Evidence map›Paper›PMID 40630544›Full record

ArticleResearch square2025

Antiretroviral Therapy and Risk of Stroke in People with HIV in Zambia.

Stanley Zimba, Owen Ngalamika, Emmanuel Mukambo, Theresa Shankanga, Taonga Msimuko, Diwell Mwansa, Bwalya Mulenga, Mike Chisha, Mashina Chomba, Melody Asukile and 7 more

Abstract readPreprint
In one paragraph

Article in Research square, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Stanley ZimbaUniversity Teaching Hospital.
Owen NgalamikaUniversity of Zambia School of Medicine.
Emmanuel MukamboUniversity Teaching Hospital.
Theresa ShankangaUniversity Teaching Hospital.
Taonga MsimukoUniversity Teaching Hospital.
Diwell MwansaUniversity Teaching Hospital.
Bwalya MulengaUniversity Teaching Hospital.
Mike ChishaUniversity Teaching Hospital.
Mashina ChombaUniversity of Zambia School of Medicine.
Melody AsukileUniversity Teaching Hospital.
Lorraine ChishimbaUniversity Teaching Hospital.
Violet KayambaUniversity of Zambia School of Medicine.
Lloyd MulengaUniversity Teaching Hospital.
Omar SiddiqiBeth Israel Deaconess Medical Center, Harvard Medical School.
Owen A RossMayo Clinic College of Medicine.
Masharip AtadzhanovUniversity Teaching Hospital.
Deanna SaylorUniversity Teaching Hospital.

Funding

Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
UNZA-Vanderbilt Training Partnership for HIV-NCD Research (UVP-2)D43TW009744 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, MUTALE, WILBROAD · 2015 to 2025
$3.2M
Adaptation and Implementation of Clinical Practice Guidelines to Improve Stroke Outcomes in ZambiaK01TW011771 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SAYLOR, DEANNA RAE · 2021 to 2025
$1.1M
FIC NIH HHS D43 TW009744FIC NIH HHS D43 TW010543FIC NIH HHS K01 TW011771
6 · The paper itself

Abstract

Background: People with HIV (PWH) are at increased risk of stroke likely due to many factors including antiretroviral therapy (ART). We sought to evaluate the association between ARTand risk of stroke in PWH. Methods: We conducted a prospective case-control study at the University Teaching Hospital in Lusaka, Zambia between March 2022 and October 2024 in PWH comparing those with stroke (cases) and without (controls) matched (1:2) for age, sex and race. Standardized data collection instruments were used to collect demographic, clinical, laboratory and imaging information. Comparisons were made between the cases and controls, and subgroup analysis by ART duration was done for the cases. Results: We analyzed results for 205 cases and 410 controls. Compared to controls, cases were more likely to have hypertension (71% vs. 18%, Conclusion: In PWH, TDF associates with higher odds of stroke. Although Dolutegravir associates with reduced odds of stroke, stroke patients on long-term ART are more likely to be on it.

Indexed as

Antiretroviral therapyHIV infectionstrokeSub-Saharan AfricaZambia

Identifiers

PMID40630544
PMCPMC12236916

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.