Evidence map›Paper›PMID 38724451›Full record

ArticleAnnals of geriatric medicine and research2024

Improved Systemic Inflammation is Associated with Functional Prognosis in Post-Stroke Patients.

Kota Hori, Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Ayaka Matsumoto, Sayuri Shimazu, Ai Shiraishi, Yoshifumi Kido, Takahiro Bise, Aomi Kuzuhara and 3 more

Abstract read
In one paragraph

Article in Annals of geriatric medicine and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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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

13 authors.

Kota HoriCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Yoshihiro YoshimuraCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Hidetaka WakabayashiDepartment of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
Fumihiko NaganoCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Ayaka MatsumotoCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Sayuri ShimazuCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Ai ShiraishiCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Yoshifumi KidoCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Takahiro BiseCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Aomi KuzuharaCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Takenori HamadaCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Kouki YonedaCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Kenichiro MaekawaCenter for Sarcopenia Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic inflammation is associated with poor functional outcomes. However, the effects of improved inflammation on functional indicators remain unclear. This study aimed to clarify the relationship between improvements in systemic inflammation and activities of daily living in patients after stroke.

methodsThis retrospective cohort study included patients post stroke with systemic inflammation upon admission. Systemic inflammation was defined as a modified Glasgow Prognostic Score (mGPS) score of 1-2. Improvement in systemic inflammation was defined as a reduction in mGPS score or blood C-reactive protein (CRP) levels during hospitalization. The primary outcomes were the motor items of the Functional Independence Measure (FIM-motor) at discharge. We applied multiple linear regression analysis to examine whether reduced systemic inflammation was associated with outcomes after adjusting for confounding factors.

resultsOf the 1,490 patients recruited, 158 (median age of 79 years; 88 men) had systemic inflammation on admission and were included in the study. Among these patients, 131 (82.9%) and 147 (93.0%) exhibited reduced mGPS and CRP levels, respectively. The median change in CRP was 2.1 mg/dL (interquartile range, 1.1-3.8). Multivariate analysis revealed that improvements in mGPS (β=0.125, p=0.012) and CRP levels (β=0.108, p=0.108) were independently and positively associated with FIM-motor at discharge.

conclusionsImprovement in systemic inflammation was positively associated with functional outcomes in patients post stroke. Early detection and therapeutic intervention for systemic inflammation may further improve outcomes in these patients.

Indexed as

Activities of Daily LivingC-Reactive ProteinInflammationStrokeAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRecovery of FunctionRetrospective StudiesStroke RehabilitationC-Reactive ProteinFunctional outcomesInflammation improvementmodified Glasgow Prognostic ScoreSarcopeniaSystemic inflammation

Identifiers

PMID38724451
PMCPMC11695764

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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.