Evidence map›Paper›PMID 34278192›Full record

ArticleResearch and practice in thrombosis and haemostasis2021

Coagulation markers and functional outcome in acute ischemic stroke: Impact of intensive versus standard hyperglycemia control.

Nina T Gentile, A Koneti Rao, Hannah Reimer, Fabiola Del Carpio-Cano, Viswanathan Ramakrishnan, Qi Pauls, William G Barsan, Askiel Bruno, iSPOT, Neurological Emergencies Treatment Trials Network (NETT) Investigators

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 41% 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, 3 citations in OpenAlex.

  1. Review
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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

9 authors at 4 institutions in 1 country.

Nina T GentileDepartment of Emergency Medicine Lewis Katz School of Medicine at Temple University Philadelphia PA USA.ORCID https://orcid.org/0000-0002-1222-5966
A Koneti RaoSol Sherry Thrombosis Research Center and Department of Medicine Lewis Katz School of Medicine at Temple University Philadelphia PA USA.ORCID https://orcid.org/0000-0002-3078-7778
Hannah ReimerDepartment of Emergency Medicine Lewis Katz School of Medicine at Temple University Philadelphia PA USA.
Fabiola Del Carpio-CanoSol Sherry Thrombosis Research Center and Department of Medicine Lewis Katz School of Medicine at Temple University Philadelphia PA USA.
Viswanathan RamakrishnanDepartment of Public Health Sciences Medical University of South Carolina Charleston SC USA.
Qi PaulsDepartment of Public Health Sciences Medical University of South Carolina Charleston SC USA.
William G BarsanDepartment of Emergency Medicine University of Michigan Ann Arbor SA USA.
Askiel BrunoDepartment of Neurology Medical College of Georgia Augusta University Augusta GA USA.
iSPOT, Neurological Emergencies Treatment Trials Network (NETT) Investigators
Temple University · USMedical University of South Carolina · USAugusta University · USUniversity of Michigan · US

Funding

The role of SMAD1 and SATB2 in colon patterningP20GM130457 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Hailong Zhang · 2020 to 2026
$18.7M
Insights on Selected Procoagulation Markers and Outcomes in Stroke Trial (I-SPOT)U01NS079077 · NINDS · TEMPLE UNIV OF THE COMMONWEALTH · PI GENTILE, NINA T, RAO, ANGARA KONETI · 2013 to 2017
$2.4M
NINDS NIH HHS U01 NS079077
6 · The paper itself

Abstract

objectiveAlterations in coagulation could mediate functional outcome in patients with hyperglycemia after acute ischemic stroke (AIS). We prospectively studied the effects of intensive versus standard glucose control on coagulation markers and their relationships to functional outcomes in patients with AIS. APPROACH: The Insights on Selected Procoagulation Markers and Outcomes in Stroke Trial measured the coagulation biomarkers whole blood tissue factor procoagulant activity (TFPCA); plasma factors VII (FVII), VIIa (FVIIa), and VIII (FVIII); thrombin-antithrombin (TAT) complex; D-dimer; tissue factor pathway inhibitor, and plasminogen activator inhibitor-1 (PAI-1) antigen in patients enrolled in the Stroke Hyperglycemia Insulin Network Effort trial of intensive versus standard glucose control on functional outcome at 3 months after AIS. Changes in biomarkers over time (from baseline ≈12 hours after stroke onset) to 48 hours, and changes in biomarkers between treatment groups, functional outcomes, and their interaction were analyzed by two-way analysis of variance.

resultsA total of 125 patients were included (57 in the intensive treatment group and 68 in the standard treatment group). The overall mean age was 66 years; 42% were women. Changes from baseline to 48 hours in coagulation markers were significantly different between treatment groups for TFPCA (

conclusionsIntensive glucose control induced greater alterations in coagulation biomarkers than standard treatment, and these were associated with a favorable functional outcome at 3 months after AIS.

Indexed as

acute ischemic strokecoagulation markersdiabetes mellitusfunctional outcomehyperglycemia controltissue factor

Identifiers

PMID34278192
PMCPMC8279129
OpenAlexW3186778106

What OpenQuestion holds

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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.