Evidence map›Paper›PMID 29299387›Full record

ArticleBrain and behavior2017

Codeine is associated with poor prognosis in acute stroke.

Stian T Ryste, Bernt A Engelsen, Halvor Naess

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

3 authors at 3 institutions in 1 country.

Stian T RysteDepartment of Clinical Science University of Bergen Bergen Norway.ORCID 0000-0002-7958-9801
Bernt A EngelsenInstitute of Clinical Medicine University of Bergen Bergen Norway.
Halvor NaessInstitute of Clinical Medicine University of Bergen Bergen Norway.
Haukeland University Hospital · NOStavanger University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The aim of this study was to investigate how the use of analgesics, sleeping drugs, and sedatives relates to prognosis and complications in stroke patients in the acute care phase (≤48 hr) after a stroke. Materials and Methods: Patients with ischemic stroke, hemorrhagic stroke, and transient ischemic attack were included. The study is based on gathering of data on medication from 921 patient records belonging to patients included in the Bergen NORSTROKE registry, 12.2009-02.2012. In this database risk factors, stroke severity, etiology, and blood analyses were prospectively registered. We have retrospectively registered if patients received one drug or more from a list of analgesics, sleeping drugs, and sedatives within the first 48 hr after admission. Results: In total, 921 patients were included in the study, 408 females and 513 males. Mean age was 71.0 years. In total, 101 patients were given sleeping drugs, 97 patients sedatives and 140 patients analgesics. Of the group given analgesics, 90 patients were given codeine-containing analgesics. Logistic regression analyses showed that codeine-containing analgesics were associated with an increased occurrence of pneumonia (OR = 3.8, Conclusion: Use of codeine-containing analgesics is associated with a poorer short-term prognosis and an increased occurrence of complications in the acute phase after a stroke. The highly significant findings suggest that codeine has a negative effect on acute stroke patients. The study reflects exploratory analyses and prospective studies are necessary to determine the background of the association observed in our study.

Indexed as

AgedAnalgesics, OpioidCodeineFemaleHumansHypnotics and SedativesIntracranial HemorrhagesIschemic Attack, TransientMalePrognosisProspective StudiesRegistriesRetrospective StudiesRisk FactorsSleep Aids, PharmaceuticalStrokeAnalgesics, OpioidCodeineHypnotics and SedativesSleep Aids, Pharmaceuticalacute strokecerebrovascular diseasescodeinepainprognosis

Identifiers

PMID29299387
PMCPMC5745247
OpenAlexW2770789390

What OpenQuestion holds

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LicenceCC BY
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.