Evidence map›Paper›PMID 38906694›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2025

Association between heavy alcohol consumption and cryptogenic ischaemic stroke in young adults: a case-control study.

Nicolas Martinez-Majander, Shakar Kutal, Pauli Ylikotila, Nilufer Yesilot, Lauri Tulkki, Marialuisa Zedde, Tomi Sarkanen, Ulla Junttola, Annika Nordanstig, Annette Fromm and 26 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Review
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

36 authors.

Nicolas Martinez-MajanderNeurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland nicolas.martinez-majander@hus.fi.ORCID http://orcid.org/0000-0001-8489-7051
Shakar KutalNeurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Pauli YlikotilaDepartment of Neurology, Neurocenter, Turku University Hospital, University of Turku, Turku, Finland.
Nilufer YesilotDepartment of Neurology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Lauri TulkkiNeurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Marialuisa ZeddeNeurology, Azienda Ospedaliera Arcispedale Santa Maria Nuova - IRCCS, Reggio Emilia, Italy.ORCID http://orcid.org/0000-0001-7530-818X
Tomi SarkanenDepartment of Neurology, Tampere University Hospital, Wellbeing Services County of Pirkanmaa, Tampere, Finland.ORCID http://orcid.org/0000-0001-8815-2807
Ulla JunttolaClinical Neuroscience Research Unit and Department of Neurology, Oulu University Hospital, Oulu, Finland.
Annika NordanstigDepartment of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Annette FrommDepartment of Neurology, Haukeland University Hospital, Bergen, Norway.
Kristina RyliskieneCentre of Neurology, Vilnius University, Vilnius, Lithuania.
Radim LicenikStroke, Peterborough City Hospital, Peterborough, UK.
Phillip FerdinandNeurosciences, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Dalius JatuzisCentre of Neurology, Vilnius University, Vilnius, Lithuania.
Liisa KõrvDepartment of Neurology and Neurosurgery, University of Tartu, Tartu, Estonia.
Janika KõrvDepartment of Neurology and Neurosurgery, University of Tartu, Tartu, Estonia.
Alessandro PezziniDepartment of Medicine and Surgery, University of Parma and Stroke Care Program, Department of Emergency, Parma University Hospital, Parma, Italy.ORCID http://orcid.org/0000-0001-8629-3315
Suvi TuohinenDepartment of Cardiology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Juha SinisaloDepartment of Cardiology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Mika LehtoDepartment of Internal Medicine, Jorvi Hospital, HUS Helsinki University Hospital, Helsinki Finland, and University of Helsinki, Helsinki, Finland.
Eva GerdtsDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Essi RyödiTampere Heart Hospital, Tampere University Hospital, Tampere, Finland.
Jaana AutereNeurocenter Neurology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
Marja HedmanHeart Centre, Kuopio University Hospital, Kuopio, Finland.
Ana Catarina FonsecaDepartment of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria-CHLN, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.
Ulrike Waje-AndreassenDepartment of Neurology, Haukeland University Hospital, Bergen, Norway.
Bettina von SarnowskiDepartment of Neurology, University Medicine Greifswald, Greifswald, Germany.
Petra RedforsDepartment of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Tiina SairanenNeurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Turgut TatlisumakDepartment of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Risto O RoineDepartment of Neurology, Neurocenter, Turku University Hospital, University of Turku, Turku, Finland.
Juha HuhtakangasClinical Neuroscience Research Unit and Department of Neurology, Oulu University Hospital, Oulu, Finland.
Heikki NumminenDepartment of Neurology, Tampere University Hospital, Wellbeing Services County of Pirkanmaa, Tampere, Finland.
Pekka JäkäläNeurocenter Neurology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
Jukka PutaalaNeurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0002-6630-6104
SECRETO Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe underlying risk factors for young-onset cryptogenic ischaemic stroke (CIS) remain unclear. This multicentre study aimed to explore the association between heavy alcohol consumption and CIS with subgroup analyses stratified by sex and age.

methodsAltogether, 540 patients aged 18-49 years (median age 41; 47.2% women) with a recent CIS and 540 sex-matched and age-matched stroke-free controls were included. Heavy alcohol consumption was defined as >7 (women) and >14 (men) units per week or at least an average of two times per month ≥5 (women) and ≥7 (men) units per instance (binge drinking). A conditional logistic regression adjusting for age, sex, education, hypertension, cardiovascular diseases, diabetes, hypercholesterolaemia, current smoking, obesity, diet and physical inactivity was used to assess the independent association between alcohol consumption and CIS.

resultsPatients were twice as more often heavy alcohol users compared with controls (13.7% vs 6.7%, p<0.001), were more likely to have hypertension and they were more often current smokers, overweight and physically inactive. In the entire study population, heavy alcohol consumption was independently associated with CIS (adjusted OR 2.11; 95% CI 1.22 to 3.63). In sex-specific analysis, heavy alcohol consumption was associated with CIS in men (2.72; 95% CI 1.25 to 5.92), but not in women (1.56; 95% CI 0.71 to 3.41). When exploring the association with binge drinking alone, a significant association was shown in the entire cohort (2.43; 95% CI 1.31 to 4.53) and in men (3.36; 95% CI 1.44 to 7.84), but not in women.

conclusionsHeavy alcohol consumption, particularly binge drinking, appears to be an independent risk factor in young men with CIS.

Indexed as

Alcohol DrinkingIschemic StrokeAdolescentAdultBinge DrinkingCase-Control StudiesFemaleHumansHypertensionMaleMiddle AgedRisk FactorsSex FactorsYoung AdultSTROKE

Identifiers

PMID38906694
PMCPMC11877115

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Registered trials

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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.