Evidence map›Paper›PMID 37537542›Full record

ArticleBMC neurology2023

Association between malnutrition and stroke-associated pneumonia in patients with ischemic stroke.

Dongze Li, Yi Liu, Yu Jia, Jing Yu, Fanghui Li, Hong Li, Lei Ye, Xiaoyang Liao, Zhi Wan, Zhi Zeng and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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  9. Effects of Undernutrition and Obesity on Functional and Nutritional Outcomes After Ischaemic Stroke: A Hospital-Based Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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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 1 country.

Dongze LiWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Yi LiuWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Yu JiaDepartment of General Practice, General Practice Medical Centre, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Jing YuWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Fanghui LiWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Hong LiWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Lei YeWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Xiaoyang LiaoDepartment of General Practice, General Practice Medical Centre, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Zhi WanWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Zhi ZengWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China. zengzhi2013@qq.com.
Yu CaoWest China School of Nursing, Sichuan University/ Department of Emergency Medicine, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China. caoyu@wchscu.cn.
Sichuan University · CNWest China Medical Center of Sichuan University · CNWest China Hospital of Sichuan University · CN

Funding

Health and Family Planning Commission of Sichuan Province ZH2022-101Sichuan Province Science and Technology Support Program 2022YFS0279, 2021YFQ0062,2023YFS0240
6 · The paper itself

Abstract

backgroundMalnutrition is associated with a high risk of mortality in adults with ischemic stroke (IS). This study aimed to investigate the relationship between malnutrition and the risk of stroke-associated pneumonia (SAP) as only a few studies examined the relationship between malnutrition and the risk of SAP in IS.

methodsPatients were included from emergency departments of five tertiary hospitals in the REtrospective Multicenter study for Ischemic Stroke Evaluation (REMISE) study from January 2020 to December 2020. Malnutrition was defined according to the Controlling Nutritional Status (CONUT), Geriatric Nutritional Risk Index (GNRI), and Prognostic Nutritional Index (PNI) systems. Multivariable logistic regression analysis was used to explore the association between malnutrition and risk of SAP.

resultsWe enrolled 915 patients with IS, 193 (14.75%), 495 (54.1%), and 148 (16.2%) of whom were malnourished according to the PNI, CONUT, and GNRI scores, respectively. SAP occurred in 294 (32.1%) patients. After adjusting for confounding influencing factors in the logistic regression analysis, malnutrition (moderate and severe risk vs. absent malnutrition) was independently associated with an increased risk of SAP based on the PNI (odds ratio [OR], 5.038; 95% confidence interval [CI] 2.435-10.421, P < 0.001), CONUT (OR, 6.941; 95% CI 3.034-15.878, P < 0.001), and GNRI (OR, 2.007; 95% CI 1.186-3.119, P = 0.005) scores. Furthermore, adding malnutrition assessment indices to the A

conclusionMalnutrition was notably prevalent in patients with IS and independently associated with an increased risk of SAP. Further studies are required to identify the effect of interventions on malnutrition to reduce the risk of SAP.

Indexed as

Ischemic StrokeMalnutritionPneumoniaAgedChinaFemaleHumansIncidenceMaleMiddle AgedPrevalenceRiskIschemic strokeMalnutritionNutrition assessmentStroke-associated pneumonia

Identifiers

PMID37537542
PMCPMC10399066
OpenAlexW4385550764

What OpenQuestion holds

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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.