Evidence map›Paper›PMID 40768689›Full record

Observational studyNeurology2025

History of Pregnancy Complications and the Risk of Ischemic Stroke in Young Women.

Esmée Verburgt, Nina A Hilkens, Jamie I Verhoeven, Mijntje M I Schellekens, Merel S Ekker, Esther M Boot, Mayte E van Alebeek, Paul J A M Brouwers, Renate M Arntz, Gert Van Dijk and 20 more

Abstract readObservational Study
In one paragraph

Observational study in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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 · 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

30 authors.

Esmée VerburgtDepartment of Neurology, Radboud Institute of Medical Innovation, Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands.ORCID 0000-0001-5563-069X
Nina A HilkensDepartment of Neurology, Radboud Institute of Medical Innovation, Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands.ORCID 0000-0002-7757-6724
Jamie I VerhoevenDepartment of Neurology, Radboud Institute of Medical Innovation, Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands.ORCID 0000-0002-1229-3715
Mijntje M I SchellekensDepartment of Neurology, Radboud Institute of Medical Innovation, Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands.ORCID 0000-0001-8757-619X
Merel S EkkerDepartment of Neurology, Radboud Institute of Medical Innovation, Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands.
Esther M BootDepartment of Neurology, Radboud Institute of Medical Innovation, Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands.
Mayte E van AlebeekDepartment of Neurology, Gelre Hospital, Apeldoorn, the Netherlands.
Paul J A M BrouwersMedisch Spectrum Twente, Department of Neurology, Enschede, the Netherlands.ORCID 0000-0001-6689-819X
Renate M ArntzMedisch Spectrum Twente, Department of Neurology, Enschede, the Netherlands.
Gert Van DijkDepartment of Neurology, Canisius-Wilhelmina Hospital, Nijmegen, the Netherlands.
Rob A R GonsDepartment of Neurology, Catharina Hospital, Eindhoven, the Netherlands.
Ingeborg W M Van UdenDepartment of Neurology, Catharina Hospital, Eindhoven, the Netherlands.
Tom Den HeijerDepartment of Neurology, Franciscus Gasthuis and Vlietland Hospital, Rotterdam, the Netherlands.
Julia van TuijlDepartment of Neurology, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands.
Karlijn F de LaatDepartment of Neurology, Haga Hospital, The Hague, the Netherlands.
Anouk G Van NordenDepartment of Neurology, Amphia Hospital, Breda, the Netherlands.
Sarah E VermeerDepartment of Neurology, Rijnstate Hospital, Arnhem, the Netherlands.
Marian S Van ZagtenDepartment of Neurology, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
Robert J Van OostenbruggeDepartment of Neurology, Maastricht University Medical Centre, the Netherlands.
Marieke J H WermerDepartment of Neurology, Leiden University Medical Centre, the Netherlands.ORCID 0000-0002-6838-9521
Paul J NederkoornDepartment of Neurology, Amsterdam University Medical Centre, the Netherlands.
Henk KerkhoffDepartment of Neurology, Albert Schweitzer Hospital, Dordrecht, the Netherlands.ORCID 0000-0001-7857-2736
Fergus A RooyerDepartment of Neurology, Zuyderland Hospital, Sittard-Geleen, the Netherlands.
Frank G Van RooijMedical Centre Leeuwarden, Department of Neurology, the Netherlands.
Ido R Van Den WijngaardHaaglanden Medical Centre, Department of Neurology, The Hague, the Netherlands.
Anil M TuladharDepartment of Neurology, Radboud Institute of Medical Innovation, Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands.ORCID 0000-0002-4815-2834
Marleen M H J van GelderIQ Health Science Department, Radboud University Medical Center, Nijmegen, the Netherlands; and.
Nel RoeleveldIQ Health Science Department, Radboud University Medical Center, Nijmegen, the Netherlands; and.
Ralph R ScholtenDepartment of Obstetrics and Gynecology and Physiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Frank-Erik De LeeuwDepartment of Neurology, Radboud Institute of Medical Innovation, Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPregnancy complications, such as hypertensive disorders of pregnancy (HDP), small for gestational age (SGA), preterm birth, gestational diabetes, stillbirth, and miscarriage, may increase the risk of ischemic stroke several years later. The aim of this study was to quantify the association between a spectrum of pregnancy complications and (the cause of) ischemic stroke in young women (<50 years).

methodsThis study included 358 women (18-49 years) with first-ever imaging-proven ischemic stroke from the Observational Dutch Young Symptomatic StrokE study and 714 women from the Pregnancy and Infant Development Study, frequency-matched on age at most recent pregnancy and gravidity.

resultsWomen with an ischemic stroke at young age (median maternal age = 28 years [IQR = 24-31]) were more likely to have a history of HDP, SGA, preterm birth, gestational diabetes, stillbirth, and miscarriage, compared with women without ischemic stroke (median maternal age = 29 years [IQR = 26-31]). Specifically, the risk of having an ischemic stroke due to (likely) large artery disease, compared with women with a cryptogenic stroke, was increased for women with a history of HDP, SGA, and preterm birth. DISCUSSION: A history of pregnancy complications may identify women at increased risk of ischemic stroke at young age, in particular atherosclerotic stroke.

Indexed as

Ischemic StrokePregnancy ComplicationsAdolescentAdultDiabetes, GestationalFemaleHumansHypertension, Pregnancy-InducedInfant, Small for Gestational AgeMiddle AgedNetherlandsPregnancyPremature BirthRisk FactorsStillbirthYoung Adult

Identifiers

PMID40768689
PMCPMC12334341

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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.