{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T14:54:08Z","timestamp":1792853648604,"version":"4.5.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Estimated pulse wave velocity (ePWV), an easy to calculate proxy of carotid to femoral PWV (cfPWV), can be derived from 24-hour blood pressure monitoring (24h-BPM). Its role in acute ischemic stroke (AIS) has not previously been investigated in large multinational datasets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pooled individual patient data analysis from 13 cohorts across seven countries was conducted, including 2933 AIS patients who underwent 24h-BPM during the hyperacute to subacute phase. ePWV was calculated using a validated equation. Associations with clinical characteristics, stroke severity, etiologic subtypes, and outcomes were assessed with logistic regression. The primary outcome was poor functional outcome at 90 days, defined as a modified Rankin Scale (mRS) &amp;gt;2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients with higher ePWV presented with more severe strokes (median NIHSS 7 vs. 3, P\u2009&amp;lt;\u2009.001) and had poorer outcomes both at 90 days (63.7% vs. 23.7%, P\u2009&amp;lt;\u2009.001) and discharge (61.9% vs 29.1%, P\u2009&amp;lt;\u2009.001). ePWV was associated with poor outcome at 90 days (aOR: 1.24, 95% CI: 1.05-1.45) and discharge (aOR: 1.26, 95% CI: 1.12-1.42), per 1 m\/s increase in ePWV, after adjustment for conventional risk factors and stroke severity. In patients \u226450 years, ePWV was highest in those with small vessel disease (SVD), who also had more cardiovascular risk factors than other stroke subtypes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ePWV derived from 24h-BPM is a simple, widely applicable measure of vascular aging that is associated with functional outcome after AIS. The higher ePWV observed in young patients with SVD underscores a potential early arteriosclerotic burden in this subgroup.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpag066","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T11:44:04Z","timestamp":1782215044000},"page":"1142-1150","source":"Crossref","is-referenced-by-count":2,"title":["Estimated pulse wave velocity predicts outcomes after acute ischemic stroke: a multinational cohort analysis"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5263-1803","authenticated-orcid":false,"given":"Nikolaos","family":"Kakaletsis","sequence":"first","affiliation":[{"name":"First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital , Thessaloniki,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7486-9700","authenticated-orcid":false,"given":"Naohisa","family":"Hosomi","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical Sciences , Hiroshima,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4877-2336","authenticated-orcid":false,"given":"Tomohisa","family":"Nezu","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical Sciences , Hiroshima,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4954-7579","authenticated-orcid":false,"given":"Patrik","family":"Michel","sequence":"additional","affiliation":[{"name":"Stroke Center and Neurology Service, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne , Lausanne,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thevoz","family":"Guillaume","sequence":"additional","affiliation":[{"name":"Stroke Center and Neurology Service, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne , Lausanne,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4429-2714","authenticated-orcid":false,"given":"Davide","family":"Strambo","sequence":"additional","affiliation":[{"name":"Stroke Center and Neurology Service, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne , Lausanne,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Seo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology, College of Medicine, Hanyang University , Seoul,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4637-5890","authenticated-orcid":false,"given":"Wonjae","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Neurology, College of Medicine, Hanyang University , Seoul,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2465-7130","authenticated-orcid":false,"given":"Konstantinos","family":"Vemmos","sequence":"additional","affiliation":[{"name":"Department of Clinical Therapeutics of Alexandra Hospital, National and Kapodistrian University of Athens , Athens,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0403-8316","authenticated-orcid":false,"given":"Eleni","family":"Korompoki","sequence":"additional","affiliation":[{"name":"Department of Clinical Therapeutics of Alexandra Hospital, National and Kapodistrian University of Athens , Athens,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4149-1785","authenticated-orcid":false,"given":"Maurizio","family":"Acampa","sequence":"additional","affiliation":[{"name":"Stroke Unit, Department of Medical Sciences, Surgery and Neurosciences, \u201cSanta Maria Alle Scotte\u201d General Hospital, University of Siena , Siena,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6630-6104","authenticated-orcid":false,"given":"Jukka","family":"Putaala","sequence":"additional","affiliation":[{"name":"Department of Neurology, Helsinki University Hospital and University of Helsinki , Helsinki,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2823-8574","authenticated-orcid":false,"given":"Lauri","family":"Tulkki","sequence":"additional","affiliation":[{"name":"Department of Neurology, Helsinki University Hospital and University of Helsinki , Helsinki,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0694-7719","authenticated-orcid":false,"given":"Matthias","family":"Hermann","sequence":"additional","affiliation":[{"name":"University Heart Center Zurich, Department of Cardiology, University Hospital Zurich , Zurich,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7454-5466","authenticated-orcid":false,"given":"Protazy","family":"Rejmer","sequence":"additional","affiliation":[{"name":"University Heart Center Zurich, Department of Cardiology, University Hospital Zurich , Zurich,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2734-5132","authenticated-orcid":false,"given":"Philip M","family":"Bath","sequence":"additional","affiliation":[{"name":"Stroke Trials Unit, Mental Health & Clinical Neuroscience, University of Nottingham , Nottingham,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4472-1999","authenticated-orcid":false,"given":"Lisa J","family":"Woodhouse","sequence":"additional","affiliation":[{"name":"Stroke Trials Unit, Mental Health & Clinical Neuroscience, University of Nottingham , Nottingham,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3755-8097","authenticated-orcid":false,"given":"Vasilios","family":"Kotsis","sequence":"additional","affiliation":[{"name":"Third Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Papageorgiou Hospital , Thessaloniki,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6272-7102","authenticated-orcid":false,"given":"Elpida","family":"Athanasopoulou","sequence":"additional","affiliation":[{"name":"Cardiovascular Prevention & Research Unit, Clinic & Laboratory of Pathophysiology, Department of Medicine, School of Health Sciences, National and Kapodistrian University of Athens , Athens,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3825-532X","authenticated-orcid":false,"given":"Athanase D","family":"Protogerou","sequence":"additional","affiliation":[{"name":"Cardiovascular Prevention & Research Unit, Clinic & Laboratory of Pathophysiology, Department of Medicine, School of Health Sciences, National and Kapodistrian University of Athens , Athens,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3958-2266","authenticated-orcid":false,"given":"Haralampos","family":"Milionis","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical School, University of Ioannina, University Hospital of Ioannina , Ioannina,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0629-9248","authenticated-orcid":false,"given":"George","family":"Ntaios","sequence":"additional","affiliation":[{"name":"First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital , Thessaloniki,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos","family":"Savopoulos","sequence":"additional","affiliation":[{"name":"First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital , Thessaloniki,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"2026081404472722600_hpag066-B1","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1159\/000329313","article-title":"Temporal distribution and magnitude of the vulnerability period around stroke depend on stroke subtype","volume":"32","author":"Ntaios","year":"2011","journal-title":"Cerebrovasc Dis"},{"key":"2026081404472722600_hpag066-B2","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1177\/1747493020932787","article-title":"A score to predict one-year risk of recurrence after acute ischemic stroke","volume":"16","author":"Strambo","year":"2021","journal-title":"Int J Stroke"},{"key":"2026081404472722600_hpag066-B3","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1111\/ene.12438","article-title":"Association of ischaemic stroke subtype with long-term cardiovascular events","volume":"21","author":"Ntaios","year":"2014","journal-title":"Eur J Neurol"},{"key":"2026081404472722600_hpag066-B4","doi-asserted-by":"crossref","first-page":"544302","DOI":"10.3389\/fcvm.2020.544302","article-title":"Arterial stiffness and hypertension in the elderly","volume":"7","author":"Laurent","year":"2020","journal-title":"Front Cardiovasc Med"},{"key":"2026081404472722600_hpag066-B5","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1161\/HYPERTENSIONAHA.117.09097","article-title":"Brachial-ankle pulse wave velocity and the risk prediction of cardiovascular disease: an individual participant data meta-analysis","volume":"69","author":"Ohkuma","year":"2017","journal-title":"Hypertension"},{"key":"2026081404472722600_hpag066-B6","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1016\/j.jacc.2013.09.063","article-title":"Aortic