Evidence map›Paper›PMID 34449439›Full record

ArticleAging2021

High red blood cell distribution width levels could increase the risk of hemorrhagic transformation after intravenous thrombolysis in acute ischemic stroke patients.

Hongyang Fan, Xiaojie Liu, Sai Li, Peipei Liu, Yuxia Song, Haili Wang, Xiaojia Tang, Yuhan Luo, Jun Li, Yan Zhu and 1 more

Abstract read
In one paragraph

Article in Aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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.

Hongyang FanThe Neurology Department, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang 222002, Jiangsu, China.
Xiaojie LiuDepartment of Neurology, Clinical Medical College, Yangzhou University, Yangzhou 225001, Jiangsu, China.
Sai LiDepartment of Neurology, Clinical Medical College, Yangzhou University, Yangzhou 225001, Jiangsu, China.
Peipei LiuDepartment of Neurology, Clinical Medical College, Yangzhou University, Yangzhou 225001, Jiangsu, China.
Yuxia SongDalian Medical University, Dalian 116000, Liaoning, China.
Haili WangDalian Medical University, Dalian 116000, Liaoning, China.
Xiaojia TangDalian Medical University, Dalian 116000, Liaoning, China.
Yuhan LuoDalian Medical University, Dalian 116000, Liaoning, China.
Jun LiDepartment of Neurology, Clinical Medical College, Yangzhou University, Yangzhou 225001, Jiangsu, China.
Yan ZhuDepartment of Neurology, Clinical Medical College, Yangzhou University, Yangzhou 225001, Jiangsu, China.
Yingzhu ChenDepartment of Neurology, Clinical Medical College, Yangzhou University, Yangzhou 225001, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between the red blood cell distribution width (RDW) and hemorrhagic transformation (HT) after thrombolysis in acute ischemic stroke patients remains inconclusive. Our study aimed to assess whether high RDW levels are associated with the occurrence of HT after thrombolysis. Data were consecutively collected and retrospectively analyzed for stroke patients treated with thrombolysis between 1 January 2017 and 31 December 2019. The primary outcomes were the occurrence of HT and symptomatic HT. Among the 286 patients enrolled, 36 (12.6%) developed HT and15 (5.2%) were classified as symptomatic HT. Patients with high RDW levels were associated with a higher percentage of HT and symptomatic HT (P<0.05). The RDW levels in the HT and symptomatic HT groups were also greater compared with the no-HT group (P<0.001). Multivariable logistic regression analysis revealed that high RDW levels were independently associated with an increased risk of HT (adjusted odds ratio 2.5, 95 % CI, 1.74-3.83 P < 0.001). In conclusion, we found that high RDW levels may be an independent predictor of HT in stroke patients after thrombolysis.

Indexed as

Administration, IntravenousAgedAged, 80 and overBrain IschemiaErythrocyte IndicesFemaleFibrinolytic AgentsHemorrhageHumansMaleMiddle AgedRetrospective StudiesStrokeThrombolytic TherapyTissue Plasminogen ActivatorFibrinolytic AgentsTissue Plasminogen Activatoracute ischemic strokehemorrhagic transformationintravenous thrombolysisred blood cell distribution width

Identifiers

PMID34449439
PMCPMC8436933

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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.