Evidence map›Paper›PMID 40268995›Full record

ArticleScientific reports2025

A prospective cohort study on prognostic implications of serum platelet derived microparticles levels in acute cerebral infarction.

Si-Si He, Xiang-Dong Huang, Shi-Zheng Zhang, Qing-Qing Zhuang, Xin-Xin Chen, Hao-Dong Wang, Xin-Lei Mao

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Stroke, infections, and New Mechanisms: a Narrative Review.Current neurology and neuroscience reports · 2025
    Review
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.

Si-Si HeDepartment of Neurology, The Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, 252 Bailidong Road, Wenzhou, 325000, China.
Xiang-Dong HuangDepartment of Neurology, The Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, 252 Bailidong Road, Wenzhou, 325000, China.
Shi-Zheng ZhangDepartment of Neurology, The Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, 252 Bailidong Road, Wenzhou, 325000, China.
Qing-Qing ZhuangDepartment of Neurology, The Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, 252 Bailidong Road, Wenzhou, 325000, China.
Xin-Xin ChenDepartment of Neurology, The Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, 252 Bailidong Road, Wenzhou, 325000, China.
Hao-Dong WangDepartment of Neurology, The Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, 252 Bailidong Road, Wenzhou, 325000, China.
Xin-Lei MaoDepartment of Neurology, The Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, 252 Bailidong Road, Wenzhou, 325000, China. 18057782868@163.com.

Funding

science and technology plan project of Wenzhou city in Zhejiang province Y2020066
6 · The paper itself

Abstract

Platelet-derived microparticles (PDMPs) participate in ischemic brain injury. We further determined the relationships between serum PDMPs levels and early neurological deterioration (END) as well as functional outcome after acute cerebral infarction (ACI). In this prospective cohort study, serum PDMPs levels were measured in 125 controls and 621 patients with ACI. Univariate analysis and multivariate analysis were sequentially applied to investigate the relations of serum PDMPs levels to END and poor prognosis (modified Rankin scale score > 2) at six months after ACI. Serum PDMPs levels were significantly higher in patients than in controls (median, 14.00 ng/L vs. 27.00 ng/L; P < 0.001). Serum PDMPs levels were strongly correlated with infarction volume (ρ = 0.532, P < 0.001), National Institutes of Health Stroke Scale score (ρ = 0.627, P < 0.001) and modified Rankin scale score (ρ = 0.528, P < 0.001). It was independently associated with END [odds ratio (OR) 1.117, 95% confidence interval (CI) 1.008-1.238; P = 0.001] and poor prognosis (OR 1.092, 95% CI 1.066-1.119; P = 0.001). There were linear relationships between serum PDMPs levels and risks of poor prognosis (P for non-linear = 0.055) plus END (P for non-linear = 0.061) under restricted cubic spline. Using subgroup analysis, significant interaction existed between serum PDMPs levels and age in association of poor prognosis (P for interaction = 0.006), as well as between serum PDMPs levels and coronary heart disease in association of END (P for interaction = 0.017). Serum PDMPs levels significantly discriminated the development of poor prognosis (Area under curve 0.705, 95% CI 0.632-0.778; P < 0.001) and END (The area 0.733, 95% CI 0.664-0.803; P < 0.001). Serum PDMPs levels may predict the risk of END and 6-month poor prognosis in patients with ACI.

Indexed as

Blood PlateletsCell-Derived MicroparticlesCerebral InfarctionAgedBiomarkersFemaleHumansMaleMiddle AgedPrognosisProspective StudiesBiomarkersAcute cerebral infarctionEarly neurological deteriorationPlatelet-derived microparticlesPoor prognosis

Identifiers

PMID40268995
PMCPMC12018963

What Socratic holds

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LicenceCC BY-NC-ND
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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.