Evidence map›Paper›PMID 33909269›Full record

ArticleEuropean geriatric medicine2021

Intravenous thrombolysis for acute ischemic stroke in centenarians.

B Baena Álvarez, S García-Madrona, R Sainz Amo, F Rodríguez Jorge, J Gómez Corral, R Vera Lechuga, M C Matute Lozano, A Sánchez Sánchez, A De Felipe Mimbrera, A Cruz Culebras and 1 more

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Article in European geriatric medicine, 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
0.6field-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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

11 authors at 1 institution in 1 country.

B Baena ÁlvarezDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain. bbaena93@hotmail.es.
S García-MadronaDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
R Sainz AmoDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
F Rodríguez JorgeDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
J Gómez CorralDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
R Vera LechugaDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
M C Matute LozanoDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
A Sánchez SánchezDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
A De Felipe MimbreraDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
A Cruz CulebrasDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
J Masjuan VallejoDepartment of Neurology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Km 9, 100, 28034, Madrid, Spain.
Hospital Universitario Ramón y Cajal · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe benefit of intravenous alteplase is well established for patients with disabling stroke symptoms regardless of age, although data on outcomes in centenarian patients are scarce. We present our experience in patients beyond 100 years.

methodsDescriptive study including centenarians from our single-centre prospective registry who underwent intravenous thrombolysis with alteplase for acute ischemic stroke in our tertiary university hospital. Clinical variables and functional outcome at 3 months were collected.

resultsFour patients, all women, functionally independent (mRS ≤ 2) were included. Treatment with alteplase was applied within 4.5 h of stroke onset. One patient complicated with pneumonia and died. Two patients were functionally independent (mRS ≤ 2) at discharge, while the third was partially dependent (mRS of 3 at discharge), improving after 3 months, (mRS 2). No serious hemorrhagic or systemic adverse events were registered.

conclusionIn our experience, intravenous thrombolysis may be beneficial and should be considered in patients over 100 years old with no previous disability.

Indexed as

Brain IschemiaIschemic StrokeStrokeAged, 80 and overFemaleFibrinolytic AgentsHumansThrombolytic TherapyTreatment OutcomeFibrinolytic AgentsAcute ischemic strokeCentenariansIntravenous thrombolysisOldest-old

Identifiers

PMID33909269
OpenAlexW3157978629

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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.