Evidence map›Paper›PMID 29536964›Full record

ArticleAnnals of African medicine

Acute ischemic stroke thrombolysis with tenecteplase: An institutional experience from South India.

Mohammed Owais, Ajay Panwar, Chandrasekhar Valupadas, Madhavarao Veeramalla

Erratum issuedAbstract readCase Reports
In one paragraph

Article in Annals of African medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Mohammed OwaisDepartment of Medicine, Kakatiya Medical College and Mahatma Gandhi Memorial Hospital, Warangal, Telangana, India.
Ajay PanwarDepartment of Neurology, Kakatiya Medical College and Mahatma Gandhi Memorial Hospital, Warangal, Telangana, India.
Chandrasekhar ValupadasDepartment of Medicine, Kakatiya Medical College and Mahatma Gandhi Memorial Hospital, Warangal, Telangana, India.
Madhavarao VeeramallaDepartment of Neurology, Kakatiya Medical College and Mahatma Gandhi Memorial Hospital, Warangal, Telangana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOutcome assessment of intravenous (IV) thrombolysis with tenecteplase in acute ischemic stroke. MATERIALS AND

methodsWe consecutively enrolled acute ischemic stroke patients who underwent IV thrombolysis with tenecteplase from October 2016 to May 2017. Primary clinical efficacy outcome was defined as an improvement in the National Institute of Health Stroke Scale (NIHSS) score of ≥4 points at 24 h (h). Secondary clinical efficacy outcome was the favorable outcome on modified Rankin scale at 90 days defined as a score of 0 or 1. The safety endpoints were death rate at 90 days and symptomatic intracranial hemorrhage (SICH).

resultsMean NIHSS scores at baseline and 24 h were 13 (±3.81) and 9.29 (±5.74), respectively, the difference being statistically significant (P = 0.016). In this study, nine patients (64%) met the primary clinical efficacy outcome and eleven (78.5%) patients met the secondary clinical efficacy outcome. Only 1 (7%) patient developed SICH and additionally, aspiration pneumonia with subsequent death.

conclusionThis study confirms the efficacy and safety of tenecteplase for stroke thrombolysis in our clinical setting. Tenecteplase appears to be a suitable option for stroke thrombolysis in resource-limited settings, considering its cost-effectiveness, and ease of administration.

Indexed as

Thrombolytic TherapyAdministration, IntravenousBrain IschemiaFemaleFibrinolytic AgentsHumansIndiaMaleOutcome Assessment, Health CareStrokeTenecteplaseTissue Plasminogen ActivatorTreatment OutcomeFibrinolytic AgentsTenecteplaseTissue Plasminogen ActivatorAcute ischemic strokealteplasetenecteplasethrombolysis

Identifiers

PMID29536964
PMCPMC5875126
OpenAlexW2792515765

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.