Evidence map›Paper›PMID 33270736›Full record

ArticlePloS one2020

The effect of TEE on treatment change in patients with acute ischemic stroke.

Polina Specktor, Sergey Yalonetsky, Yoram Agmon, Elliot Sprecher, Faten Haj Ali, Gregory Telman

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Assessment of left atrial function using two-dimensional speckle tracking echocardiography in cryptogenic stroke patients.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Article
  3. 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

6 authors at 2 institutions in 1 country.

Polina SpecktorDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.ORCID 0000-0002-9555-8044
Sergey YalonetskyDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Yoram AgmonDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Elliot SprecherDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Faten Haj AliDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Gregory TelmanDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Rambam Health Care Campus · ILTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIschemic stroke is a widespread disease carrying high morbidity and mortality. Transesophageal echocardiography (TEE) is considered an important tool in the work-up of patients with acute ischemic stroke (AIS) and transient ischemic attack (TIA) patients; its utility is limited by a semi-invasive nature. The purpose of this study was to evaluate the probability of treatment change due to TEE findings (yield) in the work-up of AIS and TIA patients.

methodsRetrospective data on patients with AIS or TIA who underwent TEE examination between 2000-2013 were collected from the institutional registry.

resultsThe average age of 1284 patients who were included in the study was 57±10.4, 66% of patients were male. The most frequent TEE findings included aortic plaques in 54% and patent foramen ovale (PFO) in 15%. TEE findings led to treatment change in 135 (10.5%) patients; anticoagulant treatment was initiated in 110 of them (81%). Most common etiology for switch to anticoagulation was aortic plaques (71 patients); PFO was second most common reason (26 patients). Significant TEE findings (thrombus, endocarditis, tumor) were found in 1.9% of patients, they were more common in young patients (<55; 56% of the patients).

conclusionsThe beginning of anticoagulation treatment in patients with thick and complicated plaques was found frequently in our study. Significant TEE findings, were infrequent, constituted an absolute indication for treatment change and were more common in younger patients.

Indexed as

AgedAnticoagulantsAortaEchocardiography, TransesophagealFemaleHumansIschemic StrokeMaleMiddle AgedRetrospective StudiesAnticoagulants

Identifiers

PMID33270736
PMCPMC7714247
OpenAlexW3107703819

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.