Evidence map›Paper›PMID 32887274›Full record

ArticleToxics2020

Association between Heavy Metals and Rare Earth Elements with Acute Ischemic Stroke: A Case-Control Study Conducted in the Canary Islands (Spain).

Florián Medina-Estévez, Manuel Zumbado, Octavio P Luzardo, Ángel Rodríguez-Hernández, Luis D Boada, Fernando Fernández-Fuertes, María Elvira Santandreu-Jimenez, Luis Alberto Henríquez-Hernández

Open access · goldAbstract read
In one paragraph

Article in Toxics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
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

14 citing papers in PubMed, 29 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Florián Medina-EstévezRehabilitation Service, Complejo Hospitalario Insular-Materno Infantil (CHUIMI), Avenida Marítima del Sur, 35016 Las Palmas de Gran Canaria, Spain.
Manuel ZumbadoToxicology Unit, Research Institute of Biomedical and Health Sciences (IUIBS), Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria (ULPGC), Paseo Blas Cabrera Felipe s/n, 35016 Las Palmas de Gran Canaria, Spain.ORCID 0000-0002-1534-7758
Octavio P LuzardoToxicology Unit, Research Institute of Biomedical and Health Sciences (IUIBS), Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria (ULPGC), Paseo Blas Cabrera Felipe s/n, 35016 Las Palmas de Gran Canaria, Spain.ORCID 0000-0002-4153-3028
Ángel Rodríguez-HernándezToxicology Unit, Research Institute of Biomedical and Health Sciences (IUIBS), Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria (ULPGC), Paseo Blas Cabrera Felipe s/n, 35016 Las Palmas de Gran Canaria, Spain.
Luis D BoadaToxicology Unit, Research Institute of Biomedical and Health Sciences (IUIBS), Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria (ULPGC), Paseo Blas Cabrera Felipe s/n, 35016 Las Palmas de Gran Canaria, Spain.
Fernando Fernández-FuertesRehabilitation Service, Complejo Hospitalario Insular-Materno Infantil (CHUIMI), Avenida Marítima del Sur, 35016 Las Palmas de Gran Canaria, Spain.
María Elvira Santandreu-JimenezRehabilitation Service, Complejo Hospitalario Insular-Materno Infantil (CHUIMI), Avenida Marítima del Sur, 35016 Las Palmas de Gran Canaria, Spain.
Luis Alberto Henríquez-HernándezToxicology Unit, Research Institute of Biomedical and Health Sciences (IUIBS), Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria (ULPGC), Paseo Blas Cabrera Felipe s/n, 35016 Las Palmas de Gran Canaria, Spain.ORCID 0000-0003-3237-0316
Universidad de Las Palmas de Gran Canaria · ESHospital Universitario Insular de Gran Canaria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of inorganic elements as risk factors for stroke has been suggested. We designed a case-control study to explore the role of 45 inorganic elements as factors associated with stroke in 92 patients and 83 controls. Nineteen elements were detected in >80% of patients and 21 were detected in >80% of controls. Blood level of lead was significantly higher among patients (11.2 vs. 9.03 ng/mL) while gold and cerium were significantly higher among controls (0.013 vs. 0.007 ng/mL; and 18.0 vs. 15.0 ng/mL). Lead was associated with stroke in univariate and multivariate analysis (OR = 1.65 (95% CI, 1.09-2.50) and OR = 1.91 (95% CI, 1.20-3.04), respectively). Gold and cerium showed an inverse association with stroke in multivariate analysis (OR = 0.81 (95% CI, 0.69-0.95) and OR = 0.50 (95% CI, 0.31-0.78)). Future studies are needed to elucidate the potential sources of exposure and disclose the mechanisms of action.

Indexed as

case-control studycerebrovascular accidentheavy metalrare earth elementstroke

Identifiers

PMID32887274
PMCPMC7560340
OpenAlexW3082272581

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.