Evidence map›Paper›PMID 22367841›Full record

ArticleThe neurologist2012

Safety of thrombolysis in patients over the age of 80.

Joshua Zebadiah Willey, Nils Petersen, Mandip S Dhamoon, Joshua Stillman, Bernadette Boden-Albala, Mitchell S V Elkind, Randolph S Marshall

Abstract readComparative Study
In one paragraph

Article in The neurologist, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
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

5 citing papers in PubMed, 13 citations in OpenAlex.

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  5. Review
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

7 authors at 2 institutions in 1 country.

Joshua Zebadiah WilleyDivision of Stroke and Cerebrovascular Diseases, Department of Neurology, Mount Sinai School of Medicine, New York, NY, USA. jzw2@columbia.edu
Nils Petersen
Mandip S Dhamoon
Joshua Stillman
Bernadette Boden-Albala
Mitchell S V Elkind
Randolph S Marshall
Icahn School of Medicine at Mount Sinai · USColumbia University · US

Funding

SWIFT: Stroke Warning Information and Faster TreatmentP50NS049060 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOHR, JAY P · 2004 to 2013
$18.2M
Neuro-vascular Disease as a Cause of Impaired MobilityK23NS073104 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WILLEY, JOSHUA ZEBADIAH · 2011 to 2015
$940k
NIA NIH HHS L30 AG031009NINDS NIH HHS 1K23NS073104-01A1NINDS NIH HHS K23 NS073104NINDS NIH HHS P50 NS049060
6 · The paper itself

Abstract

backgroundThe safety of intravenous thrombolysis (IVT) in patients with acute ischemic stroke over the age of 80 is unclear. We hypothesized that patients over the age of 80 can be safely treated with IVT.

methodsAdmission and discharge data were collected on all patients at a single tertiary care center presenting within 12 hours of onset. Collected data included treatment with IVT, demographics, pretreatment National Institutes of Health Stroke Scale score, length of stay, mortality, and discharge disposition. Analyses were restricted to patients over the age of 80, and the primary outcome was in-hospital mortality. Logistic regression was used to examine whether IVT was associated with mortality.

resultsBetween January 1, 2005 and May 30, 2010, 112 patients over the age of 80 presented within 3 hours of ischemic stroke onset, and 31 received IVT. There were 15 deaths. In multivariable models adjusted for age, sex, race-ethnicity, and National Institutes of Health Stroke Scale, treatment with IVT, compared with no treatment, was not associated with in-hospital death (adjusted odds ratio, 1.2; 95% confidence interval, 0.3-4.3).

conclusionsTreating ischemic stroke patients over 80 years with IVT was not associated with an increase in mortality in an urban tertiary care center.

Indexed as

Acute DiseaseAged, 80 and overBrain IschemiaFemaleHumansMaleRetrospective StudiesStrokeThrombolytic TherapyTissue Plasminogen ActivatorTissue Plasminogen Activator

Identifiers

PMID22367841
PMCPMC3292776
OpenAlexW2022625672

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.