Evidence map›Paper›PMID 39215634›Full record

ArticleInternational journal of stroke : official journal of the International Stroke Society2025

The association between social networks and functional recovery after stroke.

Lauri Bishop, Scott C Brown, Hannah E Gardener, Antonio J Bustillo, D Akeim George, Gillian Gordon Perue, Karlon H Johnson, Neva Kirk-Sanchez, Negar Asdaghi, Carolina M Gutierrez and 2 more

Abstract read
In one paragraph

Article in International journal of stroke : official journal of the International Stroke Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Benefits and Importance of Early Rehabilitation in Patients After Stroke.Journal of functional morphology and kinesiology · 2026
    Review
  2. Review
  3. Article
  4. Observational
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

12 authors.

Lauri BishopDepartment of Physical Therapy, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.ORCID 0000-0002-9588-3808
Scott C BrownDepartment of Public Health Sciences, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Hannah E GardenerDepartment of Neurology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Antonio J BustilloDepartment of Neurology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
D Akeim GeorgeDepartment of Neurology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Gillian Gordon PerueDepartment of Neurology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Karlon H JohnsonDepartment of Epidemiology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Neva Kirk-SanchezDepartment of Physical Therapy, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Negar AsdaghiDepartment of Neurology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Carolina M GutierrezDepartment of Neurology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Tatjana RundekDepartment of Neurology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
Jose G RomanoDepartment of Neurology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.ORCID 0000-0003-3667-2792

Funding

Disparities in Transition of Care after Acute Stroke Hospitalization: The Transition of Care Stroke Disparity Study (TCSD-S)R01MD012467 · NIMHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ROMANO, JOSE G, RUNDEK, TATJANA · 2017 to 2021
$3.6M
Cross-disciplinary research opportunity for training in AD/ADRD science (CROSSROADS)T32AG081170 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI James E Galvin, Girardin Jean-Louis · 2024 to 2026
$1.4M
NIA NIH HHS T32 AG081170NIMHD NIH HHS R01 MD012467
6 · The paper itself

Abstract

background and purposeSocial determinants of health (SDOH), including social networks, impact disability and quality of life post-stroke, yet the direct influence of SDOH on functional change remains undetermined. We aimed to identify which SDOH predict change on the modified Rankin Scale (mRS) within 90 days after stroke hospitalization.

methodsStroke patients from the Transitions of Care Stroke Disparities Study (TCSDS) were enrolled from 12 hospitals in the Florida Stroke Registry. TCSDS aims to identify disparities in hospital-to-home transitions after stroke. SDOH were collected by trained interviewers at hospital discharge. The mRS was assessed at discharge, 30- and 90-day post-stroke. Multinomial logistic regression models examined contributions of each SDOH to mRS improvement or worsening (compared to no change) from discharge to 30- and 90-day, respectively.

resultsOf 1190 participants, median age was 64 years, 42% were women, 52% were non-Hispanic White, and 91% had an ischemic stroke. Those with a limited social support network had greater odds of functional decline at 30 days (aOR = 1.39, 1.17-1.66), adjusting for age and onset to arrival time and at 90 days (aOR = 1.50, 1.10-2.05) after adjusting for age. Results were consistent after further adjustment for additional SDOH and participant characteristics. Individuals living with a spouse/partner had reduced odds of functional decline at 90 days (aOR = 0.74, 0.57-0.98); however, results were inconsistent with more conservative modeling approaches.

conclusionThe findings highlight the importance of SDOH, specifically having a greater number of individuals in your social network in functional recovery after stroke.

Indexed as

Recovery of FunctionStrokeStroke RehabilitationAgedFemaleFloridaHumansMaleMiddle AgedPatient DischargeRegistriesSocial Determinants of HealthSocial NetworkingSocial Supportfunctional recoverysocial networkStroke

Identifiers

PMID39215634
PMCPMC12230806

What Socratic holds

Textmetadata
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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.