pulse wave velocity improves cardiovascular event prediction: an individual participant meta-analysis of prospective observational data from 17,635 subjects","volume":"63","author":"Ben-Shlomo","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"2026081404472722600_hpag066-B7","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1161\/HYPERTENSIONAHA.121.18498","article-title":"Prognostic value of changes in aortic stiffness for cardiovascular outcomes and mortality in resistant hypertension: a cohort study","volume":"79","author":"Cardoso","year":"2022","journal-title":"Hypertension"},{"key":"2026081404472722600_hpag066-B8","doi-asserted-by":"crossref","first-page":"2224","DOI":"10.1093\/ndt\/gfaa246","article-title":"Change in ankle-brachial index and mortality among individuals with chronic kidney disease: findings from the chronic renal insufficiency cohort study","volume":"36","author":"Dorans","year":"2021","journal-title":"Nephrol Dial Transplant"},{"key":"2026081404472722600_hpag066-B9","doi-asserted-by":"crossref","first-page":"107800","DOI":"10.1016\/j.jstrokecerebrovasdis.2024.107800","article-title":"Early vascular aging in acute ischemic stroke: a systematic review and meta-analysis","volume":"33","author":"Kakaletsis","year":"2024","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"2026081404472722600_hpag066-B10","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1038\/s41371-024-00961-y","article-title":"Advanced vascular aging and outcomes after acute ischemic stroke: a systematic review and meta-analysis","volume":"38","author":"Kakaletsis","year":"2024","journal-title":"J Hum Hypertens"},{"key":"2026081404472722600_hpag066-B11","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1093\/eurjpc\/zwad028","article-title":"Vascular ageing: moving from bench towards bedside","volume":"30","author":"Climie","year":"2023","journal-title":"Eur J Prev Cardiol"},{"key":"2026081404472722600_hpag066-B12","doi-asserted-by":"crossref","first-page":"417","DOI":"10.2174\/0115701611299635240708045352","article-title":"Assessment of early vascular aging ambulatory score (EVAAs): a large population-based external validation study","volume":"22","author":"Antza","year":"2024","journal-title":"Curr Vasc Pharmacol"},{"key":"2026081404472722600_hpag066-B13","doi-asserted-by":"crossref","first-page":"e1912831","DOI":"10.1001\/jamanetworkopen.2019.12831","article-title":"Association of estimated pulse wave velocity with survival: a secondary analysis of SPRINT","volume":"2","author":"Vlachopoulos","year":"2019","journal-title":"JAMA Netw Open"},{"key":"2026081404472722600_hpag066-B14","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1038\/s41514-025-00202-7","article-title":"Early vascular aging ambulatory score in acute ischemic stroke","volume":"11","author":"Kakaletsis","year":"2025","journal-title":"NPJ Aging"},{"key":"2026081404472722600_hpag066-B15","doi-asserted-by":"crossref","first-page":"6607","DOI":"10.1007\/s10072-025-08527-7","article-title":"Impact of vascular aging on stroke prognosis: the novel severity and arterial stiffness (SASt) score","volume":"46","author":"Kakaletsis","year":"2025","journal-title":"Neurol Sci"},{"key":"2026081404472722600_hpag066-B16","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1161\/01.STR.20.7.864","article-title":"Measurements of acute cerebral infarction: a clinical examination scale","volume":"20","author":"Brott","year":"1989","journal-title":"Stroke"},{"key":"2026081404472722600_hpag066-B17","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1001\/jamaneurol.2019.5061","article-title":"Distributional validity and prognostic power of the national institutes of health stroke scale in US administrative claims data","volume":"77","author":"Saber","year":"2020","journal-title":"JAMA Neurol"},{"key":"2026081404472722600_hpag066-B18","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1161\/01.STR.24.1.35","article-title":"Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment","volume":"24","author":"Adams","year":"1993","journal-title":"Stroke"},{"key":"2026081404472722600_hpag066-B19","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.1016\/j.jacc.2020.02.035","article-title":"Association between estimated pulse wave velocity and mortality in U.S. Adults","volume":"75","author":"Heffernan","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"2026081404472722600_hpag066-B20","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1097\/HJH.0000000000000935","article-title":"Estimated carotid-femoral pulse wave velocity has similar predictive value as measured carotid-femoral pulse wave velocity","volume":"34","author":"Greve","year":"2016","journal-title":"J Hypertens"},{"key":"2026081404472722600_hpag066-B21","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1093\/eurheartj\/ehq165","article-title":"Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: \u2018establishing normal and reference values","volume":"31","author":"The Reference Values for Arterial Stiffness\u2019 Collaboration","year":"2010","journal-title":"Eur