Evidence map›Paper›PMID 27022963›Full record

ArticleThe Journal of head trauma rehabilitation

Risk of Stroke Among Older Medicare Antidepressant Users With Traumatic Brain Injury.

Bilal Khokhar, Linda Simoni-Wastila, Jennifer S Albrecht

Open access · greenAbstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Stroke risk following traumatic brain injury: Systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2021
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
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  8. In-Hospital Mortality Following Traumatic Brain Injury Among Older Medicare Beneficiaries, Comparing Statin Users With Nonusers.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2017
    Article
  9. 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

3 authors at 1 institution in 1 country.

Bilal KhokharDepartment of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore (Mr Khokhar and Dr Simoni-Wastila); and Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore (Dr Albrecht).
Linda Simoni-Wastila
Jennifer S Albrecht
University of Maryland, Baltimore · US

Funding

RESEARCH TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000262 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ANN L GRUBER-BALDINI, DENISE L ORWIG · 1998 to 2026
$8.2M
Maryland's Organized Research Effort in Women's Health (MORE-WH)K12HD043489 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI TRACY, J. KATHLEEN · 2002 to 2016
$7.0M
NIA NIH HHS T32 AG000262NICHD NIH HHS K12 HD043489
6 · The paper itself

Abstract

objectiveTo estimate the risk of stroke associated with new antidepressant use among older adults with traumatic brain injury (TBI).

participantsA total of 64 214 Medicare beneficiaries aged 65 years or older meeting inclusion criteria and hospitalized with a TBI during 2006 to 2010.

designNew user design. Generalized estimating equations were used to estimate the relative risks (RRs) of stroke. MAIN MEASURES: Primary exposure was new antidepressant use following TBI identified through Medicare part D claims. The primary outcome was stroke following TBI. Ischemic and hemorrhagic strokes were secondary outcomes.

resultsA total of 20 859 (32%) beneficiaries used an antidepressant at least once following TBI. Selective serotonin reuptake inhibitors accounted for the majority of antidepressant use. Selective serotonin reuptake inhibitor use was associated with an increased risk of hemorrhagic stroke (RR, 1.26; 95% confidence interval [CI], 1.06-1.50) but not ischemic stroke (RR, 1.04; 95% CI, 0.94-1.15). The selective serotonin reuptake inhibitors escitalopram (RR, 1.33; 95% CI, 1.02-1.74) and sertraline (RR, 1.46; 95% CI, 1.10-1.94) were associated with an increase in the risk of hemorrhagic stroke.

conclusionFindings from this study will aid prescribers in choosing appropriate antidepressants to treat depression in older adults with TBI.

Indexed as

AgedAged, 80 and overAntidepressive AgentsBrain Injuries, TraumaticCase-Control StudiesConfidence IntervalsDepressionFemaleFollow-Up StudiesGeriatric AssessmentHospitalizationHumansIncidenceLength of StayMaleMedicareAntidepressive Agents

Identifiers

PMID27022963
PMCPMC5040609
OpenAlexW2334093667

What OpenQuestion holds

Textmetadata
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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.