Evidence map›Paper›PMID 39604021›Full record

ArticleJournal of the American Heart Association2024

Risk Factors, Treatments, and Outcomes of Adults Aged <55 Years With Acute Ischemic Stroke With Undetermined Versus Determined Pathogenesis: A Nationwide Swiss Cohort Study.

Tolga D Dittrich, Thomas Schneider, Mira Katan, Andreas R Luft, Marie-Luise Mono, Manuel Bolognese, Krassen Nedeltchev, Timo Kahles, Marcel Arnold, Mirjam Heldner and 19 more

Abstract readComparative Study
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.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Cryptogenic stroke: definitions and management.Hematology. American Society of Hematology. Education Program · 2025
    Review
  4. 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

29 authors.

Tolga D DittrichDepartment of Neurology University Teaching and Research Hospital St. Gallen St. Gallen Switzerland.ORCID 0000-0002-9987-3631
Thomas SchneiderDepartment of Neurology University Teaching and Research Hospital St. Gallen St. Gallen Switzerland.
Mira KatanDepartment of Neurology University Hospital Basel and University of Basel Basel Switzerland.ORCID 0000-0002-9265-8066
Andreas R LuftDepartment of Neurology University Hospital Zurich Zurich Switzerland.ORCID 0000-0001-9865-7382
Marie-Luise MonoDepartment of Neurology Municipal Hospital Waid und Triemli Zurich Switzerland.ORCID 0000-0003-4886-0010
Manuel BologneseDepartment of Neurology Cantonal Hospital of Lucerne Lucerne Switzerland.ORCID 0000-0003-4757-2834
Krassen NedeltchevDepartment of Neurology Cantonal Hospital Aarau Aarau Switzerland.ORCID 0000-0002-7614-1227
Timo KahlesDepartment of Neurology Cantonal Hospital Aarau Aarau Switzerland.ORCID 0000-0002-1569-6376
Marcel ArnoldDepartment of Neurology University Hospital Bern and University of Bern Bern Switzerland.ORCID 0000-0002-4274-4644
Mirjam HeldnerDepartment of Neurology University Hospital Bern and University of Bern Bern Switzerland.ORCID 0000-0002-3594-2159
Patrik MichelDepartment of Neurology University Hospital Lausanne Lausanne Switzerland.ORCID 0000-0003-4954-7579
Emmanuel CarreraDepartment of Neurology University Hospital Geneva Geneva Switzerland.ORCID 0000-0003-0045-5382
Biljana RodicDepartment of Neurology Cantonal Hospital Winterthur Winterthur Switzerland.
Carlo W CeredaDepartment of Neurology EOC Neurocenter of Southern Switzerland Lugano Switzerland.ORCID 0000-0002-6479-1476
Nils PetersDepartment of Neurology Hirslanden Hospital Zurich Zurich Switzerland.ORCID 0000-0001-8451-7389
Leo H BonatiNeurorehabilitation Rheinfelden Rehabilitation Clinic Rheinfelden Switzerland.ORCID 0000-0003-1163-8133
Susanne RenaudDepartment of Neurology Cantonal Hospital Neuchâtel Neuchâtel Switzerland.
Andrea M HummDepartment of Internal Medicine, Neurological Unit HFR Fribourg - Cantonal Hospital Fribourg Switzerland.
Friedrich MedlinDepartment of Internal Medicine, Neurological Unit HFR Fribourg - Cantonal Hospital Fribourg Switzerland.ORCID 0000-0002-8477-899X
Sylvan AlbertDepartment of Neurology Cantonal Hospital Graubünden Chur Switzerland.
Rolf SturzeneggerDepartment of Neurology Cantonal Hospital Graubünden Chur Switzerland.ORCID 0000-0003-3665-069X
Alexander A TarnutzerDepartment of Neurology Cantonal Hospital of Baden Baden Switzerland.ORCID 0000-0002-6984-6958
Philip SiebelDepartment of Neurology Cantonal Hospital Frauenfeld Frauenfeld Switzerland.
Markus BaumgärtnerDepartment of Neurology Cantonal Hospital Münsterlingen Münsterlingen Switzerland.
Christian BergerDepartment of Neurology Cantonal Hospital Grabs Grabs Switzerland.
Pasquale MordasiniDepartment of Neuroradiology Cantonal Hospital Aarau Aarau Switzerland.
Jochen VehoffDepartment of Neurology University Teaching and Research Hospital St. Gallen St. Gallen Switzerland.ORCID 0000-0001-9531-8262
Gian Marco De MarchisDepartment of Neurology University Teaching and Research Hospital St. Gallen St. Gallen Switzerland.ORCID 0000-0002-0342-9780
Swiss Stroke Registry Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rising prevalence of acute ischemic stroke (AIS) in young adults, particularly with undetermined pathogenesis, is a growing concern. This study assessed risk factors, treatments, and outcomes between young AIS patients with undetermined and determined pathogeneses. METHODS AND

resultsThis was a retrospective cohort study including AIS patients aged 18 to 55 years in Switzerland, treated between 2014 and 2022. Stroke pathogeneses were classified using a modified TOAST (Trial of ORG 10172 in Acute Stroke Treatment) classification, with undetermined pathogenesis defined as no identified cause (including patent foramen ovale and cervical artery dissection). We examined vascular risk factors, acute treatments, 3-month functional outcomes, and AIS recurrence within 3 months using logistic regression and Fine-Gray proportional hazards models. Of 3995 patients, 863 (22%) had undetermined pathogenesis. Compared with patients with determined pathogenesis, those with undetermined pathogenesis had a higher prevalence of dyslipidemia (54% versus 59%,

conclusionsYoung adults with AIS exhibit a considerable vascular risk burden. Those with undetermined pathogenesis displayed age-related outcome disparities, with better short-term outcomes in older and higher recurrence rates in younger patients.

Indexed as

Ischemic StrokeRecurrenceAdolescentAdultAge FactorsFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesRisk AssessmentRisk FactorsSwitzerlandThrombolytic TherapyTime Factorsischemic strokeundetermined pathogenesisvascular risk factorsyoung

Identifiers

PMID39604021
PMCPMC11681592

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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.