Heart J"},{"key":"2026081404472722600_hpag066-B22","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1161\/01.STR.19.5.604","article-title":"Interobserver agreement for the assessment of handicap in stroke patients","volume":"19","author":"van Swieten","year":"1988","journal-title":"Stroke"},{"key":"2026081404472722600_hpag066-B23","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1161\/STROKEAHA.122.040524","article-title":"Risk factors and causes of ischemic stroke in 1322 young adults","volume":"54","author":"Ekker","year":"2023","journal-title":"Stroke"},{"key":"2026081404472722600_hpag066-B24","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1177\/2396987317703210","article-title":"Searching for explanations for cryptogenic stroke in the young: revealing the triggers, causes, and outcome (SECRETO): rationale and design","volume":"2","author":"Putaala","year":"2017","journal-title":"Eur Stroke J"},{"key":"2026081404472722600_hpag066-B25","doi-asserted-by":"crossref","first-page":"e029963","DOI":"10.1161\/JAHA.123.029963","article-title":"Revisiting the smoking paradox in acute ischemic stroke patients: findings from the chinese stroke center alliance study","volume":"12","author":"Hu","year":"2023","journal-title":"J Am Heart Assoc"},{"key":"2026081404472722600_hpag066-B26","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1161\/STROKEAHA.119.027012","article-title":"Smoking paradox in stroke survivors?: uncovering the truth by interpreting 2 sets of data","volume":"51","author":"Wang","year":"2020","journal-title":"Stroke"},{"key":"2026081404472722600_hpag066-B27","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1093\/ije\/29.5.891","article-title":"Use of comorbidity scores for control of confounding in studies using administrative databases","volume":"29","author":"Schneeweiss","year":"2000","journal-title":"Int J Epidemiol"},{"key":"2026081404472722600_hpag066-B28","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1093\/ageing\/25.6.479","article-title":"Predicting disability in stroke\u2014a critical review of the literature","volume":"25","author":"Kwakkel","year":"1996","journal-title":"Age Ageing"},{"key":"2026081404472722600_hpag066-B29","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1093\/ageing\/afg121","article-title":"Blood pressure in acute stroke","volume":"33","author":"Robinson","year":"2004","journal-title":"Age Ageing"},{"key":"2026081404472722600_hpag066-B30","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1097\/HJH.0000000000001704","article-title":"Blood pressure in acute ischemic stroke: challenges in trial interpretation and clinical management: position of the ESH Working Group on Hypertension and the Brain","volume":"36","author":"G\u0105secki","year":"2018","journal-title":"J Hypertens"},{"key":"2026081404472722600_hpag066-B31","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1111\/ijs.12609","article-title":"Prognostic value of 24-h ABPM in acute ischemic stroke for short-, medium-, and long-term outcome: a systematic review and meta-analysis","volume":"10","author":"Kakaletsis","year":"2015","journal-title":"Int J Stroke"},{"key":"2026081404472722600_hpag066-B32","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1097\/HJR.0b013e328337ccd3","article-title":"Evaluation of a cardiovascular disease risk assessment tool for the promotion of healthier lifestyles","volume":"17","author":"Soureti","year":"2010","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"2026081404472722600_hpag066-B33","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1161\/HYPERTENSIONAHA.109.129114","article-title":"Vascular aging: a tale of EVA and ADAM in cardiovascular risk assessment and prevention","volume":"54","author":"Nilsson","year":"2009","journal-title":"Hypertension"},{"key":"2026081404472722600_hpag066-B34","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1136\/svn-2021-000885","article-title":"Residual recurrence risk of ischaemic cerebrovascular events: concept, classification and implications","volume":"6","author":"Wang","year":"2021","journal-title":"Stroke Vasc Neurol"}],"container-title":["American Journal of Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajh\/advance-article-pdf\/doi\/10.1093\/ajh\/hpag066\/68612387\/hpag066.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/39\/9\/1142\/68612387\/hpag066.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/39\/9\/1142\/68612387\/hpag066.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T08:56:02Z","timestamp":1786697762000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajh\/article\/39\/9\/1142\/8716242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":34,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,6,25]]},"published-print":{"date-parts":[[2026,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ajh\/hpag066","relation":{},"ISSN":["0895-7061","1941-7225"],"issn-type":[{"value":"0895-7061","type":"print"},{"value":"1941-7225","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,6,25]]}}}