Evidence map›Paper›PMID 38070920›Full record

Trial reportBMJ open2023

Predictive factors of poor outcome and mortality among anterior ischaemic stroke patients despite successful recanalisation in China: a secondary analysis of the CAPTURE trial.

Guangwen Li, Yujie Sun, Tonghui Liu, Pengfei Yang, Ya Peng, Wenhuo Chen, Liyong Zhang, Jianfeng Chu, Dong Kuai, Zibo Wang and 14 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04995757 (Prospective, Randomized, Controlled, Open Label, Single Blinded, All China, Multi-Center, Registration Trial of the Thrombectomy System for the Treatment of Acute Ischemic Stroke.), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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.

NCT04995757 nacompletednot on this map

Prospective, Randomized, Controlled, Open Label, Single Blinded, All China, Multi-Center, Registration Trial of the Thrombectomy System for the Treatment of Acute Ischemic Stroke.

TypeinterventionalSponsorChanghai HospitalRan2018 to 2020Enrolled239ConditionsAcute Ischemic StrokeArmsStent Retriever
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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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

24 authors at 17 institutions in 1 country.

Guangwen LiDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.ORCID 0000-0003-3687-3682
Yujie SunDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Tonghui LiuDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Pengfei YangNeurovascular Center, Changhai Hospital, Naval Military Medical University, Shanghai, China.
Ya PengDepartment of Neurosurgery, Changzhou First People's Hospital, Changzhou, Jiangsu, China.
Wenhuo ChenDepartment of Neurology, Zhangzhou Hospital Affiliated to Fujian Medical University, Zhangzhou, China.
Liyong ZhangDepartment of Neurosurgery, Liaocheng People's Hospital Brain Hospital, Liaocheng, Shandong, China.
Jianfeng ChuDepartment of Neurology, The First People's Hospital of Jining City, Jining, China.
Dong KuaiDepartment of Neurosurgery, Shanxi Provincial Cardiovascular Hospital, Taiyuan, China.
Zibo WangDepartment of Neurointervention, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Wei WuDepartment of Neurology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Yun XuDepartment of Neurology, Nanjing Gulou Hospital, Nanjing, China.
Bin ZhouDepartment of Neurointervention, Cerebrovascular Disease Center, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong, China.
Yu GengDepartment of Neurology, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.
Congguo YinDepartment of Neurology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.
Jiang LiDepartment of Neurosurgery, The Second Affiliated Hospital of Air Force Military Medical University, Xi'an, China.
Ming WangDepartment of Neurointervention, Nanyang Second People's Hospital, Nanyang, China.
Xiaoxiang PengDepartment of Neurology, The Third People's Hospital of Hubei Province, Wuhan, China.
Yaping XiaoDepartment of Neurology, Shanghai Oriental Hospital, Shanghai, China.
Minghua LiInstitute of Diagnostic and Interventional Neuroradiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Xianjun ZhangDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Peng LiuDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Naidong WangDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yong ZhangDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China bravezhang@126.com.
Qingdao University · CNAir Force Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNFujian Medical University · CNHangzhou First People's Hospital · CNJining First People's Hospital · CNLianyungang Oriental Hospital · CNLiaocheng People's Hospital · CNQilu Hospital of Shandong University · CNSecond Military Medical University · CNShanghai Jiao Tong University · CNShanxi Cardiovascular Hospital · CNSun Yat-sen University · CNThe First People's Hospital of Changzhou · CNWuhan University · CNXian Yang Central Hospital · CNZhejiang Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis work aimed to analyse the risk factors for poor outcomes and mortality among patients with anterior large vessel occlusion (LVO) ischaemic stroke, despite successful recanalisation. SETTING AND

participantsThis study conducted a secondary analysis among patients who underwent successful recanalisation in the CAPTURE trial. The trial took place between March 2018 and September 2020 at 21 sites in China. The CAPTURE trial enrolled patients who had an acute ischaemic stroke aged 18-80 years with LVO in anterior circulation.

interventionsThrombectomy was immediately performed using Neurohawk or the Solitaire FR after randomisation in CAPTURE trial. Rescue treatment was available for patients with severe residual stenosis caused by atherosclerosis. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary goal was to predict poor 90-day survival or mortality within 90 days post-thrombectomy. Univariate analysis, using the χ

resultsAmong the 207 recruited patients, 79 (38.2%) exhibited poor clinical outcomes, and 26 (12.6%) died within 90 days post-thrombectomy. Multivariate analysis revealed that the following factors were significantly associated with poor 90-day survival: age ≥67 years, internal carotid artery (ICA) occlusion (compared with middle cerebral artery (MCA) occlusion), initial National Institutes of Health Stroke Scale (NIHSS) score ≥17 and final modified Thrombolysis in Cerebral Infarction (mTICI) score 2b (compared with mTICI 3). Additionally, the following factors were significantly associated with mortality 90 days post-thrombectomy: initial NIHSS score ≥17, ICA occlusion (compared with MCA occlusion) and recanalisation with more than one pass.

conclusionsAge, NIHSS score, occlusion site, mTICI score and the number of passes can be independently used to predict poor 90-day survival or mortality within 90 days post-thrombectomy. TRIAL REGISTRATION NUMBER: NCT04995757.

Indexed as

Arterial Occlusive DiseasesBrain IschemiaEndovascular ProceduresIschemic StrokeStrokeHumansInfantInfarction, Middle Cerebral ArteryRetrospective StudiesThrombectomyTreatment OutcomeStrokeStroke medicineSTROKE MEDICINE

Identifiers

PMID38070920
PMCPMC10729217
OpenAlexW4389504961

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Registered trials

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.