Evidence map›Paper›PMID 31963654›Full record

ArticleInternational journal of environmental research and public health2020

Risk Factors Associated with Outcomes of Recombinant Tissue Plasminogen Activator Therapy in Patients with Acute Ischemic Stroke.

Yi-Ju Tseng, Ru-Fang Hu, Shin-Tyng Lee, Yu-Li Lin, Chien-Lung Hsu, Shih-Wei Lin, Chia-Wei Liou, Jiann-Der Lee, Tsung-I Peng, Tsong-Hai Lee

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Prevalence of diabetes mellitus among stroke patients in Ethiopia: Systematic review and meta-analysis.International journal of cardiology. Cardiovascular risk and prevention · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Big Data, Decision Models, and Public Health.International journal of environmental research and public health · 2022
    Article
  8. Review
  9. Article
  10. Observational
  11. Review
  12. Protective Effect ofFrontiers in pharmacology · 2021
    Article
  13. PeerJ. Computer science · 2021
    Article
  14. Article
  15. Big Data, Decision Models, and Public Health.International journal of environmental research and public health · 2020
    Article
  16. Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke.International journal of environmental research and public health · 2020
    Article
  17. The Association Between Mean Corpuscular Hemoglobin Concentration and Prognosis in Patients with Acute Pulmonary Embolism: A Retrospective Cohort Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

10 authors at 3 institutions in 1 country.

Yi-Ju TsengDepartment of Information Management, Chang Gung University, Taoyuan 33302, Taiwan.ORCID 0000-0002-1814-5553
Ru-Fang HuDepartment of Information Management, Chang Gung University, Taoyuan 33302, Taiwan.
Shin-Tyng LeeDepartment of Information Management, Chang Gung University, Taoyuan 33302, Taiwan.
Yu-Li LinDepartment of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Chien-Lung HsuDepartment of Information Management, Chang Gung University, Taoyuan 33302, Taiwan.
Shih-Wei LinDepartment of Information Management, Chang Gung University, Taoyuan 33302, Taiwan.
Chia-Wei LiouDepartment of Neurology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 83301, Taiwan.
Jiann-Der LeeCollege of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.
Tsung-I PengCollege of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.
Tsong-Hai LeeStroke Center and Department of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Chang Gung University · TWMing Chi University of Technology · TWChang Gung University of Science and Technology · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic stroke is the most common type of stroke, and early interventional treatment is associated with favorable outcomes. In the guidelines, thrombolytic therapy using recombinant tissue-type plasminogen activator (rt-PA) is recommended for eligible patients with acute ischemic stroke. However, the risk of hemorrhagic complications limits the use of rt-PA, and the risk factors for poor treatment outcomes need to be identified. To identify the risk factors associated with in-hospital poor outcomes in patients treated with rt-PA, we analyzed the electronic medical records of patients who were diagnosed with acute ischemic stroke and treated for rt-PA at Chang Gung Memorial Hospitals from 2006 to 2016. In-hospital death, intensive care unit (ICU) stay, or prolonged hospitalization were defined as unfavorable treatment outcomes. Medical history variables and laboratory test results were considered variables of interest to determine risk factors. Among 643 eligible patients, 537 (83.5%) and 106 (16.5%) patients had favorable and poor outcomes, respectively. In the multivariable analysis, risk factors associated with poor outcomes were female gender, higher stroke severity index (SSI), higher serum glucose levels, lower mean corpuscular hemoglobin concentration (MCHC), lower platelet counts, and anemia. The risk factors found in this research could help us study the treatment strategy for ischemic stroke.

Indexed as

Acute DiseaseAgedBrain IschemiaFemaleFibrinolytic AgentsHumansMaleMiddle AgedRisk FactorsStrokeTaiwanThrombolytic TherapyTissue Plasminogen ActivatorTreatment OutcomeFibrinolytic AgentsTissue Plasminogen Activatorischemic strokeoutcome analysisrisk factorrt-PAthrombolytic therapy

Identifiers

PMID31963654
PMCPMC7014350
OpenAlexW2999367626

What OpenQuestion holds

Textmetadata
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.