Evidence map›Paper›PMID 41146948›Full record

ArticleJournal of inflammation research2025

Ineffective Recanalization and Complications in Patients with Acute Ischemic Stroke Receiving Endovascular Treatment: Predictive Value of the c-Reactive Protein-Albumin-Lymphocyte (CALLY) Index.

Lin Zhu, Sanming Jie, Shuhua Wu, Qin Chen, Xuhui Zhang, Wenwu Yang, Yongming Wu

Abstract read
In one paragraph

Article in Journal of inflammation research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Lin ZhuDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
Sanming JieDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
Shuhua WuDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
Qin ChenDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
Xuhui ZhangDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.ORCID 0009-0000-5171-3877
Wenwu YangDepartment of Neurosurgery, the 981 Hospital of the Chinese People's Liberation Army, Chengde, People's Republic of China.
Yongming WuDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.ORCID 0000-0002-2429-4977

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The C-reactive protein-albumin-lymphocyte (CALLY) index, as a composite biomarker reflecting nutritional reserves and immunosuppression, has demonstrated important predictive value in various disease. We aimed to investigate the CALLY index's predictive value versus previous inflammatory-nutritional biomarker for ineffective recanalization and complications in acute ischemic stroke (AIS) patients who received emergency endovascular therapy (EVT). Methods: We retrospectively reviewed 705 AIS patients admitted to Nanfang Hospital for EVT from January 2019 to December 2023. We calculated the CALLY index, Geriatric Nutritional Risk Index, Controlling Nutritional Status score, Prognostic Nutritional Index, and C-reactive protein-to-albumin ratio, and assessed their predictive significance for ineffective recanalization using univariate and multivariate logistic regression. Predictive efficacy was compared via receiver operating characteristic (ROC) curve analysis, while the Net Reclassification Improvement (NRI) and Integrated Discrimination Improvement (IDI) quantified the incremental value of models incorporating these biomarkers. In addition, we explored the relationship between the CALLY index and post-EVT complications. Results: The CALLY index had the best predictive validity with an area under the ROC curve of 0.73. The new model incorporating the CALLY index had the best optimization effect (NRI of 0.157, P=0.028; IDI of 0.029, P=0.008). A significant correlation was also shown between the CALLY index and stroke-associated pneumonia. Conclusion: The CALLY Index demonstrated its potential as an innovative and accessible indicator for prognosis.

Indexed as

acute ischemic strokebiomarkerinflammationnutritionprognosisstroke-associated pneumonia

Identifiers

PMID41146948
PMCPMC12554279

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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.