Evidence map›Paper›PMID 42438574›Full record

ArticleFrontiers in stroke2026

Acute cerebrovascular disease in the Philippine Neurological Association One Database (PNA1DB)-patient profiles and disparities between public and private hospitals.

Robert N Gan, Jose Leonard R Pascual V, Maria Epifania V Collantes, John Harold B Hiyadan, Dan Neftalie A Juangco, Ma Cristina Z Macrohon-Valdez, Cyrus G Escabillas, Christian Oliver C Co, Gemmalynn B Sarapuddin, Maria Teresa A Cañete and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in stroke, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04972058 (Philippine Neurological Association One Database - Stroke), which is not on this 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.

NCT04972058 completednot on this map

Philippine Neurological Association One Database - Stroke

Typeobservational_patient_registrySponsorPhilippine Neurological AssociationRan2021 to 2024Enrolled14,800ConditionsTransient Ischemic Attack, Ischemic Stroke, Intracerebral Hemorrhage, Subarachnoid Hemorrhage
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

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

15 authors.

Robert N GanDisease Study Management Group, Philippine Neurological Association One Database-Stroke, Quezon City, Philippines.
Jose Leonard R Pascual VPhilippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Maria Epifania V CollantesPhilippine General Hospital, University of the Philippines Manila, Manila, Philippines.
John Harold B HiyadanBaguio General Hospital and Medical Center, Baguio, Philippines.
Dan Neftalie A JuangcoEast Avenue Medical Center, Quezon City, Philippines.
Ma Cristina Z Macrohon-ValdezSt. Luke's Medical Center, Quezon City/Global City, Philippines.
Cyrus G EscabillasJose R. Reyes Memorial Medical Center, Manila, Philippines.
Christian Oliver C CoQuirino Memorial Medical Center, Quezon City, Philippines.
Gemmalynn B SarapuddinThe Medical City, Pasig, Philippines.
Maria Teresa A CañeteChong Hua Hospital, Cebu City, Philippines.
Raquel M AlvarezMakati Medical Center, Makati City, Philippines.
Belinda L Mesina-NepomucenoUniversity of the East-Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Johnny K LokinUniversity of Santo Tomas Hospital, Manila, Philippines.
Marie Charmaine Sy LukbanPhilippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Rosalina E PicarMakati Medical Center, Makati City, Philippines.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stroke is a leading cause of death in the Philippines, yet data on epidemiology, care, and outcomes remain scarce. We aimed to describe the caseload, patient profile, management, and outcomes of acute cerebrovascular events, and to assess disparities between publicly funded and privately funded tertiary hospitals in the Philippines. Methods: The PNA1DB-Stroke project is a prospective, multicenter, registry of consecutive patients aged ≥18 years admitted with transient ischemic attack (TIA), ischemic stroke, hemorrhagic stroke, or cerebral venous thrombosis (CVT) in 11 (five publicly-funded, six privately-funded) accredited neurology training tertiary hospitals across the Philippines. Data on socio-demographics, medical history, event type, clinical assessments, diagnostic procedures, treatments and discharge outcomes were collected from June 1, 2021, to August 31, 2024. Results: Among the 15,230 cases included, mean age 58.0 ± 14.2 years, 6,726 (44.2%) women, hemorrhagic strokes accounted for 38.6%. A total of 10,974 (72.1%) cases were admitted in public hospitals with a larger proportion of hemorrhagic strokes compared to private hospitals ( Conclusions: Our registry demonstrated a high burden of hemorrhagic stroke, delayed hospital arrival, underutilization of reperfusion therapies, and striking disparities between public and private hospitals in the PNA1DB. Study Registration: ClinicalTrials.gov NCT04972058.

Indexed as

disparitieslower-middle income countryPhilippinesquality of healthcareregistrystroke

Identifiers

PMID42438574
PMCPMC13356936

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Registered trials

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.