Evidence map›Paper›PMID 39836564›Full record

SynthesisMedicine2025

A Systematic Literature Review on the Burden of Disease for Patients With Moderate to Severe Acute Ischemic Stroke.

Terry Quinn, Kazuo Kitagawa, Thomas Leung, Carlos Molina, Alejandro Rabinstein, Roy Bentley, Owen Henry, Maria Heuser, Vedes Nair, Jeffrey Saver

Abstract readSystematic Review
In one paragraph

Synthesis in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Terry QuinnReader and Honorary Consultant Physician in Stroke at the University of Glasgow, Glasgow, United Kingdom.
Kazuo KitagawaProfessor and Chairman at Tokyo Women's Medical University, Tokyo, Japan.
Thomas LeungProfessor of Neurology, Assistant Dean, Faculty of Medicine; Medical Director, Kwok Tak Seng Centre for Stroke Research and Intervention, The Chinese University of Hong Kong, Hong Kong.
Carlos MolinaMedical Director of the Stroke Unit and Brain Hemodynamics at Vall d'Hebron Hospital, Barcelona, Spain.
Alejandro RabinsteinMedical Director and Professor of Neurology at the Mayo Clinic Stroke Center, MN.
Roy BentleyVice President, Global Scientific Operations, Shionogi Inc, NJ.
Owen HenryValue Analyst, Adelphi Values PROVE™, Bollington, United Kingdom.
Maria HeuserAssociate Value Consultant, Adelphi Values PROVE™, Bollington, United Kingdom.
Vedes NairValue Analyst, Adelphi Values PROVE™, Bollington, United Kingdom.
Jeffrey SaverProfessor and SA Vice-Chair of Neurology at the University of California, Los Angeles, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA vast amount of literature is available on the burden of acute ischemic stroke (AIS). Yet, most information on AIS burden does not stratify by stroke severity, and the inclusion of mild strokes (National Institute of Health Stroke Scale < 5) might obscure the true impact of moderate-to-severe AIS. Therefore, it is important to understand the literature as it pertains to the epidemiological, clinical, humanistic, and economic burden of moderate-to-severe AIS from a global perspective.

methodsA systematic literature review (SLR) was conducted, including articles published between January 2015 and June 2023. The clinical burden search focused on patients with moderate or severe AIS. Due to the paucity of evidence, the humanistic and economic burdens were evaluated based on overall AIS studies. Abstract and full-text screening were conducted by 2 reviewers, with data extraction completed by 1 reviewer. In all, 136 studies were included in the SLR.

resultsAIS caused a substantial burden for patients and the healthcare system. The clinical burden of AIS (specifically severe AIS) resulted in high mortality and worse functional outcomes across multiple demographics (female sex, older age, and patients with comorbidities). The economic burden of overall AIS was substantial, with inpatient costs as the primary driver (a mean or median stay of 7 days). The highest inpatient costs were reported in South Korea ($45,180) and the United States ($38,470).

conclusionsThe review highlighted the huge burden of moderate-to-severe AIS, with patients experiencing worse outcomes with increased stroke severity. Further focus is needed on outcomes relating to moderate-to-severe AIS to fully understand the burden of stroke in this patient population.

Indexed as

Cost of IllnessIschemic StrokeFemaleHumansMaleSeverity of Illness Index

Identifiers

PMID39836564
PMCPMC11749521

What OpenQuestion holds

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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.