Evidence map›Paper›PMID 34718884›Full record

ArticleJournal of neurology2022

Off-label-dosing of non-vitamin K-dependent oral antagonists in AF patients before and after stroke: results of the prospective multicenter Berlin Atrial Fibrillation Registry.

Serdar Tütüncü, Manuel Olma, Claudia Kunze, Joanna Dietzel, Johannes Schurig, Cornelia Fiessler, Carolin Malsch, Tobias Eberhard Haas, Boris Dimitrijeski, Wolfram Doehner and 19 more

Erratum issued Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02306824 (Berlin Cohort Study on Oral Anticoagulation in Patients With Atrial Fibrillation and Acute Ischemic Stroke), which is not on this 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.

NCT02306824 completednot on this map

Berlin Cohort Study on Oral Anticoagulation in Patients With Atrial Fibrillation and Acute Ischemic Stroke

Typeobservational_patient_registrySponsorCharite University, Berlin, GermanyRan2014 to 2020Enrolled1,080ConditionsAcute Ischemic Stroke, Atrial Fibrillation
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Longer and better lives for patients with atrial fibrillation: the 9th AFNET/EHRA consensus conference.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  5. Practical guide on left atrial appendage closure for the non-implanting physician: an international consensus paper.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Serdar TütüncüCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Manuel OlmaCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Claudia KunzeCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Joanna DietzelCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Johannes SchurigCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Cornelia FiesslerInstitute of Clinical Epidemiology and Biometry, University Würzburg, Würzburg, Germany.
Carolin MalschInstitute of Clinical Epidemiology and Biometry, University Würzburg, Würzburg, Germany.
Tobias Eberhard HaasInstitute of Clinical Epidemiology and Biometry, University Würzburg, Würzburg, Germany.
Boris DimitrijeskiDepartment of Neurology, Vivantes Klinikum Neukölln, Berlin, Germany.
Wolfram DoehnerCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Georg HagemannDepartment of Neurology, Helios Klinik Berlin-Buch, Berlin, Germany.
Frank HamiltonDepartment of Neurology, Vivantes Auguste-Viktoria-Klinikum, Berlin, Germany.
Martin HonermannDepartment of Neurology, Vivantes Klinikum Spandau, Berlin, Germany.
Gerhard Jan JungehulsingDepartment of Neurology, Jüdisches Krankenhaus Berlin, Berlin, Germany.
Andreas KauertDepartment of Neurology, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany.
Hans-Christian KoenneckeDepartment of Neurology, Vivantes Klinikum im Friedrichshain, Berlin, Germany.
Bruno-Marcel MackertDepartment of Neurology, Vivantes Auguste-Viktoria-Klinikum, Berlin, Germany.
Darius NabaviDepartment of Neurology, Vivantes Klinikum Neukölln, Berlin, Germany.
Christian H NolteCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Joschua Mirko ReisInstitute of Clinical Epidemiology and Biometry, University Würzburg, Würzburg, Germany.
Ingo SchmehlDepartment of Neurology, BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany.
Paul SparenbergDepartment of Neurology, BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany.
Robert StingeleDepartment of Neurology, German Red Cross Hospital Berlin Köpenick, Berlin, Germany.
Enrico VölzkeDepartment of Neurology, Schlosspark-Klinik Berlin, Berlin, Germany.
Carolin WaldschmidtDepartment of Neurology, Vivantes Humboldt-Klinikum, Berlin, Germany.
Daniel Zeise-WehryDepartment of Neurology, Park-Klinik Weissensee, Berlin, Germany.
Peter U HeuschmannInstitute of Clinical Epidemiology and Biometry, University Würzburg, Würzburg, Germany.
Matthias EndressCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Karl Georg HaeuslerDepartment of Neurology, Universitätsklinikum Würzburg, Würzburg, Germany. Haeusler_K@ukw.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe aimed to analyze prevalence and predictors of NOAC off-label under-dosing in AF patients before and after the index stroke.

methodsThe post hoc analysis included 1080 patients of the investigator-initiated, multicenter prospective Berlin Atrial Fibrillation Registry, designed to analyze medical stroke prevention in AF patients after acute ischemic stroke.

resultsAt stroke onset, an off-label daily dose was prescribed in 61 (25.5%) of 239 NOAC patients with known AF and CHA

conclusionAt stroke onset, off-label dosing was present in one out of four, and under-dosing in one out of five NOAC patients. Under-dosing of rivaroxaban or apixaban was related to old age. In-hospital treatment after stroke reduced off-label NOAC dosing, but one out of ten NOAC patients was under-dosed at discharge. CLINICAL

trial registrationNCT02306824.

Indexed as

Atrial FibrillationBrain IschemiaStrokeAdministration, OralAged, 80 and overAnticoagulantsBerlinHumansOff-Label UseProspective StudiesRegistriesAnticoagulantsAtrial fibrillationIschemic strokeNOACUnder-dosing

Identifiers

PMID34718884
PMCPMC8739306

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.