Evidence map›Paper›PMID 38725648›Full record

SynthesisFrontiers in neurology2024

Association between depression and stroke risk in adults: a systematic review and meta-analysis.

Farheen Ashraf, Muhammad Saqlain Mustafa, Muhammad Ashir Shafique, Abdul Haseeb, Abdullah Mussarat, Amber Noorani, Burhanuddin Sohail Rangwala, Fatimah Kashif Rasool, Mohammad Arham Siddiq, Javed Iqbal

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Identification ofDepression and anxiety · 2025
    Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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

10 authors.

Farheen AshrafDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Muhammad Saqlain MustafaDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Muhammad Ashir Shafique *Department of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Abdul HaseebDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Abdullah MussaratDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Amber NooraniDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Burhanuddin Sohail RangwalaDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Fatimah Kashif RasoolDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Mohammad Arham SiddiqDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan.
Javed IqbalDepartment of Medicine, King Edward Medical University, Lahore, Punjab, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Stroke is a significant global health concern, and numerous studies have established a link between depression and an increased risk of stroke. While many investigations explore this link, some overlook its long-term effects. Depression may elevate stroke risk through physiological pathways involving nervous system changes and inflammation. This systematic review and meta-analysis aimed to assess the association between depression and stroke. Methodology: We conducted a comprehensive search of electronic databases (PubMed, Embase, Scopus, and PsycINFO) from inception to 9 April 2023, following the Preferred Reporting Items for Systemic Review and Meta-analysis (PRISMA) and Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. We included all articles assessing the association between different stroke types and depression, excluding post-stroke depression. Two investigators independently extracted data and assessed quality using the Newcastle-Ottawa Scale and Cochrane Risk of Bias tool, utilizing a random-effects model for data synthesis. The primary outcome was the association of depression with stroke, with a secondary focus on the association of antidepressants with stroke. Results: The initial search yielded 10,091 articles, and 44 studies were included in the meta-analysis. The pooled analysis revealed a significant association between depression and stroke risk, with an overall hazard ratio of 1.41 (95% CI 1.32, 1.50; Conclusion and relevance: This meta-analysis indicates that depression moderately raises the risk of stroke. Given the severe consequences of stroke in individuals with depression, early detection and intervention should be prioritized to prevent it. Systematic review registration: Prospero (CRD42023472136).

Indexed as

depressionhemorrhagic strokeischemic strokestroke-diagnosistransient ischemic attack (TIA)

Identifiers

PMID38725648
PMCPMC11079212

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.