Evidence map›Paper›PMID 27733024›Full record

ArticleJournal of stroke2016

Prestroke Antiplatelet Effect on Symptomatic Intracranial Hemorrhage and Functional Outcome in Intravenous Thrombolysis.

Jay Chol Choi, Ji Sung Lee, Tai Hwan Park, Yong-Jin Cho, Jong-Moo Park, Kyusik Kang, Kyung Bok Lee, Soo Joo Lee, Jae Guk Kim, Jun Lee and 20 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of stroke, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

30 authors at 17 institutions in 1 country.

Jay Chol ChoiDepartment of Neurology, Jeju National University, Jeju, Korea.
Ji Sung LeeClinical Research Center, Asan Medical Center, Seoul, Korea.
Tai Hwan ParkDepartment of Neurology, Seoul Medical Center, Seoul, Korea.
Yong-Jin ChoDepartment of Neurology, Ilsan Paik Hospital, Inje University, Goyang, Korea.
Jong-Moo ParkDepartment of Neurology, Eulji General Hospital, Eulji University, Seoul, Korea.
Kyusik KangDepartment of Neurology, Eulji General Hospital, Eulji University, Seoul, Korea.
Kyung Bok LeeDepartment of Neurology, Soonchunhyang University College of Medicine, Seoul, Korea.
Soo Joo LeeDepartment of Neurology, Eulji University Hospital, Daejeon, Korea.
Jae Guk KimDepartment of Neurology, Eulji University Hospital, Daejeon, Korea.
Jun LeeDepartment of Neurology, Yeungnam University Hospital, Daegu, Korea.
Man-Seok ParkDepartment of Neurology, Chonnam National University Hospital, Gwangju, Korea.
Kang-Ho ChoiDepartment of Neurology, Chonnam National University Hospital, Gwangju, Korea.
Joon-Tae KimDepartment of Neurology, Chonnam National University Hospital, Gwangju, Korea.
Kyung-Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Byung-Chul LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Mi-Sun OhDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Jae-Kwan ChaDepartment of Neurology, Dong-A University College of Medicine, Busan, Korea.
Dae-Hyun KimDepartment of Neurology, Dong-A University College of Medicine, Busan, Korea.
Hyun-Wook NahDepartment of Neurology, Dong-A University College of Medicine, Busan, Korea.
Dong-Eog KimDepartment of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea.
Wi-Sun RyuDepartment of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea.
Beom Joon KimDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Hee-Joon BaeDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Wook-Joo KimDepartment of Neurology, Ulsan University Hospital, Ulsan, Korea.
Dong-Ick ShinDepartment of Neurology, Chungbuk National University Hospital, Cheongju, Korea.
Min-Ju YeoDepartment of Neurology, Chungbuk National University Hospital, Cheongju, Korea.
Sung Il SohnDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Jeong-Ho HongDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Juneyoung LeeDepartment of Biostatistics, Korea University College of Medicine, Seoul, Korea.
Keun-Sik HongDepartment of Neurology, Ilsan Paik Hospital, Inje University, Goyang, Korea.
Chonnam National University Hospital · KRDong-A University · KRHallym University Sacred Heart Hospital · KRAsan Medical Center · KRChungbuk National University Hospital · KRDaejeon Eulji Medical Center, Eulji University · KRDongguk University Ilsan Hospital · KRInje University Ilsan Paik Hospital · KRKeimyung University · KRSeoul National University Bundang Hospital · KREulji Medical Center · KREulji University · KRJeju National University · KRKorea University · KRSeoul Medical Center · KRSoonchunhyang University · KRUlsan University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAbout 30%-40% of stroke patients are taking antiplatelet at the time of their strokes, which might increase the risk of symptomatic intracranial hemorrhage (SICH) with intravenous tissue plasminogen activator (IV-TPA) therapy. We aimed to assess the effect of prestroke antiplatelet on the SICH risk and functional outcome in Koreans treated with IV-TPA.

methodsFrom a prospective stroke registry, we identified patients treated with IV-TPA between October 2009 and November 2014. Prestroke antiplatelet use was defined as taking antiplatelet within 7 days before the stroke onset. The primary outcome was SICH. Secondary outcomes were discharge modified Rankin Scale (mRS) score and in-hospital mortality.

resultsOf 1,715 patients treated with IV-TPA, 441 (25.7%) were on prestroke antiplatelet. Prestroke antiplatelet users versus non-users were more likely to be older, to have multiple vascular risk factors. Prestroke antiplatelet use was associated with an increased risk of SICH (5.9% vs. 3.0%; adjusted odds ratio [OR] 1.79 [1.05-3.04]). However, at discharge, the two groups did not differ in mRS distribution (adjusted OR 0.90 [0.72-1.14]), mRS 0-1 outcome (34.2% vs. 33.7%; adjusted OR 1.27 [0.94-1.72), mRS 0-2 outcome (52.4% vs. 52.9%; adjusted OR 1.21 [0.90-1.63]), and in-hospital mortality (6.1% vs. 4.2%; adjusted OR 1.19 [0.71-2.01]).

conclusionsDespite an increased risk of SICH, prestroke antiplatelet users compared to non-users had comparable functional outcomes and in-hospital mortality with IV-TPA therapy. Our results support the use of IV-TPA in eligible patients taking antiplatelet therapy before their stroke onset.

Indexed as

Outcome assessmentPlatelet aggregation inhibitorsStrokeThrombolytic therapy

Identifiers

PMID27733024
PMCPMC5066428
OpenAlexW2528268148

What OpenQuestion holds

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LicenceCC BY-NC
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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.