Evidence map›Paper›PMID 37240578›Full record

ArticleJournal of clinical medicine2023

Association between Triglyceride-Glucose Index and Early Neurological Outcomes after Thrombolysis in Patients with Acute Ischemic Stroke.

Baixiang Zhang, Hanhan Lei, Gareth Ambler, David J Werring, Shuangfang Fang, Hangfeng Li, Ronghua Chen, Jin Wei, Guangliang Chen, Nan Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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 at 3 institutions in 2 countries.

Baixiang ZhangDepartment of Rehabilitation Medicine, Longyan First Affiliated Hospital of Fujian Medical University, Longyan 364099, China.
Hanhan LeiStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Gareth AmblerDepartment of Statistical Science, University College London, London WC1E 6BT, UK.
David J WerringDepartment of Brain Repair and Rehabilitation, University College London Queen Square Institute of Neurology, London WC1N 3BG, UK.
Shuangfang FangStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Hangfeng LiDepartment of Neurology, Longyan First Affiliated Hospital of Fujian Medical University, Longyan 364099, China.
Ronghua ChenStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Jin WeiDepartment of Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Guangliang ChenDepartment of Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Nan LiuStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Houwei DuStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, Fuzhou 350001, China.ORCID 0000-0002-5978-9734
Fujian Medical University · CNNational Hospital for Neurology and Neurosurgery · GBUniversity College London · GB

Funding

Fujian Provincial Department of Science and Technology 2021CXA012
6 · The paper itself

Abstract

backgroundThe triglyceride-glucose (TyG) index is a novel biomarker of insulin resistance which might plausibly influence endogenous fibrinolysis and thus early neurological outcomes in patients with acute ischemic stroke (AIS) treated with intravenous thrombolysis using recombinant tissue-plasminogen activator.

methodsWe included consecutive AIS patients within 4.5 h of symptom onset undergoing intravenous thrombolysis between January 2015 and June 2022 in this multi-center retrospective observational study. Our primary outcome was early neurological deterioration (END), defined as ≥2 (END

resultsA total of 676 patients with AIS were evaluated. The median age was 68 (Interquartile range, IQR (60-76) years old), and 432 (63.9%) were males. A total of 89 (13.2%) patients developed END

conclusionsIncreasing TyG index was associated with a higher risk of END and a lower probability of ENI in patients with acute ischemic stroke treated with intravenous thrombolysis.

Indexed as

acute ischemic strokeearly neurological deteriorationearly neurological improvementintravenous thrombolysistriglyceride-glucose index

Identifiers

PMID37240578
PMCPMC10219034
OpenAlexW4376644268

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.