Evidence map›Paper›PMID 37523881›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2023

Stroke in Sierra Leone. the stroke risk factors for people with HIV: A prospective case-control study.

Mamadu Baldeh, Daniel Youkee, Sulaiman Lakoh, Anthony Rudd, Peter Langhorne, Gibrilla F Deen, Zainab F Conteh, Durodami R Lisk, Jessica O'Hara, Melvina Thompson and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
5.2field-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

6 citing papers in PubMed, 13 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

14 authors at 6 institutions in 3 countries.

Mamadu BaldehCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone; Medical Research Council Gambia at London School of Hygiene and Tropical Medicine, UK. Electronic address: mamadu.baldeh@lshtm.ac.uk.
Daniel YoukeeSchool of Life Course and Population Sciences, King's College London, London, UK.
Sulaiman LakohCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone; Connaught Teaching Hospital, University of Sierra Leone teaching Hospital Complex, Freetown, Sierra Leone.
Anthony RuddSchool of Life Course and Population Sciences, King's College London, London, UK.
Peter LanghorneAcademic Section of Geriatric Medicine, School of Cardiovascular and Metabolic Health, University of Glasgow.
Gibrilla F DeenCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone; Connaught Teaching Hospital, University of Sierra Leone teaching Hospital Complex, Freetown, Sierra Leone.
Zainab F ContehConnaught Teaching Hospital, University of Sierra Leone teaching Hospital Complex, Freetown, Sierra Leone.
Durodami R LiskCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Jessica O'HaraSchool of Life Course and Population Sciences, King's College London, London, UK.
Melvina ThompsonCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone; Connaught Teaching Hospital, University of Sierra Leone teaching Hospital Complex, Freetown, Sierra Leone.
Michael Tanu BrimaConnaught Teaching Hospital, University of Sierra Leone teaching Hospital Complex, Freetown, Sierra Leone.
Yanzhong WangSchool of Life Course and Population Sciences, King's College London, London, UK; National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South London, London, UK.
Charles DA WolfeSchool of Life Course and Population Sciences, King's College London, London, UK; National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South London, London, UK.
Catherine M SackleyFaculty of Medicine and Health Sciences, University of Nottingham, UK.
University of Sierra Leone · SLKing's College London · GBMRC Unit the Gambia · GMNational Institute for Health and Care Excellence · GBUniversity of Glasgow · GBUniversity of Nottingham · GB

Funding

Addressing the Research Capacity Gap in Global Child and Adolescent Health Disparities Utilizing Implementation and Data Sciences among Vulnerable Populations in Resource-limited Settings (ACHIEVE)D43TW012275 · FIC · WASHINGTON UNIVERSITY · PI Theresa Stichick Betancourt, Mary McKernan McKay · 2022 to 2026
$7.2M
FIC NIH HHS D43 TW012275Medical Research Council MR/W000903/1
6 · The paper itself

Abstract

backgroundHIV infection rates are relatively low in Sierra Leone and in West Africa but the contribution of HIV to the risk factors for stroke and outcomes is unknown. In this study, we examined stroke types, presentation, risk factors and outcome in HIV stroke patients compared with controls.

methodsWe used data from the Stroke in Sierra Leone Study at 2 tertiary hospitals in Freetown, Sierra Leone. A case control design was used to compare stroke type, presentation, risk factors and outcome in sero-positive HIV patients with HIV negative stroke controls. Controls were matched for age and gender and a 1:4 ratio cases to controls was used to optimize power. Analysis was performed using the Pearson x

resultsOf 511 (51.8%) stroke patients tested for HIV, 36 (7.1%) were positive. Univariate unmatched analysis showed a stroke mean age of 49 years in HIV-positive versus 58 years in HIV-negative population (p = <0.001). In the case-control group, ischaemic stroke is the major type reported in both populations, HIV-negative population: 77 (53.5%) versus HIV-positive: 25 (69.4%) (p = 0.084). Hypertension is the most prevalent risk factor in both groups, HIV-positive: 23 (63.9%) versus HIV-negative: 409 (86.1%) (p = 0.001). Lower CD4+ count is associated in-hospital mortality (p = <0.001).

conclusionThese findings support the current call for timely management of stroke and HIV through integrated care.

Indexed as

Brain IschemiaHIV InfectionsStrokeCase-Control StudiesHumansMiddle AgedRisk FactorsSierra LeoneBarthel indexHIVNIHSSOutcomeSierra LeoneStrokeSub – Saharan Africa

Identifiers

PMID37523881
PMCPMC11070751
OpenAlexW4385387212

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.