Evidence map›Paper›PMID 42856943›Full record

ArticleFrontiers in neurology2026

Association of deep vein thrombosis with poststroke epilepsy after acute ischemic stroke: a multicenter retrospective cohort study.

Erxinxian Bei, Runzhui Lin, Le Zhao, Yong He, Tieshi Zhu

Abstract readMulticenter Study
In one paragraph

Article in Frontiers in neurology, 2026. 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

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

5 authors.

Erxinxian Bei *Department of Neurology, Haikou Affiliated Hospital of Central South University Xiangya School of Medicine, Haikou, China.
Runzhui Lin *Department of Hepatobiliary, Pancreatic and Splenic Surgery, Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Le ZhaoDepartment of Medical Affairs, Central Hospital of Guangdong Provincial Nongken, Zhanjiang, Guangdong, China.
Yong HeDepartment of Neurology, Liuyang Jili Hospital, Changsha, Hunan, China.
Tieshi ZhuDepartment of Neurology, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Deep vein thrombosis (DVT) and poststroke epilepsy (PSE) are clinically important complications after acute ischemic stroke. DVT commonly occurs in patients with greater neurological impairment, immobility, inflammation, and hypercoagulability, factors that may also be associated with PSE. Whether DVT is independently associated with PSE remains uncertain. Methods: We conducted a secondary analysis of a multicenter cohort of 21,459 patients with acute ischemic stroke followed for 1 year. The association between recorded DVT and PSE was examined using sequential logistic regression models adjusting for demographic characteristics, vascular comorbidities, stroke severity, and lesion phenotype. Multicollinearity, sensitivity analyses, subgroup analyses, and joint stratification by DVT and National Institutes of Health Stroke Scale (NIHSS) score were performed. The incremental predictive value of DVT was evaluated using the area under the receiver operating characteristic curve (AUC), Brier score, calibration, and decision curve analysis. Results: Among 21,459 patients, 1,324 (6.2%) had DVT and 936 (4.4%) developed PSE. DVT was associated with higher odds of PSE in the unadjusted analysis (OR, 1.93; 95% CI, 1.56-2.39), and the association remained similar after adjustment for demographic and vascular factors. After further adjustment for NIHSS score, cortical lobe involvement, and anterior and posterior circulation involvement, the association was substantially attenuated and no longer statistically significant (OR, 1.10; 95% CI, 0.86-1.39; Conclusions: The association between DVT and 1-year PSE was largely explained by stroke severity and lesion phenotype. DVT provided little incremental predictive information beyond established clinical characteristics, supporting its interpretation as a marker of a more severe and clinically complex poststroke phenotype rather than an independent PSE risk factor.

Indexed as

Brain IschemiaEpilepsyIschemic StrokeVenous ThrombosisAgedFemaleHumansMaleMiddle AgedRetrospective Studiesacute ischemic strokedeep vein thrombosispoststroke epilepsyrisk stratificationstroke severity

Identifiers

PMID42856943
PMCPMC13649490

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.