Evidence map›Paper›PMID 38443844›Full record

ArticleBMC neurology2024

Association between serum triglycerides and stroke type, severity, and prognosis. Analysis in 6558 patients.

Naveed Akhtar, Rajvir Singh, Saadat Kamran, Sujatha Joseph, Deborah Morgan, Ryan Ty Uy, Sarah Treit, Ashfaq Shuaib

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 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

8 authors at 2 institutions in 2 countries.

Naveed AkhtarHamad Medical Corporation, Neurology, North Tower, Doha, Qatar.
Rajvir SinghHamad Medical Corporation, Neurology, North Tower, Doha, Qatar.
Saadat KamranHamad Medical Corporation, Neurology, North Tower, Doha, Qatar.
Sujatha JosephHamad Medical Corporation, Neurology, North Tower, Doha, Qatar.
Deborah MorganHamad Medical Corporation, Neurology, North Tower, Doha, Qatar.
Ryan Ty UyHamad Medical Corporation, Neurology, North Tower, Doha, Qatar.
Sarah TreitDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Ashfaq ShuaibDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada. ashfaq.shuaib@ualberta.ca.
Hamad Medical Corporation · QAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesHypertriglyceridemia (HT) may increase the risk of stroke. Limited studies have shown that stroke severity and infarction size are smaller in patients with HT. We explored the relationship between triglyceride levels and stroke risk factors, severity and outcome in a large prospective database.

designProspective Cross-sectional study.

settingWe retrospectively interrogated the Qatar Stroke Database in all patients admitted between 2014-2022 with acute ischemic stroke and evaluated the relationship between triglyceride, diabetes, stroke severity (measured on NIHSS), stroke type (TOAST classification) and the short- (mRS at 90 days) and long-term outcomes (MACE at 1 year) in patients with HT.

participantsSix thousand five hundred fifty-eight patients ≥20 years were included in this study

resultsSix thousand five hundred fifty-eight patients with ischemic stroke [mean age 54.6 ± 12. 9; male 82.1%) were included. Triglyceride levels upon admission were low-normal (≤1.1 mmol/L) in 2019 patients, high-normal (1.2-1.7 mmol/L) in 2142 patients, borderline-high (1.8-2.2 mmol/L) in 1072 patients and high (≥2.3 mmol/L) in 1325 patients. Higher triglyceride levels were associated with stroke and increased likelihood of having diabetes, obesity, active smoking, and small vessel/lacunar stroke type. An inverse relationship was noted whereby higher triglyceride levels were associated with lower stroke severity and reduced likelihood of poorer outcome (mRS 3-6) at discharge and 90 days. Long-term MACE events were less frequent in patients with higher triglyceride levels. After adjusting age, gender, diabetes, prior stroke, CAD, and obesity, multivariate analysis showed that hypertension and triglyceride levels were higher in mild ischemic strokes patients.

conclusionsIncreasing triglycerides are associated with higher risk of small vessel disease and requires further prospective cohort studies for confirmation.

Indexed as

Diabetes MellitusIschemic StrokeStrokeAdultAgedCross-Sectional StudiesHumansMaleMiddle AgedObesityPrognosisProspective StudiesRetrospective StudiesTriglyceridesTriglyceridesIschemic strokeMajor adverse cardiovascular eventsOutcomeSmall vessel diseaseTriglyceride

Identifiers

PMID38443844
PMCPMC10913234
OpenAlexW4392465155

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.