Evidence map›Paper›PMID 37637153›Full record

ArticlePeerJ2023

Early haemodynamic predictors of poor functional outcomes in patients with acute ischaemic stroke receiving endovascular therapy: a single-centre retrospective study in China.

Yanyan Hu, Shizhong Zhang, Jiajun Zhang, Xin Wang, Feng Zhang, Hong Cui, Hui Yuan, Wei Zheng

Open access · goldAbstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 42% 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

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

  1. Pooled it
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 3 institutions in 1 country.

Yanyan HuDepartment of Neurology, The Second Affiliation Hospital of Shandong First Medical University, Taian, Shandong, China.
Shizhong ZhangDepartment of Neurosurgery, The Affiliated Taian City Central Hospital of Qingdao University, Taian, Shandong, China.
Jiajun ZhangDepartment of Ultrasound, The Second Affiliation Hospital of Shandong First Medical University, Taian, Shandong, China.
Xin WangDepartment of Ultrasound, The Affiliated Taian City Central Hospital of Qingdao University, Taian, Shandong, China.
Feng ZhangDepartment of Ultrasound, The Affiliated Taian City Central Hospital of Qingdao University, Taian, Shandong, China.
Hong CuiDepartment of Ultrasound, The Affiliated Taian City Central Hospital of Qingdao University, Taian, Shandong, China.
Hui YuanDepartment of Neurology, The Second Affiliation Hospital of Shandong First Medical University, Taian, Shandong, China.
Wei ZhengDepartment of Neurosurgery, The Second Affiliation Hospital of Shandong First Medical University, Taian, Shandong, China.
Qingdao University · CNSecond Hospital of Shandong University · CNAffiliated Hospital of Taishan Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Changes in cerebral haemodynamics following endovascular therapy (EVT) for large-vessel occlusion stroke may affect the outcomes of patients with acute ischaemic stroke (AIS); however, evidence supporting this belief is limited. This study aims to identify the early haemodynamic predictors of poor outcomes in patients with AIS caused by anterior circulation large-artery occlusion after undergoing EVT and to evaluate the usefulness of these indicators in predicting functional outcomes at 90 days. Methods: This retrospective study was conducted at a single academic hospital, using prospectively collected data. We enrolled adult patients with acute anterior circulation stroke who underwent EVT. Transcranial colour-coded sonography (TCCS) examinations of the recanalised and contralateral middle cerebral artery (MCA) were performed within 12 h after undergoing EVT. Haemodynamic indicators were analysed to determine their association with poor functional outcomes (modified Rankin Scale: 3-6) 90 days after stroke. Receiver operating characteristic (ROC) curves were used to evaluate the usefulness of haemodynamic indicators in predicting functional outcomes. Results: In total, 108 patients (median age: 66 years; 69.4% males) were enrolled in this study. Complete recanalization was achieved in 93 patients (86.1%); however, 60 patients (55.6%) had a poor 90-day outcome. The peak systolic velocity (PSV) ratio, adjusted PSV ratio, mean flow velocity (MFV) ratio, and adjusted MFV ratio of the MCA were significantly higher in patients with poor prognosis than in patients with good prognosis ( Conclusions: Early TCCS examination may help in predicting poor functional outcomes at 90 days in patients with AIS who underwent EVT. Moreover, combining novel TCCS indicators (adjusted MFV ratio) with conventional parameters improved the prediction ability of the base model.

Indexed as

Brain IschemiaEndovascular ProceduresIschemic StrokeMalocclusion, Angle Class IIIStrokeAdultAgedChinaFemaleHemodynamicsHumansMaleMiddle Cerebral ArteryRetrospective StudiesAcute ischaemic strokeEndovascular therapyMiddle cerebral arteryTranscranial color-coded sonography

Identifiers

PMID37637153
PMCPMC10448886
OpenAlexW4386030401

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.