Evidence map›Paper›PMID 32572815›Full record

ArticleNeurotoxicity research2020

Dynamic Changes in Fibrinogen and Prognosis of Acute Ischemic Stroke Patients Treated with Intravenous Thrombolysis.

Jijun Shi, Rongfang Shi, Wenqian Qin, Xia Zhang, Huihui Liu, Jiaping Xu, Chun-Feng Liu, Yongjun Cao

Abstract read
PubMed Publisher
In one paragraph

Article in Neurotoxicity research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Relationship Between the Fibrinogen to Albumin Ratio and Early Outcomes in Patients with Acute Pontine Infarction.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  9. Clinical Significance and Dynamic Change of Coagulation Parameters in Ischemic Stroke Patients Treated with Intravenous Thrombolysis.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

8 authors at 1 institution in 1 country.

Jijun ShiDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, China.ORCID http://orcid.org/0000-0003-3852-3993
Rongfang ShiDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Wenqian QinDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Xia ZhangDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Huihui LiuDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Jiaping XuDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Chun-Feng LiuDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Yongjun CaoDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, China. yongjuncao@126.com.
Soochow University · CN

Funding

National Natural Science Foundation of China 81471195Suzhou Clinical Research Center of Neurological Disease szzx201503the Second Affiliated Hospital of Soochow University Preponderant Clinic Discipline Group Project Funding XKQ2015002
6 · The paper itself

Abstract

This study aimed to investigate the association between dynamic changes in fibrinogen and the prognosis of acute ischemic stroke (AIS) patients treated with intravenous thrombolysis (IVT). We measured fibrinogen levels at admission and 24 h after IVT in 364 consecutively recruited AIS patients. The primary outcome was the composite measure of death or major disability (modified Rankin Scale score 3-6) at 3 months. During the 3-month follow-up, 127 (34.89%) patients experienced death or major disability. After multivariate adjustment, a ≥ 2.5% increase in fibrinogen was associated with an increased risk of the primary outcome (odds ratio [OR], 2.26; 95% confidence interval [CI] 1.08-4.75; p trend = 0.030) when 2 extreme tertiles were compared. Each 1% increase in fibrinogen after IVT was associated with a 1% increase in the risk of the primary outcome (OR 1.01, 95% CI 1.00-1.03). Multivariable-adjusted spline regression revealed a linear dose-response relationship between fibrinogen changes after IVT and the primary outcome (p for linearity = 0.032). The addition of fibrinogen changes to conventional risk factors improved the re-classification (but not discrimination) of the primary outcome (net reclassification index 27.6%, p = 0.011). These findings indicated that an increase in fibrinogen after IVT was associated with an increased risk of death or major disability in AIS patients, suggesting that monitoring the dynamic profile of fibrinogen levels may help neurologists improve stroke outcomes in clinical settings.

Indexed as

Administration, IntravenousAdultAgedBrain IschemiaFemaleFibrinogenFibrinolytic AgentsHumansIschemic StrokeMaleMiddle AgedPrognosisRegistriesRisk FactorsStrokeFibrinogenFibrinolytic AgentsAcute ischemic strokeFibrinogenIntravenous thrombolysisPrognosis

Identifiers

PMID32572815
OpenAlexW3035948857

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.