Evidence map›Paper›PMID 40355291›Full record

ArticleBMJ open2025

Associations between multiple acute infarctions and intracranial arterial stenosis with functional outcomes in anterior circulation acute ischaemic stroke reperfusion therapy: results from the China National Stroke Registry III.

Shifeng Xiang, Yijun Zhang, Xiaoli Zhang, Ya Su, Xu Zhu, Yiping Wu, Anxin Wang, Xia Meng

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Shifeng Xiang *Department of CT / MRI, Handan Central Hospital, Handan, Hebei, China.
Yijun Zhang *Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0002-7396-1190
Xiaoli ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Ya SuDepartment of CT / MRI, Handan Central Hospital, Handan, Hebei, China.ORCID http://orcid.org/0009-0000-6444-5330
Xu ZhuDepartment of Neurology, Handan Central Hospital, Handan, Hebei, China.ORCID http://orcid.org/0009-0009-4836-8609
Yiping WuDepartment of Neurology, Handan Central Hospital, Handan, Hebei, China wyp5@sina.com wanganxin@bjtth.org mengxia@ncrcnd.org.cn.
Anxin WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China wyp5@sina.com wanganxin@bjtth.org mengxia@ncrcnd.org.cn.ORCID http://orcid.org/0000-0003-4351-2877
Xia MengDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China wyp5@sina.com wanganxin@bjtth.org mengxia@ncrcnd.org.cn.ORCID http://orcid.org/0000-0002-4918-0845

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to observe the correlation between infarction pattern and intracranial arterial stenosis (ICAS) on magnetic resonance and functional outcome in acute ischaemic stroke (AIS) patients after reperfusion therapy.

designThis is a post hoc analysis of the Third China National Stroke Registry (CNSR-III) study.

settingThe data was derived from the CNSR-III study, which was a nationwide clinical registry of ischaemic stroke or transient ischaemic attack based in China.

participantsPatients with anterior circulation AIS who underwent reperfusion therapy were included for analysis. The patients were divided into single acute infarction and multiple acute infarctions (MAIs) based on the diffusion-weighted imaging findings. Additionally, patients were categorised according to the degree of ICAS assessed by magnetic resonance angiography as either ≥50% or <50%. PRIMARY OUTCOME MEASURES: The primary outcome of this study was poor functional outcome at 12 months, defined as a modified Rankin Scale of 3-6.

resultsIn the included 796 patients, there were 152, 130 and 126 cases of unfavourable functional outcomes at 3 months, 6 months and 12 months, respectively. After adjusting for all potential confounding factors, MAIs were significantly associated with an increased risk of poor functional outcomes at 12 months (OR 1.96; 95% CI 1.27 to 3.02; p=0.0024). Similarly, ≥50% ICAS was also correlated with an increased risk of poor functional outcomes (OR 1.74; 95% CI 1.14 to 2.67; p=0.0110).

conclusionsBoth MAIs and ≥50% ICAS were associated with poor functional outcomes in patients with anterior circulation AIS who received reperfusion therapy.

Indexed as

Ischemic StrokeReperfusionAgedChinaConstriction, PathologicDiffusion Magnetic Resonance ImagingFemaleHumansMagnetic Resonance AngiographyMaleMiddle AgedRegistriesTreatment OutcomeHead & neck imagingMagnetic resonance imagingNeuroradiology

Identifiers

PMID40355291
PMCPMC12083432

What Socratic holds

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LicenceCC BY-NC
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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.