Evidence map›Paper›PMID 37231701›Full record

ArticleEuropean stroke journal2023

The value of clinical routine blood biomarkers in predicting long-term mortality after stroke.

Isra Hatab, Markus Kneihsl, Egbert Bisping, Peter P Rainer, Simon Fandler-Höfler, Sebastian Eppinger, Melanie Haidegger, Natalie Berger, Harald Mangge, Reinhold Schmidt and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

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

12 authors at 1 institution in 1 country.

Isra HatabDepartment of Neurology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-5062-9558
Markus KneihslDepartment of Neurology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-6334-9432
Egbert BispingDivision of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Peter P RainerDivision of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Simon Fandler-HöflerDepartment of Neurology, Medical University of Graz, Graz, Austria.ORCID 0000-0001-9043-0378
Sebastian EppingerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Melanie HaideggerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Natalie BergerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Harald ManggeClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Reinhold SchmidtDepartment of Neurology, Medical University of Graz, Graz, Austria.
Christian EnzingerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Thomas GattringerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral blood biomarkers have been identified as predictors for poor outcome after ischemic stroke. However, recent studies mainly focused on single or experimental biomarkers and considered rather short follow-up intervals limiting their value for daily clinical practice. We, therefore, aimed to compare various clinical routine blood biomarkers for their predictive value on post-stroke mortality over a 5-year follow-up period. PATIENTS AND

methodsThis data analysis of a prospective single-center study included all consecutive ischemic stroke patients admitted to the stroke unit of our university hospital over a 1-year period. Various blood biomarkers of inflammation, heart failure, metabolic disorders, and coagulation were analyzed from standardized routine blood samples collected within 24 h of hospital admission. All patients underwent a thorough diagnostic workup and were followed for 5 years post-stroke.

resultsOf 405 patients (mean age: 70.3 years), 72 deceased (17.8%) during the follow-up period. While various routine blood biomarkers were associated with post-stroke mortality in univariable analyses, only NT-proBNP remained an independent predictor (adjusted odds ratio 5.1; 95% CI 2.0-13.1;

conclusionNT-proBNP represents the most relevant routine blood-based biomarker for the prediction of long-term mortality after ischemic stroke. Increased NT-proBNP levels indicate a vulnerable subgroup of stroke patients in which early and thorough cardiovascular assessment and consistent follow-ups could improve outcome after stroke.

Indexed as

Heart FailureIschemic StrokeStrokeAgedBiomarkersHumansProspective StudiesBiomarkers5-year follow-upblood biomarkerIschemic strokeNT-proBNPpost-stroke mortality

Identifiers

PMID37231701
PMCPMC10334163
OpenAlexW4323864135

What OpenQuestion holds

Textmetadata
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.