Evidence map›Paper›PMID 32431662›Full record

ArticleFrontiers in neurology2020

Intravenous Thrombolysis Benefits Mild Stroke Patients With Large-Artery Atherosclerosis but No Tandem Steno-Occlusion.

Dapeng Wang, Lulu Zhang, Xiaowei Hu, Juehua Zhu, Xiang Tang, Dongxue Ding, Hui Wang, Yan Kong, Xiuying Cai, Longting Lin and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Observational
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  8. Diagnosis and management ofEuropean journal of radiology open · 2023
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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

11 authors at 3 institutions in 2 countries.

Dapeng WangDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Lulu ZhangDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Xiaowei HuDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Juehua ZhuDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Xiang TangDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Dongxue DingDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Hui WangDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Yan KongDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Xiuying CaiDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
Longting LinHunter Medical Research Institute, University of Newcastle, New Lambton, NSW, Australia.
Qi FangDepartment of Neurology, First Affliated Hospital of Soochow University, Suzhou, China.
First Affiliated Hospital of Soochow University · CNSoochow University · CNUniversity of Newcastle Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

At present, there is controversy regarding whether thrombolysis is beneficial for patients suffering from a mild stroke. In this study, we therefore sought to determine whether the therapeutic benefit of thrombolysis is dependent upon stroke subtype for those with mild stroke. We conducted a retrospective analysis of data from consecutive mild stroke patients (National Institutes of Health Stroke Scale ≤5) with and without recombinant tissue plasminogen activator (rt-PA) therapy. The TOAST (Trial of Org 10172 in acute stroke treatment) criteria was used to determine stroke subtypes. Patients suffering from large-artery atherosclerosis (LAA) were subdivided based upon whether or not they exhibited tandem steno-occlusion, as defined by the association of a proximal intracranial occlusion and a cervical internal carotid artery lesion (complete occlusion or severe stenosis ≥ 90%). For this study, favorable outcomes at 90 days of onset (modified Rankin Scale Score [mRS] of 0-1) were the primary measured outcome. Three hundred thirty-nine patients were included in the study. For patients with non-LAA, there were not statistically significant improvements in favorable outcomes for rt-PA treatment (

Indexed as

artery occlusionartery stenosismild stroketandem lesionthrombolysis

Identifiers

PMID32431662
PMCPMC7214684
OpenAlexW3023622410

What OpenQuestion holds

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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.