Evidence map›Paper›PMID 40815113›Full record

SynthesisEuropean neurology2025

Alcohol Use and Types and Ischemic Stroke: A Systematic Review and Meta-Analysis.

Ahmad A Toubasi, Thuraya N Al-Sayegh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European neurology, 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. 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

2 authors.

Ahmad A ToubasiFaculty of Medicine, The University of Jordan, Amman, Jordan.
Thuraya N Al-SayeghFaculty of Medicine, The University of Jordan, Amman, Jordan.

Funding

Vanderbilt Training Program in Molecular and Genetic Epidemiology of CancerT32CA160056 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Xiao-Ou Shu · 2017 to 2026
$3.8M
NCI NIH HHS T32 CA160056
6 · The paper itself

Abstract

introductionThis systematic review and meta-analysis was conducted to investigate the association between alcohol use pattern and ischemic stroke risk.

methodsWe searched PubMed, Scopus, Web of Sciences, Embase, and CENTRAL till the 1st of June, 2024. Studies were included if they were articles that assessed the impact of alcohol drinking pattern on the risk of ischemic stroke. The random-effect model was utilized to combine the results. Data analysis was performed using Meta XL, version 5.3.

resultsThe total number of included participants was 21,293,471 from 125 studies. The model that investigated the association between light alcohol use and ischemic stroke risk showed no association (relative risk [RR] = 0.97, 95% confidence interval [CI]: 0.89-1.05). Moderate alcohol use was associated with significant decrease in ischemic stroke risk (RR = 0.87; 95% CI: 0.83-0.92), while heavy alcohol use was associated with significant increase in ischemic stroke risk (RR = 1.31; 95% CI: 1.19-1.44). Subgroup analysis among males showed results similar to the primary analysis while among females, and only moderate alcohol drinking was significantly associated with ischemic stroke (RR = 0.50; 95% CI: 0.33-0.75). Moderate and heavy wine use was associated with significant reduction in ischemic stroke risk (RR = 0.61; 95% CI: 0.45-0.84; RR = 0.77; 95% CI: 0.63-0.93).

conclusionsOur analysis provided a strong and robust evidence that there was a significant association between moderate and heavy alcohol use with ischemic stroke risk. However, this association varied by several variables including type of alcohol with the effect being more protective among people who use wine.

Indexed as

Alcohol DrinkingIschemic StrokeFemaleHumansMaleRisk FactorsAlcoholBeerLiquorStrokeSystematic reviewWine

Identifiers

PMID40815113
PMCPMC12582586

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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.