{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T06:17:14Z","timestamp":1788329834578,"version":"build-2803163510"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"17","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Transportation noise remains understudied as a potential risk factor for poststroke outcomes in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">We conducted a prospective cohort study in the Brain Attack Surveillance in Corpus Christi Project (2016\u20132023) among patients with acute incident ischemic stroke. Transportation noise exposure was derived from US Department of Transportation data (2016, 2018) and defined as the maximum area\u2010weighted noise level within a 100\u2010m buffer of the residential address. Outcomes included initial stroke severity measured by the National Institutes of Health Stroke Scale, stroke recurrence, and all\u2010cause mortality. Linear regression was used to evaluate stroke severity, and Cox proportional hazards models were used for recurrence and mortality. Estimates were scaled to the interquartile range (IQR) of noise exposure to compare high (75th percentile) versus low (25th percentile) exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Among 2441 patients, median National Institutes of Health Stroke Scale score was 3.0 (IQR, 1.0\u20137.0). During follow\u2010up, 176 patients (7.2%) experienced a recurrent stroke and 818 (33.5%) died. Median follow\u2010up was 2.2\u2009years (IQR, 0.7\u20134.3) for stroke recurrence and 2.5\u2009years (IQR, 0.8\u20134.6) for mortality. Median transportation noise was 45.5 (IQR, 0.0\u201356.5) decibels. Higher transportation noise was not associated with stroke severity (\u22125% [95% CI, \u221212% 2%];\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.14) and mortality (hazard ratio to [HR], 1.08 [95% CI, to 0.941.24];\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.26) but was associated with a higher rate of stroke recurrence (HR, 1.36 [95% CI, 1.01 to 1.82];\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.04) after adjustments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Transportation noise may be an environmental risk factor for stroke recurrence, underscoring the need for policies addressing noise exposure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.126.051242","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:15:46Z","timestamp":1787829346000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Transportation Noise Exposure and Poststroke Outcomes: Population\u2010Based Brain Attack Surveillance in Corpus Christi Project"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4092-3067","authenticated-orcid":false,"given":"Hely D.","family":"Nanavati","sequence":"first","affiliation":[{"name":"University of Michigan","place":["Ann Arbor, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8383-485X","authenticated-orcid":false,"given":"Sara D.","family":"Adar","sequence":"additional","affiliation":[{"name":"University of Michigan","place":["Ann Arbor, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3851-8142","authenticated-orcid":false,"given":"Tingfan","family":"Jin","sequence":"additional","affiliation":[{"name":"University of Michigan","place":["Ann Arbor, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5091-1222","authenticated-orcid":false,"given":"Chen","family":"Chen","sequence":"additional","affiliation":[{"name":"University of Michigan","place":["Ann Arbor, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3414-9826","authenticated-orcid":false,"given":"Christopher J.","family":"Becker","sequence":"additional","affiliation":[{"name":"University of Michigan","place":["Ann Arbor, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5787-592X","authenticated-orcid":false,"given":"Lewis B.","family":"Morgenstern","sequence":"additional","affiliation":[{"name":"University of Michigan","place":["Ann Arbor, USA"]},{"name":"University of Michigan","place":["Ann Arbor, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5539-5933","authenticated-orcid":false,"given":"Lynda D.","family":"Lisabeth","sequence":"additional","affiliation":[{"name":"University of Michigan","place":["Ann Arbor, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2024.0190"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000001303"},{"key":"e_1_3_2_4_2","volume-title":"Leading Causes of Death","year":"2024","unstructured":"Leading Causes of Death. 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