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Permeability of the blood-brain barrier through the phases of ischaemic stroke and relation with clinical outcome: protocol for a systematic review

dc.contributor.authorBernardo-Castro, S
dc.contributor.authorDonato, H
dc.contributor.authorFerreira, L
dc.contributor.authorSargento-Freitas, J
dc.date.accessioned2020-10-20T09:11:28Z
dc.date.available2020-10-20T09:11:28Z
dc.date.issued2020-09-18
dc.description.abstractIntroduction: Ischaemic stroke is the most prevalent type of stroke and is characterised by a myriad of pathological events triggered by a vascular arterial occlusion. Disruption of the blood-brain barrier (BBB) is a key pathological event that may lead to fatal outcomes. However, it seems to follow a multiphasic pattern that has been associated with distinct biological substrates and possibly contrasting outcomes. Addressing the BBB permeability (BBBP) along the different phases of stroke through imaging techniques could lead to a better understanding of the disease, improved patient selection for specific treatments and development of new therapeutic modalities and delivery methods. This systematic review will aim to comprehensively summarise the existing evidence regarding the evolution of the BBBP values during the different phases of an acute ischaemic stroke and correlate this event with the clinical outcome of the patient. Methods and analysis: We will conduct a computerised search on Medline, EMBASE, Cochrane Central Register of Controlled Trials, Scopus and Web of Science. In addition, grey literature and ClinicalTrials.gov will be scanned. We will include randomised controlled trials, cohort, cross-sectional and case-controlled studies on humans that quantitatively assess the BBBP in stroke. Retrieved studies will be independently reviewed by two authors and any discrepancies will be resolved by consensus or with a third reviewer. Reviewers will extract the data and assess the risk of bias of the selected studies. If possible, data will be combined in a quantitative meta-analysis following the guidelines provided by Cochrane Handbook for Systematic Reviews of Interventions. We will assess cumulative evidence using the Grading of Recommendations, Assessment, Development and Evaluation approach. Ethics and dissemination: Ethical approval is not needed. All data used for this work are publicly available. The result obtained from this work will be published in a peer-reviewed journal and disseminated in relevant conferences.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMJ Open . 2020 Sep 18;10(9):e039280.pt_PT
dc.identifier.doi10.1136/bmjopen-2020-039280pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.4/2319
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectTomografia Computorizadapt_PT
dc.subjectAcidente Vascular Cerebralpt_PT
dc.subjectRessonância Magnéticapt_PT
dc.subjectRevisão Sistemáticapt_PT
dc.titlePermeability of the blood-brain barrier through the phases of ischaemic stroke and relation with clinical outcome: protocol for a systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue9pt_PT
oaire.citation.startPagee039280pt_PT
oaire.citation.titleBMJ openpt_PT
oaire.citation.volume10pt_PT
person.familyNameMargarida Donato
person.givenNameHelena
person.identifier0521151043656-2354
person.identifier.ciencia-id9011-F5A8-AA62
person.identifier.orcid0000-0002-1905-1268
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationeab6bc26-fa51-468c-88f7-f6f06cd0b3f2
relation.isAuthorOfPublication.latestForDiscoveryeab6bc26-fa51-468c-88f7-f6f06cd0b3f2

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