Evidence map›Paper›PMID 40353569›Full record

ArticleEuropean journal of neurology2025

Global, Regional, and National Burden of Stroke on Children and Adolescents Aged Under 20 Years From 1990 to 2021, With Projections of Disability-Adjusted Life Year to 2050: A Comprehensive Demographic Analysis for the Global Burden of Disease Study 2021.

Jing-Jie Li, Xiao-Peng Wang, Qian-Nan Wang, Zi-Qing Kong, Cong Han, Qing-Bao Guo, Min-Jie Wang, Si-Meng Liu, Jin-Huan Huang, Zhang-Wei Zeng and 5 more

Abstract read
In one paragraph

Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Timely surgical intervention in sickle cell-related hemorrhagic stroke: a pediatric success story and literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Review
  6. 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.

Jing-Jie LiMedical School of Chinese PLA, Beijing, China.
Xiao-Peng WangMedical School of Chinese PLA, Beijing, China.ORCID 0000-0002-5244-2586
Qian-Nan WangDepartment of Neurosurgery, The Eighth Medical Centre, Chinese PLA General Hospital, Beijing, China.ORCID 0000-0002-6389-2347
Zi-Qing KongDepartment of Oncology, Beijing Chao Yang Hospital, Capital Medical University, Beijing, China.
Cong HanDepartment of Neurosurgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Qing-Bao GuoDepartment of Neurosurgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.ORCID 0000-0001-6538-375X
Min-Jie WangMedical School of Chinese PLA, Beijing, China.
Si-Meng LiuDepartment of Neurosurgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Jin-Huan HuangGovernment Offices Administration of the Central Military Commission, Beijing, China.
Zhang-Wei ZengMedical School of Chinese PLA, Beijing, China.
Cheng ChenMedical School of Chinese PLA, Beijing, China.
Shuai-Nan NingMedical School of Chinese PLA, Beijing, China.
Xuan FangMedical School of Chinese PLA, Beijing, China.
Xiang-Yang BaoMedical School of Chinese PLA, Beijing, China.ORCID 0000-0003-1204-7386
Lian DuanMedical School of Chinese PLA, Beijing, China.

Funding

National Natural Science Foundation of China 82171280National Natural Science Foundation of China 82201451
6 · The paper itself

Abstract

backgroundStroke in children is a global epidemic.

methodsData on stroke, including incidence, DALYs, mortality, and associated risk factors from 1990 to 2021, were obtained from the Global Burden of Disease (GBD) study, 2021. Estimated annual percentage changes were calculated to evaluate changes in the age-standardized rates of incidence (ASIR), DALYs (ASDR), and mortality (ASMR), as well as trends by age, sex, and sociodemographic index (SDI). Projections of DALYs to 2050 were made.

resultsIn 2021, there were 310,133 incident stroke cases, accounting for 24,807 deaths and 2,414,655 DALYs among children and adolescents. The global ASIR, ASDR, and ASMR for stroke were 11.8, 93.9, and 1.0 per 100,000 population, respectively. Middle-to-low-SDI regions accounted for 81.6% of incident cases, 90.2% of DALYs, and 92.7% of deaths. A reversed V-shaped association was observed between SDI and ASRs. Children < 1 year had the highest ASRs, with rates generally decreasing with age, and the highest incidence of hemorrhagic stroke. Adolescents aged 15-19 years had the highest incidence of ischemic stroke. Non-optimal temperature contributed the most to the DALYs and death rates for stroke. By 2050, it is projected that 282,404 DALYs will be lost due to stroke.

conclusionsStroke burden varies by the GBD region, country, age, sex, and SDI. Despite declines in ASRs, stroke remains a significant burden, especially in middle-to-low-SDI regions, among children < 1 year, and among those with intracerebral hemorrhage. Non-optimal temperature emerges as the leading modifiable risk factor for children stroke; targeted interventions can prevent this.

Indexed as

Disability-Adjusted Life YearsGlobal Burden of DiseaseStrokeAdolescentChildChild, PreschoolCost of IllnessFemaleGlobal HealthHumansIncidenceInfantInfant, NewbornMaleRisk FactorsYoung Adultadolescentchildglobal burden of diseasestroke

Identifiers

PMID40353569
PMCPMC12067401

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.