Evidence map›Paper›PMID 28550481›Full record

SynthesisJournal of neurology2017

Antiplatelet pretreatment and outcomes in intravenous thrombolysis for stroke: a systematic review and meta-analysis.

Georgios Tsivgoulis, Aristeidis H Katsanos, Ramin Zand, Vijay K Sharma, Martin Köhrmann, Sotirios Giannopoulos, Efthymios Dardiotis, Anne W Alexandrov, Panayiotis D Mitsias, Peter D Schellinger and 1 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Impact of prior antiplatelet therapy on safety and efficacy of alteplase in acute ischemic stroke: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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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 at 8 institutions in 5 countries.

Georgios TsivgoulisSecond Department of Neurology, "Attikon University Hospital", School of Medicine, National and Kapodistrian University of Athens, Iras 39, Gerakas Attikis, Athens, 15344, Greece. tsivgoulisgiorg@yahoo.gr.
Aristeidis H KatsanosSecond Department of Neurology, "Attikon University Hospital", School of Medicine, National and Kapodistrian University of Athens, Iras 39, Gerakas Attikis, Athens, 15344, Greece.
Ramin ZandDepartment of Neurology, University of Tennessee Health Science Center, Memphis, TN, USA.
Vijay K SharmaDivision of Neurology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Martin KöhrmannDepartment of Neurology, Universitätsklinikum Essen, Essen, Germany.
Sotirios GiannopoulosDepartment of Neurology, University of Ioannina School of Medicine, Ioannina, Greece.
Efthymios DardiotisDepartment of Neurology, University Hospital of Larissa, Larissa, Greece.
Anne W AlexandrovDepartment of Neurology, University of Tennessee Health Science Center, Memphis, TN, USA.
Panayiotis D MitsiasDepartment of Neurology, Henry Ford Hospital, Detroit, MI, USA.
Peter D SchellingerDepartments of Neurology and Neurogeriatry, Johannes Wesling Medical Center, Minden, Germany.
Andrei V AlexandrovDepartment of Neurology, University of Tennessee Health Science Center, Memphis, TN, USA.
University of Tennessee Health Science Center · USNational and Kapodistrian University of Athens · GREssen University Hospital · DEHenry Ford Hospital · USJohannes Wesling Klinikum Minden · DENational University of Singapore · SGUniversity Hospital of Larissa · GRUniversity of Ioannina · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since there are contradictory data regarding the association of antiplatelet pretreatment (AP) with safety and efficacy outcomes of intravenous thrombolysis (IVT) for acute ischemic stroke (AIS), we conducted a systematic review and meta-analysis of available randomized-controlled clinical trials (RCTs) to investigate the association of AP with outcomes of AIS patients treated with intravenous alteplase. The outcome events of interest included symptomatic intracranial hemorrhage (sICH), fatal ICH, complete recanalization (CR), 3-month favorable functional outcome (FFO, mRS score 0-1), 3-month functional independence (FI, mRS score 0-2), and mortality. The corresponding odds ratios (ORs) were calculated for all the outcome events using random-effects model. The adjusted age and admission NIHSS OR (OR

Indexed as

Treatment OutcomeAdministration, IntravenousDatabases, BibliographicHumansIntracranial HemorrhagesPlatelet Aggregation InhibitorsStrokeThrombolytic TherapyPlatelet Aggregation InhibitorsAcute ischemic strokeAntiplateletAspirinClopidogrelIntravenous thrombolysisOutcomeSymptomatic intracranial hemorrhage

Identifiers

PMID28550481
OpenAlexW2620385749

What OpenQuestion holds

Textmetadata
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.