Evidence map›Paper›PMID 33949269›Full record

SynthesisInternational journal of stroke : official journal of the International Stroke Society2021

Longer term patient management following stroke: A systematic review.

Christian Boehme, Thomas Toell, Wilfried Lang, Michael Knoflach, Stefan Kiechl

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of stroke : official journal of the International Stroke Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 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

5 authors at 2 institutions in 1 country.

Christian BoehmeDepartment of Neurology, 27280Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-1369-418X
Thomas ToellDepartment of Neurology, 27280Medical University of Innsbruck, Innsbruck, Austria.
Wilfried LangDepartment of Neurology, Hospital St. John's of God, Vienna, Austria.
Michael KnoflachDepartment of Neurology, 27280Medical University of Innsbruck, Innsbruck, Austria.
Stefan KiechlDepartment of Neurology, 27280Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-9836-2514
Innsbruck Medical University · ATHospital of the Brothers of St. John of God · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTremendous progress in acute stroke therapy has improved short-term outcome but part of this achievement may be lost in the long run. Concepts for a better long-term management of stroke survivors are needed to address their unmet needs and to reduce the burden of post-stroke complications, residual deficits, and recurrent vascular events.

aimsThis review summarizes current knowledge on post-hospital care and the scientific evidence supporting individual programs. SUMMARY OF REVIEW: A systematic search of electronic databases according to PRISMA guidelines identified 10,374 articles, 77 of which met the inclusion criteria. One large randomised controlled trial on a multifaceted care program delivered by the multidisciplinary stroke team reduced recurrent vascular events and improved quality of life and functional outcome one year after the event, while a number of studies offer solutions for individual components of post-hospital disease management like patient education, counselling, and self-management or the management of post-stroke complications and residual deficits. A majority of studies, however, was small in size and limited by a short follow-up. Most initiatives with a narrow focus on risk factor control failed to lower the risk of recurrent events. The caregivers' central role in post-stroke patient management is broadly neglected in research.

conclusionsOver the past years, first knowledge on how to best organize post-hospital care of stroke patients has emerged. Comprehensive and pragmatic programs operated by the multidisciplinary stroke team hold promise to reduce the long-term health burden of stroke. There is a clear need for further high-quality studies with both clinical endpoints and patient-reported outcomes to establish sustainable solutions in different settings and regions to improve life after stroke, a key priority of the Stroke Action Plan for Europe 2018-2030.

Indexed as

Quality of LifeStrokeCaregiversEuropeHumansRandomized Controlled Trials as TopicRisk Factorscomplicationdisease managementfollow-uppost-stroke carereviewStroke

Identifiers

PMID33949269
PMCPMC8554494
OpenAlexW3158571367

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.