Evidence map›Paper›PMID 37081514›Full record

ArticleEuropean journal of medical research2023

A comparison of safety and efficacy between long-term DAPT and intensive statins combined with short-term DAPT for acute ischemic stroke.

Ting Deng, Xiaomeng Liu, Wei He, Jingmian Chen, Xiaohua Yao, Lushan Liu, Tong Zhang, Haitao Lu

Open access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  4. Article
  5. 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

8 authors at 1 institution in 1 country.

Ting DengEmergency Department of Beijing Bo'ai Hospital, School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China.
Xiaomeng LiuEmergency Department of Beijing Bo'ai Hospital, School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China.
Wei HeEmergency Department of Beijing Bo'ai Hospital, School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China.
Jingmian ChenEmergency Department of Beijing Bo'ai Hospital, School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China.
Xiaohua YaoEmergency Department of Beijing Bo'ai Hospital, School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China.
Lushan LiuEmergency Department of Beijing Bo'ai Hospital, School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China.
Tong ZhangNeurology Department of Beijing Bo'ai Hospital, School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China. tommzhang@163.com.ORCID http://orcid.org/0000-0003-0898-1766
Haitao LuNeurology Department of Beijing Bo'ai Hospital, School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China. 13051760807@163.com.
Capital Medical University · CN

Funding

Beijing Municipal Commission of Science and Technology, China Z181100001718066
6 · The paper itself

Abstract

objectivesThe current study compared the safety and efficacy of long-term dual antiplatelet therapy (DAPT, aspirin plus clopidogrel) and intensive rosuvastatin with short-term DAPT for acute ischemic stroke (AIS).

methodsA total of 220 patients were enrolled 72 h after the onset of mild to moderate AIS, and divided into a control group treated with 21-day DAPT and a study group treated with intensive rosuvastatin with 7-day DAPT on a voluntary basis. The primary outcome was recurrent ischemic stroke and hemorrhage during a 90-day follow-up period in an intention-to-treat analysis. The secondary outcome was clinical efficacy with respect to alleviating existing focal nerve defect symptoms. A Cox proportional-hazards model was used to evaluate treatment differences.

resultsClinical efficacy was evident in 87.3% of patients in the study group, compared with 84.3% in the control group (p = 0.042). Recurrent ischemic stroke occurred in 9 patients (7.6%) in the study group and in 9 (8.8%) in the control group (p = 0.767). Hemorrhage occurred in 6 patients (5.1%) in the study group and in 15 (14.7%) in the control group (p = 0.023). In comparisons of levels of ALT, AST, LDH, and CK in the two groups before and 2 weeks after therapy, only CK differed significantly (p < 0.001).

conclusionsCompared to long-term DAPT, intensive rosuvastatin with short-term DAPT was equivalent in reducing the risk of recurrent ischemic stroke. It alleviated symptoms more rapidly, and significantly reduced the risk of bleeding, without causing an increase in transaminase or muscle enzymes. CLINICAL

trial registrationChina Clinical Trial Registration Center (ChiCTR1800017809).

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsIschemic StrokeStrokeDrug Therapy, CombinationHemorrhageHumansPlatelet Aggregation InhibitorsRosuvastatin CalciumTreatment OutcomeHydroxymethylglutaryl-CoA Reductase InhibitorsPlatelet Aggregation InhibitorsRosuvastatin CalciumAcute ischemic strokeDouble antiplatelet therapyIntensive statin therapySafety and efficacy

Identifiers

PMID37081514
PMCPMC10120259
OpenAlexW4366602645

What OpenQuestion holds

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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.