Evidence map›Paper›PMID 41790304›Full record

Trial reportTranslational stroke research2026

Comprehensive Evaluation of Predictive Significance of FABP4 for Long-term Clinical Outcomes After Ischemic Stroke.

Youdan Tu, Pei Feng, Lulu Sun, Yanyu Zhu, Suyang Wu, Yanbo Peng, Yonghong Zhang, Tan Xu, Chongke Zhong, Guodong Xiao

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Translational stroke research, 2026. 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

10 authors.

Youdan Tu *Department of Neurology, The Second Affiliated Hospital of Soochow University, No.1055, Sanxiang Road, Suzhou, 215004, Jiangsu Province, China.
Pei Feng *Kunshan Maternity and Children's Health Care Hospital, Kunshan, China.
Lulu SunDepartment of Epidemiology, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Major Chronic Non-communicable Diseases, MOE Key Laboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, No. 199 Renai Road, Industrial Park District, Suzhou, 215123, Jiangsu Province, China.
Yanyu ZhuDepartment of Epidemiology, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Major Chronic Non-communicable Diseases, MOE Key Laboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, No. 199 Renai Road, Industrial Park District, Suzhou, 215123, Jiangsu Province, China.
Suyang WuDepartment of Epidemiology, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Major Chronic Non-communicable Diseases, MOE Key Laboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, No. 199 Renai Road, Industrial Park District, Suzhou, 215123, Jiangsu Province, China.
Yanbo PengDepartment of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei, China.
Yonghong ZhangDepartment of Epidemiology, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Major Chronic Non-communicable Diseases, MOE Key Laboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, No. 199 Renai Road, Industrial Park District, Suzhou, 215123, Jiangsu Province, China.
Tan XuDepartment of Epidemiology, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Major Chronic Non-communicable Diseases, MOE Key Laboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, No. 199 Renai Road, Industrial Park District, Suzhou, 215123, Jiangsu Province, China.
Chongke ZhongDepartment of Neurology, The Second Affiliated Hospital of Soochow University, No.1055, Sanxiang Road, Suzhou, 215004, Jiangsu Province, China. ckzhong@suda.edu.cn.
Guodong XiaoDepartment of Neurology, The Second Affiliated Hospital of Soochow University, No.1055, Sanxiang Road, Suzhou, 215004, Jiangsu Province, China. yarrowshaw@hotmail.com.

Funding

Interdisciplinary Basic Frontier Innovation Program of Suzhou Medical College of Soochow University No. YXY2302013National Natural Science Foundation of China No. 82574196, 82273706 and 82220108001Project of MOE Key Laboratory of Geriatric Diseases and Immunology No. JYN202406
6 · The paper itself

Abstract

Fatty acid-binding protein 4 (FABP4) has been reported to be involved in cerebral ischemia injury by modulating neurological function and inflammatory responses. This study aimed to investigate the association between plasma FABP4 levels and long-term, comprehensive clinical outcomes after acute ischemic stroke. Plasma FABP4 levels were measured in 3352 patients with acute ischemic stroke from the Chinese Acute Ischemic Stroke Antihypertensive Trial. Primary outcome was the composite of death and major disability (modified Rankin Scale score ≥ 3); secondary outcomes included major disability, all-cause mortality, stroke-specific mortality, and cardiovascular events. After 24-month follow-up, 790 patients experienced primary outcome, including 502 major disability and 288 all-cause mortality. Compared with the lowest tertile, the highest tertile of FABP4 was associated with primary outcome (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.27-2.00), major disability (OR 1.40, 95% CI 1.09-1.82), all-cause mortality (hazard ratio [HR] 1.58, 95% CI 1.15-2.17), stroke-specific mortality (HR 1.68, 95% CI 1.17-2.40), and cardiovascular events (HR 1.35, 95% CI 1.02-1.80). Adding FABP4 to the basic model with conventional risk factors significantly improved risk reclassification for primary outcome (net reclassification improvement: 24.95%; integrated discrimination index: 0.75%). FABP4 was among the top five important predictors for primary outcome, ranking higher than N-terminal pro-brain natriuretic peptide and other biomarkers. Elevated plasma FABP4 levels were associated with increased risks of a variety of adverse outcomes after ischemic stroke at 24 months, suggesting that FABP4 could serve as a promising biomarker to improve risk stratification for long-term prognosis in ischemic stroke.

Indexed as

Brain IschemiaFatty Acid-Binding ProteinsIschemic StrokeStrokeAgedBiomarkersFemaleFollow-Up StudiesHumansMaleMiddle AgedPredictive Value of TestsPrognosisBiomarkersFABP4 protein, humanFatty Acid-Binding Proteinsbiomarkercardiovascular eventsfatty acid-binding protein 4ischemic strokemortality

Identifiers

What Socratic holds

Textmetadata
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.