Evidence map›Paper›PMID 37189072›Full record

ArticleBMC geriatrics2023

Neuron-specific enolase in hypertension patients with acute ischemic stroke and its value forecasting long-term functional outcomes.

Lingfei Gao, Jiali Xie, Haiqin Zhang, Hangqi Zheng, Wanjun Zheng, Chunyang Pang, Yunlei Cai, Binbin Deng

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
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  5. Article
  6. The allergenic potential of enolases: physiological and pathophysiological insights.Current opinion in allergy and clinical immunology · 2025
    Review
  7. Article
  8. Article
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  12. Neuron-Specific Enolase-What Are We Measuring?International journal of molecular sciences · 2024
    Review
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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

8 authors at 4 institutions in 1 country.

Lingfei Gao *Department of Neurology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jiali Xie *Department of Neurology, Shanghai East Hospital, Tongji University, Shanghai, PR China.
Haiqin ZhangFirst Clinical College of Wenzhou Medical University, Wenzhou, China.
Hangqi ZhengFirst Clinical College of Wenzhou Medical University, Wenzhou, China.
Wanjun ZhengFirst Clinical College of Wenzhou Medical University, Wenzhou, China.
Chunyang PangDepartment of Neurology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yunlei CaiAnyang District Hospital, Dengta Road, Beiguan District, Anyang City, Henan Province, PR China.
Binbin DengDepartment of Neurology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. dbinbin@aliyun.com.
First Affiliated Hospital of Wenzhou Medical University · CNWenzhou Medical University · CNAnyang Tumor Hospital · CNShanghai East Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuron Specific Enolase (NSE), a neuro-biochemical protein marker, may correlate with the prognosis of stroke patients. Moreover, hypertension is the most common comorbidities in patients with acute ischemic stroke (AIS), and the relationship between NSE levels and long-term functional outcomes in such an increasingly large population is unclear. The aim of the study was to investigate the relationships mentioned above and optimize the prediction models.

methodsFrom 2018 to 2020, 1086 admissions for AIS were grouped as hypertension and non-hypertension, while hypertension group was randomly divided into development and validation cohorts for internal validation. The severity of the stroke was staged by National Institutes of Health Stroke Scale (NIHSS) score. Stroke prognosis after 1 year of follow up was documented by modified Rankin Scale (mRS) score.

resultsAnalysis revealed the following findings:(i) Serum NSE levels increased greatly in hypertension subjects with poor functional outcomes(p = 0.046). However, there was no association in non-hypertension individuals(p = 0.386). (ii) In addition to the conventional factors (age and NIHSS score), NSE (OR:1.241, 95% CI: 1.025-1.502) and prothrombin time were significantly related to the incidence of unfavorable outcomes. (iii)Based on the above four indicators, a novel nomogram was established to predict the prognosis of stoke in hypertension patients with the c-index values of 0.8851.

conclusionsOverall, high baseline NSE is associated with poor 1-year AIS outcomes in hypertension patients, suggesting NSE may be a potential prognostic and therapeutic target for stroke in hypertension patients.

Indexed as

Brain IschemiaHypertensionIschemic StrokeStrokeBiomarkersHumansPhosphopyruvate HydratasePrognosisBiomarkersPhosphopyruvate HydrataseFunctional outcomeHypertensionNeuron specific enolaseNomogramStroke

Identifiers

PMID37189072
PMCPMC10184372
OpenAlexW4376610551

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.