Evidence map›Paper›PMID 34650114›Full record

ArticleScientific reports2021

The effects of antithrombotic therapy on head trauma and its management.

Takao Koiso, Masayuki Goto, Toshitsugu Terakado, Yoji Komatsu, Yuji Matsumaru, Eichi Ishikawa

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  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

6 authors at 2 institutions in 1 country.

Takao KoisoDepartment of Neurosurgery, Hitachi General Hospital, Jonancho 2-1-1, Hitachi, Ibaraki, 317-077, Japan. s0201534@hotmail.co.jp.
Masayuki GotoDepartment of Neurosurgery, Hitachi General Hospital, Jonancho 2-1-1, Hitachi, Ibaraki, 317-077, Japan.
Toshitsugu TerakadoDepartment of Neurosurgery, Hitachi General Hospital, Jonancho 2-1-1, Hitachi, Ibaraki, 317-077, Japan.
Yoji KomatsuDepartment of Neurosurgery, Hitachi General Hospital, Jonancho 2-1-1, Hitachi, Ibaraki, 317-077, Japan.
Yuji MatsumaruDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Amakubo 2-1-1, Tsukuba, Ibaraki, 305-8576, Japan.
Eichi IshikawaDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Amakubo 2-1-1, Tsukuba, Ibaraki, 305-8576, Japan.
Hitachi General Hospital · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The number of patients with traumatic intracranial hemorrhage (tICH) that are taking antithrombotics (ATs), antiplatelets (APs) and/or anticoagulants (ACs), has increased, but the influence of it for outcome remains unclear. This study aimed to evaluate an influence of AT for tICH. We retrospectively reviewed all patients with tICH treated between 2012 and 2019, and analyzed demographics, neurological status, clinical course, radiological findings, and outcome data. A total of 393 patients with tICH were included; 117 were on AT therapy (group A) and 276 were not (group B). Fifty-one (43.6%) and 159 (57.6%) patients in groups A and B, respectively, exhibited mRS of 0-2 at discharge (p = 0.0113). Mortality at 30 days was significantly higher in group A than in group B (25.6% vs 16.3%, p = 0.0356). Multivariate analysis revealed that higher age (OR 32.7, p < 0.0001), female gender (OR 0.56, p = 0.0285), pre-injury vitamin K antagonist (VKA; OR 0.42, p = 0.0297), and hematoma enlargement (OR 0.27, p < 0.0001) were associated with unfavorable outcome. AP and direct oral anticoagulant were not. Hematoma enlargement was significantly higher in AC-users than in non-users. Pre-injury VKA was at high risk of poor prognosis for patients with tICH. To improve outcomes, the management of VKA seems to be important.

Indexed as

AgedAged, 80 and overAnticoagulantsCraniocerebral TraumaFemaleFibrinolytic AgentsHumansIntracranial Hemorrhage, TraumaticJapanMaleMiddle AgedPlatelet Aggregation InhibitorsRetrospective StudiesRisk FactorsTomography, X-Ray ComputedVitamin KAnticoagulantsFibrinolytic AgentsPlatelet Aggregation InhibitorsVitamin K

Identifiers

PMID34650114
PMCPMC8516855
OpenAlexW3136790141

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.