Evidence map›Paper›PMID 32455835›Full record

ArticleJournal of clinical medicine2020

Timing of Transfusion, not Hemoglobin Variability, is Associated with 3-Month Outcomes in Acute Ischemic Stroke.

Chulho Kim, Sang-Hwa Lee, Jae-Sung Lim, Mi Sun Oh, Kyung-Ho Yu, Yerim Kim, Ju-Hun Lee, Min Uk Jang, San Jung, Byung-Chul Lee

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. 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

10 authors.

Chulho KimDepartment of Neurology, Chuncheon Sacred Heart Hospital, Chuncheon 24253, Korea.ORCID 0000-0001-8762-8340
Sang-Hwa LeeDepartment of Neurology, Chuncheon Sacred Heart Hospital, Chuncheon 24253, Korea.
Jae-Sung LimDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.ORCID 0000-0001-6157-2908
Mi Sun OhDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.
Kyung-Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.
Yerim KimDepartment of Neurology, Kangdong Sacred Heart Hospital, Seoul 05355, Korea.
Ju-Hun LeeDepartment of Neurology, Kangdong Sacred Heart Hospital, Seoul 05355, Korea.
Min Uk JangDepartment of Neurology, Dongtan Sacred Heart Hospital, Hwaseong 18450, Korea.ORCID 0000-0001-8964-3288
San JungDepartment of Neurology, Kangnam Sacred Heart Hospital, Seoul 07440, Korea.
Byung-Chul LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.

Funding

CJ healthcare Corp 2018-12-031Hallym University Research Fund HURF-2019-54National Research Fund of Korea NRF-2019R1G1A1097707
6 · The paper itself

Abstract

methodsWe studied consecutive patients with AIS admitted in three tertiary hospitals who received red blood cell (RBC) transfusion (RBCT) during admission. Hemoglobin variability was assessed by minimum, maximum, range, median absolute deviation, and mean absolute change in hemoglobin level. Timing of RBCT was grouped into two categories: admission to 48 h (early) or more than 48 h (late) after hospitalization. Late RBCT was entered into multivariable logistic regression model. Poor outcome at three months was defined as a modified Rankin Scale score ≥3.

resultsOf 2698 patients, 132 patients (4.9%) received a median of 400 mL (interquartile range: 400-840 mL) of packed RBCs. One-hundred-and-two patients (77.3%) had poor outcomes. The most common cause of RBCT was gastrointestinal bleeding (27.3%). The type of anemia was not associated with the timing of RBCT. Late RBCT was associated with poor outcome (odd ratio (OR), 3.55; 95% confidence interval (CI), 1.43-8.79;

conclusionLate RBCT, rather than hemoglobin variability indices, is a predictor for poor outcome in patients with AIS.

Indexed as

anemiablood transfusioncerebral infarctionoutcome assessmentred blood cells

Identifiers

PMID32455835
PMCPMC7290978

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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.