Table 1

- Characteristics of the included studies.

NoSource(Author/Year/Country)DesignsSettingSample size,No.
TotalENDNon-END
1Boulenoir et al14 2020, FranceRetrospectiveMulticenter742252
2Che et al15 2020, ChinaRetrospectiveMulticenter1107811026
3Huang et al16 2018, ChinaRetrospectiveSingle center272END(Identified causes) 14
Unexplained END 15
243
4Tanaka et al17 2020, JapanRetrospectiveSingle center744ENDh 22
ENDi 57
665
5Li et al18 2019, ChinaRetrospectiveSingle center13925114
6Li et al19 2021, ChinaRetrospectiveSingle center1182890
7Liu et al20 2021, ChinaRetrospectiveSingle center21271141
8Mori et al21 2012, JapanRetrospectiveMulticenter56656510
9Yu et al10 2020,United KingdomRetrospectiveMulticenter50726341547311
10Seners et al22 2021, FranceRetrospectiveMulticenter729ENDh 8
ENDi 88
633
11Seners et al23 2014, FranceRetrospectiveSingle center309END(Identified causes) 10
Unexplained END 23
276
12Seners et al24 2017, FranceRetrospectiveSingle center1202298
13Shah et al5 2022, USARetrospectiveMulticenter1238911147
14Simonsen et al25 2016, DenmarkProspectiveSingle center569ENDh 7
ENDi 26
536
15Wang et al26 2022, ChinaRetrospectiveSingle center798139659
16Cui et al9 2022, ChinaRetrospectiveMulticenter1194END(ACS) 36
END(PCS) 13
END(ACS) 906
END(PCS) 239
No.Source(Author/Year/Country)Age, year, median(IQR) or mean±SDGender(male), No.(%)Quality score
TotalENDNon-ENDTotalENDNon-END 
1Boulenoir et al142020, France64±1062 (54-71)64 (54-74)16 (73)40 (77)8
2Che et al15 2020, China63.42±11.3364.47±9.3463.34±11.48673(60.79)49(60.49)624(60.82)8
3Huang et al16 2018, China64.98±10.65END(Identified causes) —
Unexplained END 72.93±6.82
64.41±10.73156(60.47)END(Identified causes) —
Unexplained END 7 (46.7)
149 (61.3)8
4Tanaka et al17 2020, Japan75 (66-82)ENDh 78 (67-87.25)
ENDi 75 (64-81)
75 (66-82)452 (60.8)ENDh 16 (72.7)
ENDi 30 (52.6)
406 (61.1)8
5Li et al18 2019, China66±1260±963±13116(83.45)21(84.0)95(83.3)8
6Li et al19 2021, China65.3±8.766.9±6.564.8±5.769(76.67)16(57.1)53(58.9)8
7Liu et al20 2021, China59.43±19.77≥60(years) 43
<60(years) 28
≥60(years) 64
<60(years) 77
113(53.3)39748
8Mori et al21 2012, Japan72.0±11.671.5±9.372.0±11.9355(62.72)38(67.85)317(62.16)8
9Yu et al10 2020, United Kingdom73(64.5–81.5)76 (69–83)72 (63-81)2077 (60.8)27194 (57.4)8
10Seners et al22 2021, France70±15ENDh —
ENDi 69±15
70±15335 (46.0)ENDh —
ENDi 50 (57)
282 (44.5)8
11Seners et al23 2014, France69.1±14.6END(Identified causes) —
Unexplained END 73.1±12.6
68.6±14.7164 (53)END(Identified causes) —
Unexplained END 11 (48)
150 (54)8
12Seners et al24 2017, France69.4±15.375.7±11.468.0±15.856 (47)8 (36)48 (49)8
13Shah et al5 2022, USA69.5±14.972±1669±15631(51)50(55)585(51)8
14Simonsen et al25 2016, DenmarkENDh 73 (60.5–80.75)
ENDi 66 (61–74)
66 (57–74)ENDh 2 (57)
ENDi 18 (69)
329 (61)8
15Wang et al26 2022, China67 (11.4)69 (12.5)66 (11.1)512 (64.2)93 (66.9)419 (63.6)8
16Cui et al9 2022, ChinaEND(ACS) 64 (56–72)
END(PCS) 62 (55–70)
END(ACS) 63 (54–69)
END(PCS) 66 (53–73)
END(ACS) 64 (56–72)
END(PCS) 62 (55–70)
END(ACS) 640 (67.9)
END(PCS) 164 (65.1)
END(ACS) 25 (69.4)END(PCS) 10 (76.9)END(ACS) 615 (67.9)END(PCS) 154 (64.4)8

END - early neurological deterioration. Unexplained END and END without definite cause. ENDh - early neurological deterioration of presumed hemorrhagic origin. ENDi - Early neurological deterioration of presumed ischemic origin. END (ACS) - END in anterior circulation stroke (ACS) group. END (PCS) - END in posterior circulation stroke (PCS) group