Evidence map›Paper›PMID 39777776›Full record

ArticleEuropean journal of neurology2025

The efficacy of remote ischemic conditioning for outcomes in ischemic stroke patients with or without prior stroke: A post hoc analysis of the RICAMIS trial.

Liang Liu, Xiao-Yu Sun, Chang Cui, Miao Liu, Yu Cui, Hui-Sheng Chen

Abstract read
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.

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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

6 authors.

Liang LiuDepartment of Neurology, The General Hospital of Northern Theater Command, Shenyang, Liaoning, China.ORCID 0000-0002-6825-0474
Xiao-Yu SunDepartment of Neurology, The General Hospital of Northern Theater Command, Shenyang, Liaoning, China.ORCID 0000-0003-0446-0752
Chang CuiDepartment of Neurology, The General Hospital of Northern Theater Command, Shenyang, Liaoning, China.
Miao LiuDepartment of Nuclear Medicine, The General Hospital of Northern Theater Command, Shenyang, Liaoning, China.
Yu CuiDepartment of Neurology, The General Hospital of Northern Theater Command, Shenyang, Liaoning, China.ORCID 0000-0002-4925-1500
Hui-Sheng ChenGeneral Hospital of Northern Theater Command, China.ORCID 0000-0002-7486-1992

Funding

China Postdoctoral Science Foundation
6 · The paper itself

Abstract

background and purposeTo investigate the impact of a history of ischemic stroke or transient ischemic attack (TIA) on the effectiveness of remote ischemic conditioning (RIC) for outcomes in acute ischemic stroke patients.

methodsWe conducted a post hoc analysis of the Remote Ischaemic Conditioning for Acute Moderate Ischaemic Stroke (RICAMIS) trial. Patients in RICAMIS were categorized into two groups according to a history of stroke. The primary outcome was an excellent functional outcome, defined as a modified Rankin Scale (mRS) score of 0-1 at 90 days. Instead of comparing patients receiving usual care alone, we investigated the association of the RIC effect with functional outcomes in each group and the interaction between the RIC effect and a history of ischemic stroke or TIA.

resultsWe included a total of 1695 patients, of whom 562 patients had a history of ischemic stroke or TIA and 1133 patients without prior ischemic stroke or TIA. In the Never Stroke or TIA group, a higher proportion of excellent functional outcomes was found in the RIC subgroup compared to the control subgroup (adjusted OR = 1.557 [95% CI 1.187-2.043], p = 0.001) but not in Prior Stroke or TIA group (adjusted OR = 1.299 [95% CI 0.893-1.888], p = 0.171). However, no significant interaction between the RIC effect and a history of ischemic stroke or TIA was found among the groups.

conclusionThis is the first report suggesting that the RIC effect may be influenced by the history of ischemic stroke or TIA for patients with acute ischemic stroke.

Indexed as

Ischemic Attack, TransientIschemic PreconditioningIschemic StrokeAgedAged, 80 and overFemaleHumansMaleMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicTreatment Outcomeischemic strokeneuroprotectionprior strokeremote ischemic conditioning

Identifiers

PMID39777776
PMCPMC11705414

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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.