Evidence map›Paper›PMID 33044991›Full record

ArticlePloS one2020

Effects of dabigatran and rivaroxaban on stroke severity according to the results of routine coagulation tests.

Han-Jin Cho, Yoon Jung Kang, Sang Min Sung, Sung-Ho Ahn, Yo Han Jung, Kyung-Yul Lee, Jung Hwa Seo, Sang Won Han, Joong Hyun Park, Hye-Yeon Choi and 7 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Clinical, laboratory, and radiological features influencing admission DWI-ASPECTS in stroke patients with middle cerebral artery occlusion undergoing mechanical thrombectomy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Observational
  2. Observational
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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

17 authors at 8 institutions in 1 country.

Han-Jin ChoDepartment of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
Yoon Jung KangDepartment of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
Sang Min SungDepartment of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
Sung-Ho AhnDepartment of Neurology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
Yo Han JungDepartment of Neurology, Changwon Fatima Hospital, Changwon, Korea.
Kyung-Yul LeeDepartment of Neurology, Gangnam Severance Hospital, Severance Institute for Vascular and Metabolic Research, Yonsei University College of Medicine, Seoul, Korea.
Jung Hwa SeoDepartment of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Sang Won HanDepartment of Neurology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Joong Hyun ParkDepartment of Neurology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Hye-Yeon ChoiDepartment of Neurology, Kyung Hee University School of Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Jee-Hyun KwonDepartment of Neurology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea.
Wook-Joo KimDepartment of Neurology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea.
Hyung Jong ParkDepartment of Neurology, Brain Research Institute, Keimyung University School of Medicine, Daegu, Korea.
Jin Kyo ChoiDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Hyo Suk NamDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-4415-3995
Ji Hoe HeoDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Young Dae KimDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-5750-2616
Yonsei University · KRPusan National University Hospital · KRInje University Sanggye Paik Hospital · KRUlsan University Hospital · KRInje University Busan Paik Hospital · KRKeimyung University · KRKyung Hee University Hospital at Gangdong · KRPusan National University Yangsan Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrior use of direct oral anticoagulants has been associated with reduced stroke severity in patients with non-valvular atrial fibrillation (NVAF). The aim of this study was to investigate the impact of prothrombin time (PT) and activated partial thromboplastin time (aPTT) on stroke severity in patients who were receiving dabigatran or rivaroxaban at the time of stroke onset. MATERIALS AND

methodsWe enrolled 107 patients with NVAF who developed acute ischemic stroke while on dabigatran or rivaroxaban and presented within 24 hours to nine hospitals between January 2014 and December 2018. The results of PT and aPTT assays were obtained within 24 hours of stroke onset in all patients. We analyzed PT and aPTT in relation to stroke severity and ischemic lesion volume using correlation and multivariable regression analyses.

resultsOf the 107 patients included, 46 (43.0%) were on dabigatran and 61 (57.0%) were on rivaroxaban. In patients with prior dabigatran use, while aPTT was inversely correlated with admission National Institutes of Health Stroke Scale (NIHSS) score (r = -0.369, p = 0.012) and ischemic lesion volume (r = -0.480, p = 0.005), there was no correlation between PT and either of these variables. Multivariable analysis confirmed the existence of a significant independent inverse relationship between aPTT and NIHSS score at admission (B, -0.201; 95% confidence interval [CI], -0.370 to -0.032; p = 0.005) and between aPTT and ischemic lesion volume (B, -0.076; 95% CI, -0.130 to -0.023; p = 0.007). In patients with prior rivaroxaban use, neither PT nor aPTT was associated with admission NIHSS score or ischemic lesion volume in the correlation and multivariable analyses.

conclusionsIn patients with NVAF who were receiving dabigatran, prolonged aPTT was associated with reduced stroke severity.

Indexed as

Severity of Illness IndexAcute DiseaseAgedAged, 80 and overAntithrombinsAtrial FibrillationBrain IschemiaDabigatranFactor Xa InhibitorsFemaleFollow-Up StudiesHumansMaleMiddle AgedPartial Thromboplastin TimePrognosisAntithrombinsDabigatranFactor Xa InhibitorsRivaroxaban

Identifiers

PMID33044991
PMCPMC7549802
OpenAlexW3092030598

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.