Evidence map›Paper›PMID 33762361›Full record

Observational studyBMJ open respiratory research2021

Safety and efficacy of catheter directed thrombolysis (CDT) in elderly with pulmonary embolism (PE).

Eneida Harrison, Jin Sun Kim, Vladimir Lakhter, Ka U Lio, Rami Alashram, Huaqing Zhao, Rohit Gupta, Maulin Patel, James Harrison, Joseph Panaro and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 29% 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, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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

15 authors at 4 institutions in 2 countries.

Eneida HarrisonThoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA eneida.harrison@tuhs.temple.edu.
Jin Sun KimMedicine, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Vladimir LakhterCardiology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Ka U LioMedicine, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, Shanghai, China.
Rami AlashramThoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Huaqing ZhaoClinical Sciences, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Rohit GuptaThoracic Medicine and Surgery, Temple University Hospital, Philadelphia, Pennsylvania, USA.
Maulin PatelThoracic Medicine and Surgery, Temple University Hospital, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-7432-7255
James HarrisonPsychiatry, Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA.
Joseph PanaroRadiology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Kerry MohrienPharmacy, Temple University Hospital, Philadelphia, Pennsylvania, USA.
Riyaz BashirCardiology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Gary CohenRadiology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Gerard CrinerThoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Parth RaliThoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Temple University · USTemple University Hospital · USShanghai Jiao Tong University · CNThomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute pulmonary embolism (PE) remains a common cause for morbidity and mortality in patients over 65 years. Given the increased risk of bleeding in the elderly population with the use of systemic thrombolysis, catheter-directed therapy (CDT) is being increasingly used for the treatment of submassive PE. Nevertheless, the safety of CDT in the elderly population is not well studied. We, therefore, aimed to evaluate the safety of CDT in our elderly patients.

methodsWe conducted a retrospective observational study of consecutive patients aged

resultsOf 346 patients with acute PE, 138 were

conclusionIn this observational study using propensity score-matched analysis, we found that patients >65 years who were treated with CDT for management of acute PE had similar mortality and LOS compared with those treated with AC. Further studies are required to confirm these findings.

Indexed as

Pulmonary EmbolismThrombolytic TherapyAgedCathetersFibrinolytic AgentsHumansTime FactorsFibrinolytic Agentspulmonary embolism

Identifiers

PMID33762361
PMCPMC7993330
OpenAlexW3138039655

What OpenQuestion holds

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LicenceCC BY-NC
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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.