Evidence map›Paper›PMID 31549567›Full record

SynthesisJournal of the American Heart Association2019

Inherited Thrombophilia and the Risk of Arterial Ischemic Stroke: A Systematic Review and Meta-Analysis.

Thita Chiasakul, Elizabeth De Jesus, Jiayi Tong, Yong Chen, Mark Crowther, David Garcia, Chatree Chai-Adisaksopha, Steven R Messé, Adam Cuker

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
8.0field-weighted citation impact, top 2% 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

60 citing papers in PubMed, 5 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Pooled it
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  4. Guideline
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  11. Observational
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  14. Review
  15. Observational
  16. Case Report: Severe protein S deficiency unmasks a crypticFrontiers in cardiovascular medicine · 2026
    Article
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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

9 authors at 7 institutions in 3 countries.

Thita ChiasakulDivision of Hematology Department of Medicine Faculty of Medicine Chulalongkorn University and King Chulalongkorn Memorial Hospital Thai Red Cross Society Bangkok Thailand.
Elizabeth De JesusTufts University School of Medicine Boston MA.
Jiayi TongDepartment of Biostatistics and Epidemiology Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Yong ChenDepartment of Biostatistics and Epidemiology Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Mark CrowtherDepartment of Medicine McMaster University Hamilton Ontario Canada.
David GarciaDepartment of Medicine University of Washington School of Medicine Seattle WA.
Chatree Chai-AdisaksophaFaculty of Medicine Chiang Mai University Chiang Mai Thailand.
Steven R MesséDepartment of Neurology Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Adam CukerDepartment of Medicine Perelman School of Medicine University of Pennsylvania Philadelphia PA.
California University of Pennsylvania · USChiang Mai University · THChulalongkorn University · THMcMaster University · CATufts University · USUniversity of Pennsylvania · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Inherited thrombophilias are well-established predisposing factors for venous thromboembolism, but their role in arterial thrombosis, such as arterial ischemic stroke, remains uncertain. We aimed to evaluate the association between inherited thrombophilia (factor V Leiden, prothrombin G20210A mutation, protein C deficiency, protein S deficiency, and antithrombin deficiency) and risk of arterial ischemic stroke in adults. Methods and Results We searched PubMed, EMBASE, and Cochrane Library Databases from inception to December 31, 2018. We included case-control or cohort studies of adults reporting the prevalence of inherited thrombophilias in those with arterial ischemic stroke and subjects without arterial ischemic stroke. Two reviewers (T.C., E.D.) independently searched the literature and extracted data. Pooled odds ratios (ORs) and 95% CIs were calculated using random-effects model. We identified 68 eligible studies, which collectively enrolled 11 916 stroke patients and 96 057 controls. The number of studies reporting factor V Leiden, prothrombin G20210A mutation, protein C deficiency, protein S deficiency, and antithrombin deficiency were 56, 45, 15, 17, and 12, respectively. Compared with controls, patients with arterial ischemic stroke were significantly more likely to have the following inherited thrombophilias: factor V Leiden (OR, 1.25; 95% CI, 1.08-1.44; I

Indexed as

AdultAgedBlood CoagulationBlood Coagulation Disorders, InheritedBrain IschemiaFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedPhenotypePrognosisRisk AssessmentRisk FactorsStrokeThrombophiliahypercoagulopathystrokestroke, ischemicthrombosis

Identifiers

PMID31549567
PMCPMC6806047
OpenAlexW2975053531

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.