Evidence map›Paper›PMID 31656402›Full record

ArticleProceedings (Baylor University. Medical Center)2019

Effectiveness of emergency physician determinations of the need for thrombolytic therapy in acute stroke.

Andrew L Juergens, Jacob Barney, Maneesha Julakanti, Leigh Allen, Courtney Shaver

Open access · greenAbstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 89% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Andrew L JuergensDepartment of Emergency Medicine, Baylor Scott & White Medical Center-TempleTempleTexas.ORCID 0000-0002-4882-5963
Jacob BarneyDepartment of Emergency Medicine, Baylor Scott & White Medical Center-TempleTempleTexas.
Maneesha JulakantiBaylor College of MedicineHoustonTexas.ORCID 0000-0002-7817-791X
Leigh AllenDepartment of Neurology, Baylor Scott & White Medical Center-TempleTempleTexas.ORCID 0000-0003-3200-5917
Courtney ShaverBaylor Scott & White Research InstituteTempleTexas.ORCID 0000-0002-9936-4597
Baylor Scott & White Medical Center - Temple · USBaylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An increased emphasis on stroke care has led to a proliferation of specialized stroke teams despite relatively few trials demonstrating their efficacy. Our academic stroke center incorporated a unique setup allowing for the comparison between stroke teams and emergency physicians. During weekday working hours, a stroke team would respond to the emergency department for stroke activations. During all other times, the emergency physician caring for the patient would make all treatment decisions. We sought to determine whether there was any difference in treatment and outcomes between these two groups. We conducted a retrospective review of all stroke activations from January 2015 to June 2016 and compared the thrombolytic administration rates, modified Rankin Scale (mRS) at discharge, and change in National Institutes of Health Stroke Scale (NIHSS). A total of 415 stroke activations were identified. Of those, 69 of 262 patients (26.3%) seen by emergency physicians and 60 of 153 patients (39.2%) seen by neurologists received thrombolysis (

Indexed as

Brain infarctionemergency medicinepatient care team

Identifiers

PMID31656402
PMCPMC6793957
OpenAlexW2963412672

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.