Evidence map›Paper›PMID 39575721›Full record

ArticleJournal of the American Heart Association2024

Mediation Analysis of Serum Fibroblast Growth Factor 20 and Poor Prognosis After Ischemic Stroke.

Keyang Chen, Wenting Huang, Beilei Hu, Fangwang Fu, Yungang Cao, Huiqin Xu, Lixin Ruan, Yongang Li, Yan Li, Jun Chen and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

15 authors.

Keyang ChenDepartment of Neurology The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou China.ORCID 0000-0002-9557-0481
Wenting HuangDepartment of Neurology The First Affiliated Hospital Hospital of Wenzhou Medical University Wenzhou China.
Beilei HuDepartment of Neurology The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou China.
Fangwang FuDepartment of Neurology The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou China.
Yungang CaoDepartment of Neurology The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou China.
Huiqin XuDepartment of Neurology The First Affiliated Hospital Hospital of Wenzhou Medical University Wenzhou China.
Lixin RuanThe People's Hospital of Pingyang Wenzhou China.
Yongang LiThe First People's Hospital of Wenling Taizhou China.
Yan LiDepartment of Neurology The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou China.
Jun ChenSchool of Pharmaceutical Sciences Wenzhou Medical University Wenzhou China.
Fei LiangSchool of Pharmaceutical Sciences Wenzhou Medical University Wenzhou China.
Xue WangSchool of Pharmaceutical Sciences Wenzhou Medical University Wenzhou China.
Xudong DuDepartment of Neurology The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou China.ORCID 0000-0001-8723-9898
Li LinSchool of Pharmaceutical Sciences Wenzhou Medical University Wenzhou China.
Xiaokun LiDepartment of Neurology The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou China.ORCID 0000-0002-6556-6262

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to examine the relationship between serum FGF20 (fibroblast growth factor 20) levels and stroke prognosis in a multicenter cohort study. METHODS AND

resultsPatients with ischemic stroke/transient ischemic attack were prospectively recruited from 5 participating centers and followed up at 3 months and 1 year. FGF20 levels were measured using the ELISA method. The primary outcome was poor stroke functional outcome (modified Rankin Scale score of 3-6), and secondary outcomes included death and composite vascular events. Multivariable logistic regression analysis or Cox proportional hazards regression analysis was employed to estimate the relationship between FGF20 and study outcomes. Mediation analysis was conducted to examine the mediating effects of traditional risk factors on the association between FGF20 and stroke outcomes. A total of 1011 patients with ischemic stroke were included in the study. After adjusting for potential confounding factors, an elevated serum FGF20 level was associated with a reduced risk of the poor outcome and death. Multivariable adjusted spline regression analysis demonstrated a linear correlation between serum FGF20 levels and the stroke outcomes. The incorporation of FGF20 alongside conventional risk factors marginally enhanced the reclassification of adverse outcomes. Renal function and white blood cell count partially mediated the relationship between FGF20 and the prognosis of ischemic stroke.

conclusionsElevated FGF20 level is associated with decreased risks of adverse outcomes after ischemic stroke, which was partially mediated by renal function and white blood cells with a modest amount, indicating that serum FGF20 might serve as a promising biomarker for predicting stroke prognosis. REGISTRATION: URL: https://www.chictr.org.cn; Unique identifier: ChiCTR2100051104.

Indexed as

BiomarkersFibroblast Growth FactorsIschemic StrokeAgedChinaFemaleHumansIschemic Attack, TransientMaleMediation AnalysisMiddle AgedPrognosisProspective StudiesRisk AssessmentRisk FactorsBiomarkersFGF20 protein, humanFibroblast Growth Factorsfibroblast growth factor 20ischemic strokemediation analysisprognosis

Identifiers

PMID39575721
PMCPMC11681561

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.