Evidence map›Paper›PMID 38958125›Full record

ArticleJournal of the American Heart Association2024

Neighborhood Resources and Health Outcomes Among Stroke Survivors in a Population-Based Cohort.

Leanna M Delhey, Xu Shi, Lewis B Morgenstern, Devin L Brown, Melinda A Smith, Erin C Case, Mellanie V Springer, Lynda D Lisabeth

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Access to neighborhood destinations that offer opportunities for physical activity and socialization is associated with favorable post-stroke outcomes.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026
    Article
  3. Article
  4. 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

8 authors.

Leanna M DelheyDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI USA.ORCID 0000-0003-1301-6952
Xu ShiDepartment of Biostatistics University of Michigan School of Public Health Ann Arbor MI USA.ORCID 0000-0001-8566-9552
Lewis B MorgensternDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI USA.ORCID 0000-0002-5787-592X
Devin L BrownStroke Program, University of Michigan Medical School Ann Arbor MI USA.ORCID 0000-0002-9815-3421
Melinda A SmithDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI USA.
Erin C CaseDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI USA.
Mellanie V SpringerStroke Program, University of Michigan Medical School Ann Arbor MI USA.ORCID 0000-0002-6281-0143
Lynda D LisabethDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI USA.ORCID 0000-0001-5539-5933

Funding

Brain Attack Surveillance in Corpus Christi (BASIC) ProjectR37NS038916 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LYNDA D LISABETH, LEWIS B MORGENSTERN · 2024 to 2026
$3.7M
Sleep apnea after stroke: Implications for screening and treatmentR01HL126700 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, DEVIN L, LISABETH, LYNDA D · 2016 to 2019
$3.0M
University of Michigan Regional Coordinating Stroke CenterU24NS107214 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DEVIN L BROWN, PHILLIP SCOTT · 2018 to 2026
$2.7M
Partnering with an Urban Safety Net Hospital to Deliver Stroke Preparedness in the Emergency DepartmentK01NS117555 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SPRINGER, MELLANIE V · 2020 to 2024
$1.2M
NHLBI NIH HHS R01 HL126700NINDS NIH HHS K01 NS117555NINDS NIH HHS R37 NS038916NINDS NIH HHS U24 NS107214
6 · The paper itself

Abstract

backgroundStroke survivors believe neighborhood resources such as community centers are beneficial; however, little is known about the influence of these resources on stroke outcomes. We evaluated whether residing in neighborhoods with greater resource density is associated with favorable post-stroke outcomes. METHODS AND

resultsWe included Mexican American and non-Hispanic White stroke survivors from the Brain Attack Surveillance in Corpus Christi project (2009-2019). The exposure was density of neighborhood resources (eg, community centers, restaurants, stores) within a residential census tract at stroke onset. Outcomes included time to death and recurrence, and at 3 months following stroke: disability (activities of daily living/instrumental activities of daily living), cognition (Modified Mini-Mental State Exam), depression (Patient Health Questionnaire-8), and quality of life (abbreviated Stroke-Specific Quality of Life scale). We fit multivariable Cox regression and mixed linear models. We considered interactions with stroke severity, ethnicity, and sex. Among 1786 stroke survivors, median age was 64 years (interquartile range, 56-73), 55% men, and 62% Mexican American. Resource density was not associated with death, recurrence, or depression. Greater resource density (75th versus 25th percentile) was associated with more favorable cognition (Modified Mini-Mental State Exam mean difference=0.838, 95% CI=0.092, 1.584) and among moderate-severe stroke survivors, with more favorable functioning (activities of daily living/instrumental activities of daily living=-0.156 [95% CI, -0.284 to 0.027]) and quality of life (abbreviated Stroke-Specific Quality of Life scale=0.194 [95% CI, 0.029-0.359]).

conclusionsWe observed associations between greater resource density and cognition overall and with functioning and quality of life among moderate-severe stroke survivors. Further research is needed to confirm these findings and determine if neighborhood resources may be a tool for recovery.

Indexed as

Activities of Daily LivingQuality of LifeStrokeAgedCognitionDepressionFemaleHumansMaleMexican AmericansMiddle AgedNeighborhood CharacteristicsRecurrenceSurvivorsTexasTime Factorsactivities of daily livingcensus tractcognitiondepressionquality of liferecurrencestroke

Identifiers

PMID38958125
PMCPMC11292760

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.