Evidence mapPaperPMID 35224865Full record

ReviewCNS neuroscience & therapeutics2022

Perioperative stroke: A perspective on challenges and opportunities for experimental treatment and diagnostic strategies.

Xia Jin, Peiying Li, Dominik Michalski, Shen Li, Yueman Zhang, Jukka Jolkkonen, Lili Cui, Nadine Didwischus, Wei Xuan, Johannes Boltze

Open access · goldAbstract readReview
In one paragraph

Review in CNS neuroscience & therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  12. Decoding the Neurological Sequelae of General Anesthesia: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
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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

10 authors at 6 institutions in 5 countries.

Xia JinDepartment of Anesthesiology, Renji Hospital, School of Medicine Shanghai Jiaotong University, Shanghai, China.
Peiying LiDepartment of Anesthesiology, Renji Hospital, School of Medicine Shanghai Jiaotong University, Shanghai, China.
Dominik MichalskiDepartment of Neurology, University of Leipzig, Leipzig, Germany.
Shen LiDepartment of Neurology and Psychiatry, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-6779-9812
Yueman ZhangDepartment of Anesthesiology, Renji Hospital, School of Medicine Shanghai Jiaotong University, Shanghai, China.
Jukka JolkkonenDepartment of Neurology and A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland.
Lili CuiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-6931-7263
Nadine DidwischusSchool of Life Sciences, University of Warwick, Coventry, UK.
Wei XuanDepartment of Anesthesiology, Renji Hospital, School of Medicine Shanghai Jiaotong University, Shanghai, China.
Johannes BoltzeSchool of Life Sciences, University of Warwick, Coventry, UK.ORCID 0000-0003-3956-4164
Renji Hospital · CNCapital Medical University · CNLeipzig University · DEUniversity of Eastern Finland · FIUniversity of Pittsburgh · USUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perioperative stroke is an ischemic or hemorrhagic cerebral event during or up to 30 days after surgery. It is a feared condition due to a relatively high incidence, difficulties in timely detection, and unfavorable outcome compared to spontaneously occurring stroke. Recent preclinical data suggest that specific pathophysiological mechanisms such as aggravated neuroinflammation contribute to the detrimental impact of perioperative stroke. Conventional treatment options are limited in the perioperative setting due to difficult diagnosis and medications affecting coagulation in may cases. On the contrary, the chance to anticipate cerebrovascular events at the time of surgery may pave the way for prevention strategies. This review provides an overview on perioperative stroke incidence, related problems, and underlying pathophysiological mechanisms. Based on this analysis, we assess experimental stroke treatments including neuroprotective approaches, cell therapies, and conditioning medicine strategies regarding their potential use in perioperative stroke. Interestingly, the specific aspects of perioperative stroke might enable a more effective application of experimental treatment strategies such as classical neuroprotection whereas others including cell therapies may be of limited use. We also discuss experimental diagnostic options for perioperative stroke augmenting classical clinical and imaging stroke diagnosis. While some experimental stroke treatments may have specific advantages in perioperative stroke, the paucity of established guidelines or multicenter clinical research initiatives currently limits their thorough investigation.

Indexed as

Brain IschemiaStrokeHumansMulticenter Studies as TopicNeuroprotectionexperimental treatmentneuroprotectionperioperative strokestroketranslational research

Identifiers

PMID35224865
PMCPMC8928912
OpenAlexW4214608759

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.