Evidence map›Paper›PMID 33600708›Full record

ArticleJournal of stroke2021

Initiation of Guideline-Matched Oral Anticoagulant in Atrial Fibrillation-Related Stroke.

Mi-Yeon Eun, Jae-Young Kim, Yang-Ha Hwang, Man-Seok Park, Joon-Tae Kim, Kang-Ho Choi, Jin-Man Jung, Sungwook Yu, Chi Kyung Kim, Kyungmi Oh and 12 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of stroke, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. 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

22 authors at 13 institutions in 1 country.

Mi-Yeon EunDepartment of Neurology, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Jae-Young KimDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yang-Ha HwangDepartment of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Man-Seok ParkDepartment of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Joon-Tae KimDepartment of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Kang-Ho ChoiDepartment of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Jin-Man JungDepartment of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Sungwook YuDepartment of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Chi Kyung KimDepartment of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Kyungmi OhDepartment of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Tae-Jin SongDepartment of Neurology, Ewha Womans University Seoul Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
Yong-Jae KimDepartment of Neurology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Kore, Seoul, Korea.
Bum Joon KimDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Sung Hyuk HeoDepartment of Neurology, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.
Kwang-Yeol ParkDepartment of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Jeong-Min KimDepartment of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Jong-Ho ParkDepartment of Neurology, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea.
Jay Chol ChoiDepartment of Neurology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Korea.
Jong-Won ChungDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Oh Young BangDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Gyeong-Moon KimDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Woo-Keun SeoDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korea University Medical Center · KRSungkyunkwan University · KRChonnam National University Hospital · KRKyungpook National University Hospital · KRSamsung Medical Center · KRSamsung (South Korea) · KRChung-Ang University Hospital · KREwha Womans University · KRHanyang University · KRJeju National University Hospital · KRKorea University · KRKyung Hee University · KRUlsan College · KR

Funding

Ministry of EducationNational Research Foundation of Korea 2019R1A2C2008788
6 · The paper itself

Abstract

background and purposeTo evaluate the outcome events and bleeding complications of the European Society of Cardiology (ESC) guideline-matched oral anticoagulant therapy for patients with acute ischemic stroke and atrial fibrillation (AF).

methodsPatients with acute ischemic stroke and AF from a nationwide multicenter registry (Korean ATrial fibrillaTion EvaluatioN regisTry in Ischemic strOke patieNts [K-ATTENTION]) between January 2013 and December 2015 were included in the study. Patients were divided into the ESC guideline-matched and the non-matched groups. The primary outcome was recurrence of any stroke during the 90-day follow-up period. Secondary outcomes were major adverse cerebrovascular and cardiovascular events, ischemic stroke, intracranial hemorrhage, acute coronary syndrome, allcause mortality, and major hemorrhage. Propensity score matching and logistic regression analyses were performed to assess the effect of the treatments administered.

resultsAmong 2,321 eligible patients, 1,126 patients were 1:1 matched to the ESC guidelinematched and the non-matched groups. As compared with the non-matched group, the ESC guideline-matched group had a lower risk of any recurrent stroke (1.4% vs. 3.4%; odds ratio [OR], 0.41; 95% confidence interval [CI], 0.18 to 0.95). The risk of recurrent ischemic stroke was lower in the ESC guideline-matched group than in the non-matched group (0.9% vs. 2.7%; OR, 0.32; 95% CI, 0.11 to 0.88). There was no significant difference in the other secondary outcomes between the two groups.

conclusionsESC guideline-matched oral anticoagulant therapy was associated with reduced risks of any stroke and ischemic stroke as compared with the non-matched therapy.

Indexed as

AnticoagulantsAtrial fibrillationGuidelineOutcomeStroke

Identifiers

PMID33600708
PMCPMC7900398
OpenAlexW3126782153

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.