Evidence map›Paper›PMID 42420882›Full record

ArticleBMC geriatrics2026

Heterogeneity in symptom burden and supportive care needs among older adults with ischemic stroke: a cross-sectional study.

Hao Bai, Yating Zhan, Lingqiao Song, Zeyuan Long, Longhan Zhang, Yiting Pan, An Luo, Qian He, Jiaxin Duan, Haiyan Yang and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2026. 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. 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

12 authors.

Hao Bai *School of Nursing, University of South China, Hengyang, China.
Yating Zhan *School of Nursing, University of South China, Hengyang, China.
Lingqiao SongSchool of Nursing, University of South China, Hengyang, China.
Zeyuan LongSchool of Nursing, University of South China, Hengyang, China.
Longhan ZhangSchool of Nursing, University of South China, Hengyang, China.
Yiting PanSchool of Nursing, University of South China, Hengyang, China.
An LuoSchool of Nursing, University of South China, Hengyang, China.
Qian HeSchool of Nursing, University of South China, Hengyang, China.
Jiaxin DuanSchool of Nursing, University of South China, Hengyang, China.
Haiyan YangSchool of Nursing, University of South China, Hengyang, China.
Li LiaoSchool of Nursing, University of South China, Hengyang, China. liaoli@usc.edu.cn.ORCID 0009-0008-6143-5143
Rong HuangDepartment of Emergency Medicine,The Affiliated Changsha Central Hospital, Hengyang Medical School,University of South China, Changsha, China. 2022050008@usc.edu.cn.

Funding

Research Project of the Department of Education of Hunan Province 25C0263the Natural Science Foundation of Hunan Province, China 2023JJ60402
6 · The paper itself

Abstract

backgroundOlder adults with ischemic stroke often experience multiple coexisting symptoms during recovery, which may lead to substantial supportive care needs. However, symptom burden may vary across individuals, and its heterogeneity and relationship with supportive care needs remain unclear. This study aimed to identify latent profiles of symptom burden among older adults with ischemic stroke and to examine differences in supportive care needs across these profiles.

methodsA cross-sectional study was conducted among 388 older adults with ischemic stroke recruited from the neurology departments of three tertiary hospitals in Hengyang, Hunan Province, China, between November 2025 and March 2026. Symptom burden was assessed using the Symptom Burden Scale for Stroke Survivors, and supportive care needs were measured using the Stroke Supportive Care Needs Scale. Latent profile analysis was used to identify symptom-burden subgroups. The Bolck-Croon-Hagenaars method was applied to compare supportive care needs across profiles, and multinomial logistic regression was performed to examine factors associated with profile membership.

resultsThree latent profiles of symptom burden were identified: low symptom burden (31.7%), moderate symptom burden (37.9%), and high symptom burden-physical dysfunction (30.4%). Supportive care needs differed significantly across the three profiles and generally increased from the low symptom burden group to the high symptom burden-physical dysfunction group. Patients in the high symptom burden-physical dysfunction group had greater needs in daily life, symptom management and care, rehabilitation nursing, and psychological support. Older age was associated with a higher likelihood of belonging to the more symptomatic profiles. In contrast, female sex and lower monthly income were associated with a higher likelihood of belonging to the high symptom burden-physical dysfunction group.

conclusionsOlder adults with ischemic stroke in the convalescent phase exhibited heterogeneous symptom burden that could be classified into three distinct latent profiles. These profiles were cross-sectionally associated with different patterns of supportive care needs. These findings provide preliminary profile-based evidence for understanding symptom burden heterogeneity and may help inform the prioritization of supportive care needs among older stroke survivors.

Indexed as

Ischemic StrokeSymptom BurdenAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleIschemic strokeLatent profile analysisOlder adultsSupportive care needsSymptom burden

Identifiers

PMID42420882
PMCPMC13563848

What Socratic holds

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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.