Evidence map›Paper›PMID 23075518›Full record

Trial reportCerebrovascular diseases (Basel, Switzerland)2012

Effects of age on outcome in the SENTIS trial: better outcomes in elderly patients.

Ronen R Leker, Carlos Molina, Kevin Cockroft, David S Liebeskind, Mauricio Concha, Ashfaq Shuaib, Peter Paul De Deyn, W Scott Burgin, Rishi Gupta, William Dillon and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cerebrovascular diseases (Basel, Switzerland), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Augmenting collateral blood flow during ischemic stroke via transient aortic occlusion.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2014
    Article
  6. Review
  7. Article
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

11 authors.

Ronen R LekerDepartment of Neurology, Hadassah-Hebrew University Medical Center, IL–91120 Jerusalem, Israel. leker@hadassah.org.il
Carlos Molina
Kevin Cockroft
David S Liebeskind
Mauricio Concha
Ashfaq Shuaib
Peter Paul De Deyn
W Scott Burgin
Rishi Gupta
William Dillon
Hans-Christoph Diener

Funding

UCLA SPOTRIAS CENTER APPLICATION RENEWAL-PROGRAM PROJECTP50NS044378 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SAVER, JEFFREY L · 2003 to 2012
$17.2M
Modeling of Collateral Perfusion in the Ischemic BrainK24NS072272 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LIEBESKIND, DAVID SIGMUND · 2011 to 2015
$939k
Collateral Circulation in Acute Ischemic StrokeK23NS054084 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LIEBESKIND, DAVID SIGMUND · 2006 to 2010
$764k
NINDS NIH HHS K23 NS054084NINDS NIH HHS K23NS054084NINDS NIH HHS K24 NS072272NINDS NIH HHS K24NS072272NINDS NIH HHS P50 NS044378NINDS NIH HHS P50NS044378
6 · The paper itself

Abstract

backgroundIncreasing age is associated with poor outcome after stroke. The Safety and Efficacy of NeuroFlo Technology in Ischemic Stroke (SENTIS) trial explored the augmentation of collateral circulation to the ischemic penumbra as a novel approach to stroke treatment. The aim of this post hoc analysis was to examine the effect of age on outcomes in the SENTIS trial.

methodsUsing data from the randomized controlled SENTIS trial, we explored outcomes of cerebral blood flow augmentation using the NeuroFlo™ device in patients categorized by age strata at 70 and 80 years. We evaluated outcomes of overall serious adverse event (SAE) and intracerebral hemorrhage (ICH) rates, freedom from all-cause and stroke-related mortality, and independent functional outcome as defined by the modified Rankin Scale score (mRS ≤2).

resultsThe SENTIS as-treated cohort included 251 patients ≥70 years and 107 patients ≥80 years. Elderly SENTIS patients included a higher percentage of women and Caucasians than the younger group. Patients in the older group more frequently had vascular risk factors including hypertension, previous stroke, transient ischemic attacks and atrial fibrillation. However, baseline risk-factor profile, stroke severity, and time to randomization did not differ between the treated and nontreated elderly patients. The older patients treated with NeuroFlo had significantly higher chances for survival and for obtaining an independent functional state (mRS ≤2) compared with those who were not treated. Rates of SAEs and ICHs did not differ between the treatment groups.

conclusionsNeuroFlo treatment is safe and results in better outcomes for elderly patients. This may be the result of recruitment and support of already existing collateral systems in these patients.

Indexed as

AdolescentAdultAgedAged, 80 and overAgeismCerebral HemorrhageFemaleHumansMaleMiddle AgedPerfusionRisk FactorsStrokeTreatment OutcomeYoung Adult

Identifiers

PMID23075518
PMCPMC4144417

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Registered trials

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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.