Evidence mapPaperPMID 38544366Full record

ArticleCNS neuroscience & therapeutics2024

Serum heme oxygenase-1 level predicts clinical outcome after acute ischemic stroke.

Huan Wang, Ting Cui, Yaqi Chen, Mingxi Chen, Shihong Zhang, Xinyi Leng, Deren Wang

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 5 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

7 authors at 2 institutions in 2 countries.

Huan WangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Ting CuiDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Yaqi ChenDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Mingxi ChenDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Shihong ZhangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Xinyi LengDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0001-7300-6647
Deren WangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-2388-3585
Sichuan University · CNChinese University of Hong Kong · HK

Funding

1·3·5 project for disciplines of excellence-Clinical Research Incubation Project of West China Hospital 2018HXFH041National Key Research and Development Program of China 2018YFC1705006National Natural Science Foundation of China 81974208National Natural Science Foundation of China 82271331Sichuan Science and Technology Program 2023YFH0096
6 · The paper itself

Abstract

aimsThe relationship between heme oxygenase-1 (HO-1) and human ischemic stroke outcome remains unclear, which was investigated in this study.

methodsAcute ischemic stroke patients admitted within 24 h were enrolled. Serum HO-1 levels at baseline were measured via ELISA. Poor 3-month functional outcome was defined as modified Rankin Scale (mRS) score 3-6. Multivariable-adjusted binary logistic regression and restricted cubic spline models were employed to examine association between serum HO-1 and functional outcome. HO-1's additive prognostic utility was assessed by net reclassification index (NRI) and integrated discrimination improvement (IDI).

resultsOf 194 eligible patients, 79 (40.7%) developed poor functional outcomes at 3-month follow-up. The highest quartile of serum HO-1 was independently associated with a lower risk of poor functional outcome (adjusted OR 0.13, 95% CI 0.04-0.45; p = 0.001) compared with the lowest HO-1 category. The relationship between higher HO-1 levels and reduced risk of poor functional outcome was linear and dose responsive (p = 0.002 for linearity). Incorporating HO-1 into the analysis with conventional factors significantly improved reclassification for poor functional outcomes (NRI = 41.2%, p = 0.004; IDI = 5.0%, p = 0.004).

conclusionsElevated serum HO-1 levels at baseline were independently associated with improved 3-month functional outcomes post-ischemic stroke. Serum HO-1 measurement may enhance outcome prediction beyond conventional clinical factors.

Indexed as

Brain IschemiaIschemic StrokeStrokeBiomarkersHeme Oxygenase-1HumansPrognosisRisk FactorsBiomarkersHeme Oxygenase-1biomarkerheme oxygenase‐1ischemic strokeprognosis

Identifiers

PMID38544366
PMCPMC10973699
OpenAlexW4393272675

What Socratic holds

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LicenceCC BY
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Registered trials

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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.