Evidence map›Paper›PMID 35309566›Full record

ArticleFrontiers in neurology2022

Lessons Learned From the Historical Trends on Thrombolysis Use for Acute Ischemic Stroke Among Medicare Beneficiaries in the United States.

Tong Meng, Amber W Trickey, Alex H S Harris, Loretta Matheson, Sarah Rosenthal, Abd Al-Rahman Traboulsi, Jeffrey L Saver, Todd Wagner, Prasanthi Govindarajan

Abstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Tong MengDepartment of Emergency Medicine, Stanford University, Stanford, CA, United States.
Amber W TrickeyStanford-Surgery Policy Improvement Research & Education Center (S-SPIRE), Department of Surgery, Stanford, CA, United States.
Alex H S HarrisStanford-Surgery Policy Improvement Research & Education Center (S-SPIRE), Department of Surgery, Stanford, CA, United States.
Loretta MathesonDepartment of Emergency Medicine, Stanford University, Stanford, CA, United States.
Sarah RosenthalDepartment of Emergency Medicine, Stanford University, Stanford, CA, United States.
Abd Al-Rahman TraboulsiStanford School of Medicine, Stanford, CA, United States.
Jeffrey L SaverComprehensive Stroke Center and Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.
Todd WagnerStanford-Surgery Policy Improvement Research & Education Center (S-SPIRE), Department of Surgery, Stanford, CA, United States.
Prasanthi GovindarajanDepartment of Emergency Medicine, Stanford University, Stanford, CA, United States.

Funding

AHRQ HHS R01 HS026207
6 · The paper itself

Abstract

Background: The most recent time trends on intravenous thrombolysis (IVT) utilization for acute ischemic stroke was reported in 2011 using the Get with the Guidelines. Our objectives are to assess and validate the change in IVT utilization through 2014 in a national sample of Medicare beneficiaries and to examine the effect of patient, stroke center designation, and geography on IVT utilization. Methods: We built a comprehensive national stroke registry by combining patient-level, stroke center status, and geographical characteristics, using multiple data sources. Using multiple national administrative databases from 2007 to 2014, we generated a mixed-effect logistic regression model to characterize the independent associations of patient, hospital, and geographical characteristics with IVT in 2014. Results: Use of IVT increased consistently from 2.8% in 2007 to 7.7% in 2014, Conclusions: Between 2007 and 2014, the frequency of IVT for patients with acute ischemic stroke increased substantially, though differences persisted in the form of less frequent treatment associated with certain characteristics. These findings can inform ongoing efforts to optimize the delivery of IVT to all AIS patients nationwide.

Indexed as

acute ischemic strokedisparities of careintravenous thrombolysisstroke registrytemporal trends

Identifiers

PMID35309566
PMCPMC8931506

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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.