LydersenDepartment of Mental Health (S.L.), NTNU - Norwegian University of Science and Technology, Trondheim.ORCID 0000-0001-6613-8596
Tom Eirik MollnesFaculty of Medicine and Health Science, and Centre of Molecular Inflammation Research (T.E.M.), NTNU - Norwegian University of Science and Technology, Trondheim.
Ragnhild Munthe-KaasDepartment of Medicine, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway (R.M.-K.).ORCID 0000-0002-2036-0674
Halvor NæssDepartment of Neurology, Haukeland University Hospital, Bergen, Norway (H.N.).ORCID 0000-0002-7336-3131
Ingvild SaltvedtDepartment of Neuromedicine and Movement Science (H.V.S., S.A., T.A., H.E., I.S., P.T., T.W.), NTNU - Norwegian University of Science and Technology, Trondheim.ORCID 0000-0002-7897-9808
Yngve Müller SeljesethMedical Department, Ålesund Hospital, Møre og Romsdal Hospital Trust, Norway (Y.M.S.).ORCID 0000-0002-7129-9033
Pernille ThingstadDepartment of Neuromedicine and Movement Science (H.V.S., S.A., T.A., H.E., I.S., P.T., T.W.), NTNU - Norwegian University of Science and Technology, Trondheim.ORCID 0000-0002-9950-3657
Torgeir WethalDepartment of Neuromedicine and Movement Science (H.V.S., S.A., T.A., H.E., I.S., P.T., T.W.), NTNU - Norwegian University of Science and Technology, Trondheim.
Anne-Brita KnapskogDepartment of Geriatric Medicine (A.-B.K.), Oslo University Hospital, Norway.ORCID 0000-0003-4867-551X
Norwegian University of Science and Technology · NOOslo University Hospital · NOÅlesund Hospital · NODeaconess Hospital · USStavanger University Hospital · NOVestre Viken Hospital Trust · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammation is proposed to be involved in the pathogenesis of poststroke cognitive impairment. The aim of this study was to investigate associations between concentrations of systemic inflammatory biomarkers after ischemic stroke and poststroke cognitive impairment.

methodsThe Nor-COAST study (Norwegian Cognitive Impairment After Stroke) is a prospective observational multicenter cohort study, including patients hospitalized with acute stroke between 2015 and 2017. Inflammatory biomarkers, including the TCC (terminal C5b-9 complement complex) and 20 cytokines, were analyzed in plasma, collected at baseline, 3-, and 18 months poststroke, using ELISA and a multiplex assay. Global cognitive outcome was assessed with the Montreal Cognitive Assessment (MoCA) scale. We investigated the associations between plasma inflammatory biomarkers at baseline and MoCA score at 3-, 18-, and 36-month follow-ups; the associations between inflammatory biomarkers at 3 months and MoCA score at 18- and 36-month follow-ups; and the association between these biomarkers at 18 months and MoCA score at 36-month follow-up. We used mixed linear regression adjusted for age and sex.

resultsWe included 455 survivors of ischemic stroke. Higher concentrations of 7 baseline biomarkers were significantly associated with lower MoCA score at 36 months; TCC, IL (interleukin)-6, and MIP (macrophage inflammatory protein)-1α were associated with MoCA at 3, 18, and 36 months (

conclusionsHigher concentrations of plasma inflammatory biomarkers were associated with lower MoCA scores up to 36 months poststroke. This was most pronounced for inflammatory biomarkers measured in the acute phase following stroke. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; Unique identifier: NCT02650531.

Indexed as

Cognitive DysfunctionIschemic StrokeStrokeBiomarkersCohort StudiesHumansNeuropsychological TestsBiomarkersbiomarkerscognitioninflammationinterleukinstroke

Identifiers

PMID37026459
PMCPMC10121247
OpenAlexW4362691907

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.