Evidence map›Paper›PMID 36698713›Full record

ArticleHealth science reports2023

Antithrombotic treatment after intracerebral hemorrhage: Surveys among stroke physicians in Scandinavia and the United Kingdom.

Elisabeth Forfang, Kristin Tveitan Larsen, Rustam Al-Shahi Salman, Simon M Bell, Per Wester, Eivind Berge, Torgeir Bruun Wyller, Ole Morten Rønning

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Health science reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Elisabeth ForfangInstitute of Clinical Medicine University of Oslo Oslo Norway.ORCID 0000-0001-6557-1064
Kristin Tveitan LarsenInstitute of Clinical Medicine University of Oslo Oslo Norway.
Rustam Al-Shahi SalmanCentre for Clinical Brain Sciences University of Edinburgh Edinburgh UK.
Simon M BellSheffield Institute for Translational Neuroscience University of Sheffield Sheffield UK.
Per WesterDepartment of Public Health and Clinical Science University of Umeå Umeå Sweden.
Eivind BergeDepartment of Cardiology Oslo University Hospital Oslo Norway.
Torgeir Bruun WyllerInstitute of Clinical Medicine University of Oslo Oslo Norway.
Ole Morten RønningInstitute of Clinical Medicine University of Oslo Oslo Norway.
Oslo University Hospital · NOKarolinska Institutet · SEUniversity of Edinburgh · GBUniversity of Oslo · NOUniversity of Sheffield · GB

Funding

British Heart Foundation CS/18/2/33719British Heart Foundation FS/13/72/30531British Heart Foundation PG/14/50/30891British Heart Foundation SP/12/2/29422Medical Research Council G1002605
6 · The paper itself

Abstract

Background and Aims: It is unclear whether patients with previous intracerebral hemorrhage (ICH) should receive antithrombotic treatment to prevent ischemic events. We assessed stroke physicians' opinions about this, and their views on randomizing patients in trials assessing this question. Methods: We conducted three web-based surveys among stroke physicians in Scandinavia and the United Kingdom. Results: Eighty-nine of 205 stroke physicians (43%) responded to the Scandinavian survey, 161 of 180 (89%) to the UK antiplatelet survey, and 153 of 289 (53%) to the UK anticoagulant survey. In Scandinavia, 19 (21%) stroke physicians were uncertain about antiplatelet treatment after ICH for ischemic stroke or transient ischemic attack (TIA) and 21 (24%) for prior myocardial infarction. In the United Kingdom, 116 (77%) were uncertain for ischemic stroke or TIA and 115 (717%) for ischemic heart disease. In Scandinavia, 32 (36%) were uncertain about anticoagulant treatment after ICH for atrial fibrillation, and 26 (29%) for recurrent deep vein thrombosis or pulmonary embolism. In the United Kingdom, 145 (95%) were uncertain about anticoagulants after ICH in at least some cases. In both regions combined, 191 of 250 (76%) would consider randomizing ICH survivors in a trial of starting versus avoiding antiplatelets, and 176 of 242 (73%) in a trial of starting versus avoiding anticoagulants. Conclusion: Considerable proportions of stroke physicians in Scandinavia and the United Kingdom were uncertain about antithrombotic treatment after ICH. A clear majority would consider randomizing patients in trials assessing this question. These findings support the need for such trials.

Indexed as

antithrombotic treatmentintracerebral hemorrhageischemic eventssecondary preventionstroke

Identifiers

PMID36698713
PMCPMC9854165
OpenAlexW4317538411

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.