Evidence map›Paper›PMID 34206997›Full record

ReviewBrain sciences2021

Opioid Antagonist in the Treatment of Ischemic Stroke.

Juan Fernando Ortiz, Claudio Cruz, Amrapali Patel, Mahika Khurana, Ahmed Eissa-Garcés, Ivan Mateo Alzamora, Taras Halan, Abbas Altamimi, Samir Ruxmohan, Urvish K Patel

Open access · goldAbstract readReview
In one paragraph

Review in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
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

10 authors at 7 institutions in 5 countries.

Juan Fernando OrtizSchool of Medicine, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito 170901, Ecuador.ORCID 0000-0001-7512-6140
Claudio CruzSchool of Medicine, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito 170901, Ecuador.
Amrapali PatelNeurology Department, School of Medicine, AMC MET Medical College, Ahmedabad 380008, India.ORCID 0000-0002-1102-5313
Mahika KhuranaPublic Health Department, University of California Berkeley, Berkeley, CA 94720, USA.
Ahmed Eissa-GarcésSchool of Medicine, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito 170901, Ecuador.
Ivan Mateo AlzamoraSchool of Medicine, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito 170901, Ecuador.
Taras HalanSchool of Medicine, Ternopil National Medical University, 46002 Ternopil, Ukraine.
Abbas AltamimiEmergency Department, Amiri Hospital, Sharq 15300, Kuwait.ORCID 0000-0003-1951-4864
Samir RuxmohanDepartment of Neurology, Larkin Community Hospital, Miami, FL 10029, USA.ORCID 0000-0001-6768-8944
Urvish K PatelPublic Health Department, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.ORCID 0000-0002-6702-298X
Universidad San Francisco de Quito · ECAmiri Hospital · KWBerkeley Public Health Division · USB.J. Medical College · INIcahn School of Medicine at Mount Sinai · USI.Horbachevsky Ternopil National Medical University · UALarkin Community Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke is a leading cause of death and disability, and novel treatments need to be found, particularly drugs with neuroprotective and restorative effects. Lately, there has been an increased interest in the relationship between opioids and ischemic stroke. To further appreciate this association between opioids and stroke, we conducted a systematic review to investigate anti-opioid medication's effectiveness in treating ischemic stroke. We used PubMed advanced-strategy and Google Scholar searches and only included full-text clinical trials on humans and written in the English language. After applying the inclusion/exclusion criteria, seven clinical trials were reviewed. Only one of the naloxone and nalmefene clinical trials showed statistically favorable results. Overall, the nalmefene clinical trials used more updated measures (NIHSS, GOS) to evaluate recovery and functional status in ischemic stroke patients than the naloxone clinical trials. There was less bias in the nalmefene clinical trials. Animal and in vitro studies have showed promising results. Additional research should be conducted with new clinical trials of both drugs with larger samples in patients less than 70 years old and moderate to severe infarcts.

Indexed as

anti-opioidsclinical trialsnalmefenenaloxonestroke

Identifiers

PMID34206997
PMCPMC8233760
OpenAlexW3169679156

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.