Evidence map›Paper›PMID 39970371›Full record

ArticleNeurology2025

Temporal Trends in Vascular Risk Factor Burden Among Young Adults With Ischemic Stroke: The Florida Stroke Registry.

Aaron Shoskes, Lili Zhou, Hao Ying, Hannah Gardener, Ayham Alkhachroum, Ruijie Yin, Gillian L Gordon Perue, David Z Rose, Angus Jameson, Antonio Bustillo and 6 more

Abstract read
In one paragraph

Article in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Young stroke: An update on epidemiology, emerging risk factors, and future research directions.International journal of stroke : official journal of the International Stroke Society · 2026
    Review
  4. Review
  5. 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

16 authors.

Aaron ShoskesDepartment of Neurology, University of Utah, Salt Lake City.ORCID 0000-0003-1526-5258
Lili ZhouDepartment of Neurology, University of Miami, FL.
Hao YingDepartment of Neurology, University of Miami, FL.
Hannah GardenerDepartment of Neurology, University of Miami, FL.
Ayham AlkhachroumDepartment of Neurology, University of Miami, FL.ORCID 0000-0003-0352-5913
Ruijie YinDepartment of Neurology, University of Miami, FL.
Gillian L Gordon PerueDepartment of Neurology, University of Miami, FL.ORCID 0000-0002-3991-3179
David Z RoseDepartment of Neurology, University of South Florida, Tampa; and.ORCID 0000-0002-9449-6494
Angus JamesonDepartment of Emergency Medicine, University of South Florida, Tampa.
Antonio BustilloDepartment of Neurology, University of Miami, FL.ORCID 0000-0002-9115-7382
Sebastian KochDepartment of Neurology, University of Miami, FL.ORCID 0000-0003-0244-6033
Erika T MarulandaDepartment of Neurology, University of Miami, FL.
Carolina Marinovic GutierrezDepartment of Neurology, University of Miami, FL.
Tatjana RundekDepartment of Neurology, University of Miami, FL.ORCID 0000-0002-7115-9815
Jose G RomanoDepartment of Neurology, University of Miami, FL.
Negar AsdaghiDepartment of Neurology, University of Miami, FL.

Funding

Miami Clinical and Translational Science InstituteUM1TR004556 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Olveen Carrasquillo, ERIN N KOBETZ · 2023 to 2026
$16.0M
Miami Clinical and Translational Science Institute K12 ProgramK12TR004555 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ALESSIA FORNONI, Tatjana Rundek · 2023 to 2026
$3.0M
NCATS NIH HHS K12 TR004555NCATS NIH HHS UM1 TR004556
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAlthough ischemic stroke (IS) in young patients (aged 18-55) is believed to have different etiologies than in older patients, a rise in vascular risk factors (VRFs) among young adults may translate to an IS risk profile similar to the older population. We aimed to examine the prevalence of VRFs and temporal trends in VRF burden among young patients presenting with IS.

methodsData were prospectively collected by Get With the Guidelines-Stroke hospitals participating in the Florida Stroke Registry between January 2014 and December 2022. Patients aged 18-55 with a diagnosis of IS were included and separated into 2 age groups: 18-35 and 36-55. VRFs included hypertension, dyslipidemia, obesity, smoking, atrial fibrillation, coronary artery disease, heart failure, diabetes, and sleep apnea. Polymorbidity was defined as the presence of 3 or more VRFs.

resultsIn total, 36,488 patients with IS were included (43% female, median age 49, 51% White), comprising 3,363 patients aged 18-35 (9.2%) and 33,125 aged 36-55 (90.8%). Non-Hispanic Black patients with IS had a significantly higher prevalence of polymorbidity than non-Hispanic White or Hispanic patients among both patients aged 18-35 (18.7% vs 11.0% vs 9.8%, DISCUSSION: Increasingly, young patients with stroke have traditional VRFs. The high prevalence of polymorbidity disproportionately affects non-Hispanic Black patients and male patients and has significantly increased over the past decade. Efforts targeting early identification and treatment of VRFs for primary prevention of stroke must target young populations to stem the rising tide of stroke in the young.

Indexed as

Ischemic StrokeAdolescentAdultAtrial FibrillationComorbidityFemaleFloridaHumansHypertensionMaleMiddle AgedObesityPrevalenceRegistriesRisk FactorsYoung Adult

Identifiers

PMID39970371
PMCPMC11867211

What OpenQuestion holds

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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.