Evidence map›Paper›PMID 39714194›Full record

ArticleEuropean journal of neurology2025

Influence of prestroke glycemic status on outcomes by age in patients with acute ischemic stroke and diabetes mellitus.

Joon-Tae Kim, Ji Sung Lee, Hyunsoo Kim, Beom Joon Kim, Jihoon Kang, Keon-Joo Lee, Jong-Moo Park, Kyusik Kang, Soo Joo Lee, Jae Guk Kim and 27 more

Abstract readMulticenter Study
In one paragraph

Article in European journal of neurology, 2025. 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. Differential Effects of Admission Hemoglobin AJournal of the American Heart Association · 2025
    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

37 authors.

Joon-Tae KimDepartment of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.ORCID 0000-0003-4028-8339
Ji Sung LeeClinical Research Center, Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Hyunsoo KimDepartment of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Beom Joon KimDepartment of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0002-2719-3012
Jihoon KangDepartment of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Keon-Joo LeeDepartment of Neurology, Korea University Guro Hospital, Seoul, Korea.
Jong-Moo ParkDepartment of Neurology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu-si, Korea.
Kyusik KangDepartment of Neurology, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.
Soo Joo LeeDepartment of Neurology, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea.
Jae Guk KimDepartment of Neurology, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea.
Jae-Kwan ChaDepartment of Neurology, Dong-A University Hospital, Busan, Korea.
Dae-Hyun KimDepartment of Neurology, Dong-A University Hospital, Busan, Korea.
Tai Hwan ParkDepartment of Neurology, Seoul Medical Center, Seoul, Korea.
Kyungbok LeeDepartment of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
Jun LeeDepartment of Neurology, Yeungnam University Hospital, Daegu, Korea.
Keun-Sik HongDepartment of Neurology, Ilsan Paik Hospital, Inje University, Goyang, Korea.
Yong-Jin ChoDepartment of Neurology, Ilsan Paik Hospital, Inje University, Goyang, Korea.
Hong-Kyun ParkDepartment of Neurology, Ilsan Paik Hospital, Inje University, Goyang, Korea.ORCID 0000-0002-8120-2469
Byung-Chul LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Kyung-Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Mi Sun OhDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Dong-Eog KimDepartment of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea.
Jay Chol ChoiDepartment of Neurology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.
Jee-Hyun KwonDepartment of Neurology, Ulsan University College of Medicine, Ulsan, Korea.
Wook-Joo KimDepartment of Neurology, Ulsan University College of Medicine, Ulsan, Korea.
Dong-Ick ShinDepartment of Neurology, Chungbuk National University Hospital, Cheongju, Korea.
Kyu Sun YumDepartment of Neurology, Chungbuk National University Hospital, Cheongju, Korea.
Sung Il SohnDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Jeong-Ho HongDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Sang-Hwa LeeDepartment of Neurology, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon-si, Gangwon-do, Korea.ORCID 0000-0002-0609-1551
Chulho KimDepartment of Neurology, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon-si, Gangwon-do, Korea.
Man-Seok ParkDepartment of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Wi-Sun RyuArtificial Intelligence Research Center, JLK Inc., Seoul, Korea.ORCID 0000-0002-2823-5253
Kwang-Yeol ParkDepartment of Neurology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, Seoul, Korea.
Juneyoung LeeDepartment of Biostatistics, Korea University College of Medicine, Seoul, Korea.
Jeffrey L SaverDepartment of Neurology and Comprehensive Stroke Center, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Hee-Joon BaeDepartment of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0003-0051-1997

Funding

the Chonnam National University Hospital Biomedical Research Institute BCRI24042the Korea National Institute of Health (KNIH) research project 2023-ER-1006-01
6 · The paper itself

Abstract

backgroundThis study aimed to explore the association between admission HbA1c and the risk of 1-year vascular outcomes stratified by age group in patients with acute ischemic stroke (AIS) and diabetes mellitus (DM).

methodsThis study analyzed prospective multicenter data from patients with AIS and DM. Admission HbA1C were categorized as:≤6.0%, 6.1%-7.0%, 7.1%-8.0%, and >8.0%. Age was analyzed in categories:≤55 years, 56-65 years, 66-75 years, 76-85 years, and >85 years. The primary outcome was 1-year composite of stroke, MI, and all-cause mortality. The modifying effect of age on the relationships between HbA1c and 1-year primary outcome was explored by Cox proportional hazards model.

resultsA total of 16,077 patients (age 69.0 ± 12.4 years; 59.4% males) were analyzed in this study. Among patients ≤55 years, the hazard ratio (HR) of the 1-year primary outcomes increased with an HbA1C > 8.0% (adjusted HR 1.39[1.13-1.70]). For patients aged 56-65 and 66-75, the highest HRs were observed for an HbA1c of 7.1-8.0% (aHRs; 1.21 [1.01-1.46] and 1.22 [1.05-1.41], respectively). In the 85+ age group, the highest HR occurred for HbA1c ≤ 6.0% (aHR 1.47 [0.98-2.19]). The HbA1c 8.0% showed evident age-dependent heterogeneity in the post hoc HR plots.

conclusionOur study revealed that in patients with AIS and diabetes under 55, higher admission hbA1c was associated with an increased risk of the 1-year primary outcome, while in patients aged over 85, lower HbA1c value (≤6.0%) may be associated with an increased risk of vascular events. The results of our study suggest the age-stratified, heterogeneous associations between admission HbA1c and 1-year vascular outcomes in patients with AIS and diabetes.

Indexed as

Diabetes MellitusGlycated HemoglobinIschemic StrokeAgedAged, 80 and overAge FactorsBlood GlucoseFemaleHumansMaleMiddle AgedProspective StudiesBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanacute ischemic strokeagediabetesglycated hemoglobin (hbA1c)prestroke glycemic status

Identifiers

PMID39714194
PMCPMC11664728

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.