Evidence map›Paper›PMID 37402398›Full record

ArticleArquivos de neuro-psiquiatria2023

Who is in the emergency room matters when we talk about door-to-needle time: a single-center experience.

Alejandro M Brunser, Juan-Cristobal Nuñez, Eloy Mansilla, Gabriel Cavada, Verónica Olavarría, Paula Muñoz Venturelli, Pablo M Lavados

Open access · goldAbstract read
In one paragraph

Article in Arquivos de neuro-psiquiatria, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 2 countries.

Alejandro M BrunserClínica Alemana Universidad del Desarrollo, Facultad de Medicina, Departamento de Neurología y Psiquiatría Santiago, Servicio de Neurología, Unidad de Neurología, Santiago, Chile.ORCID 0000-0002-8376-9450
Juan-Cristobal NuñezClínica Alemana Universidad del Desarrollo, Facultad de Medicina, Departamento de Emergencias Generales, Santiago, Chile.ORCID 0000-0002-3997-1766
Eloy MansillaClínica Alemana Universidad del Desarrollo, Facultad de Medicina, Departamento de Neurología y Psiquiatría Santiago, Servicio de Neurología, Unidad de Neurología, Santiago, Chile.ORCID 0000-0002-0326-930X
Gabriel CavadaClínica Alemana Universidad del Desarrollo, Facultad de Medicina, Departamento de Cuidados Críticos, Santiago, Chile.ORCID 0000-0002-3558-0266
Verónica OlavarríaClínica Alemana Universidad del Desarrollo, Facultad de Medicina, Departamento de Neurología y Psiquiatría Santiago, Servicio de Neurología, Unidad de Neurología, Santiago, Chile.ORCID 0000-0003-4300-9921
Paula Muñoz VenturelliClínica Alemana Universidad del Desarrollo, Facultad de Medicina, Departamento de Neurología y Psiquiatría Santiago, Servicio de Neurología, Unidad de Neurología, Santiago, Chile.ORCID 0000-0003-1869-2255
Pablo M LavadosClínica Alemana Universidad del Desarrollo, Facultad de Medicina, Departamento de Neurología y Psiquiatría Santiago, Servicio de Neurología, Unidad de Neurología, Santiago, Chile.ORCID 0000-0002-9118-9093
Universidad del Desarrollo · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of intravenous thrombolysis (IVT) is time-dependent.

objectiveTo compare the door-to-needle (DTN) time of stroke neurologists (SNs)

methodsProspective study of patients with IVT treated at Clínica Alemana between June 2016 and September 2021.

resultsA total of 301 patients underwent treatment for IVT. The mean DTN time was 43.3 ± 23.6 minutes. One hundred seventy-three (57.4%) patients were evaluated by SNs, 122 (40.5%) by NSNs, and 6 (2.1%) by EPs. The mean DTN times were 40.8 ± 23, 46 ± 24.7, and 58 ± 22.5 minutes, respectively. Door-to-needle time ≤ 20 minutes occurred more frequently when patients were treated by SNs compared to NSNs and EPs: 15%, 4%, and 0%, respectively (odds ratio [OR]: 4.3, 95% confidence interval [95%CI]: 1.66-11.5,

conclusionTreatment by a SN resulted in a higher probability of treating the patient in a DTN time within 20 minutes.

Indexed as

Brain IschemiaCOVID-19StrokeEmergency Service, HospitalFibrinolytic AgentsHumansProspective StudiesThrombolytic TherapyTime-to-TreatmentTissue Plasminogen ActivatorTreatment OutcomeFibrinolytic AgentsTissue Plasminogen Activator

Identifiers

PMID37402398
PMCPMC10371412
OpenAlexW4383105738

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.