Evidence map›Paper›PMID 38340009›Full record

Observational studyNeurorehabilitation and neural repair2024

Prevalence of Arm Weakness, Pre-Stroke Outcomes and Other Post-Stroke Impairments Using Routinely Collected Clinical Data on an Acute Stroke Unit.

Emily J Dalton, Rebecca Jamwal, Lia Augoustakis, Emma Hill, Hannah Johns, Vincent Thijs, Kathryn S Hayward

Abstract readObservational Study
In one paragraph

Observational study in Neurorehabilitation and neural repair, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Mapping the role of vagus nerve stimulation in post-stroke arm motor recovery.Journal of neuroengineering and rehabilitation · 2025
    Review
  10. Review
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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

7 authors.

Emily J DaltonOccupational Therapy Department, Austin Health, Heidelberg, VIC, Australia.ORCID 0000-0003-3920-8530
Rebecca JamwalOccupational Therapy Department, Austin Health, Heidelberg, VIC, Australia.
Lia AugoustakisOccupational Therapy Department, Austin Health, Heidelberg, VIC, Australia.
Emma HillOccupational Therapy Department, Austin Health, Heidelberg, VIC, Australia.
Hannah JohnsMelbourne Medical School, University of Melbourne, Melbourne, VIC, Australia.
Vincent ThijsFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, VIC, Australia.
Kathryn S HaywardDepartment of Neurology (Austin), Austin Health, Heidelberg, VIC, Australia.ORCID 0000-0001-5240-3264

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe prevalence of upper limb motor weakness early post-stroke may be changing, which can have clinical and research implications. Our primary aim was to describe the prevalence of upper limb motor weakness early post-stroke, with a secondary aim to contextualize this prevalence by describing pre-stroke outcomes, other post-stroke impairments, functional activities, and discharge destination.

methodsThis cross-sectional observational study extracted clinical data from confirmed stroke patients admitted to a metropolitan stroke unit over 15-months. The primary upper limb weakness measure was Shoulder Abduction and Finger Extension (SAFE) score. Demographics (eg, age), clinical characteristics (eg, stroke severity), pre-stroke outcomes (eg, clinical frailty), other post-stroke impairments (eg, command following), functional activities (eg, ambulation), and discharge destination were also extracted.

resultsA total of 463 participants had a confirmed stroke and SAFE score. One-third of patients received ≥1 acute medical intervention(s). Nearly one-quarter of patients were classified as frail pre-stroke. Upper limb weakness (SAFE≤8) was present in 35% [95% CI: 30%-39%] at a median of 1-day post-stroke, with 22% presenting with mild-moderate weakness (SAFE5-8). The most common other impairments were upper limb coordination (46%), delayed recall (41%), and upper limb sensation (26%). After a median 3-day acute stroke stay, 52% of the sample were discharged home.

conclusionUpper limb weakness was present in just over a third (35%) of the sample early post-stroke. Data on pre-stroke outcomes and the prevalence of other post-stroke impairments highlights the complexity and heterogeneity of stroke recovery. Further research is required to tease out meaningful recovery phenotypes and their implications.

Indexed as

StrokeStroke RehabilitationArmCross-Sectional StudiesHumansParesisPrevalenceRecovery of FunctionUpper Extremityclinical frailtyfunctionstroke rehabilitationupper extremity

Identifiers

PMID38340009
PMCPMC10878009

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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.