Evidence map›Paper›PMID 37750368›Full record

ArticleJournal of Korean medical science2023

Multiple Antiplatelet Therapy in Ischemic Stroke Already on Antiplatelet Agents Based on the Linked Big Data for Stroke.

Tae Jung Kim, Ji Sung Lee, Jae Sun Yoon, Soo-Hyun Park, Mi Sun Oh, Keun-Hwa Jung, Kyung-Ho Yu, Byung-Chul Lee, Sang-Bae Ko, Byung-Woo Yoon

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 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 33% 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

10 authors at 5 institutions in 3 countries.

Tae Jung Kim *Department of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-3616-5627
Ji Sung Lee *Department of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8194-3462
Jae Sun YoonDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-4303-2964
Soo-Hyun ParkDepartment of Neurology, Gangdong Sacred Heart Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-1626-3940
Mi Sun OhDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0002-6741-0464
Keun-Hwa JungDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-1433-8005
Kyung-Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0002-8997-5626
Byung-Chul LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0002-3885-981X
Sang-Bae KoDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-9429-9597
Byung-Woo YoonDepartment of Neurology, Uijeongbu Eulji Medical Center, Uijeongbu, Korea.ORCID https://orcid.org/0000-0002-8597-807X
Seoul National University Hospital · KRHallym University Sacred Heart Hospital · KRSacred Heart Hospital · IEThe Catholic University of Korea Uijeongbu St. Mary's Hospital · KRUlsan College · KR

Funding

Ministry of Health and Welfare HI 16C1078National Research Foundation of Korea NRF-2020R1C1C1003249
6 · The paper itself

Abstract

backgroundOptimal antiplatelet strategy for patients with ischemic stroke who were already on single antiplatelet therapy (SAPT) remains to be elucidated. This study aimed to evaluate the effect of different antiplatelet regimens on vascular and safety outcomes at 1 year after non-cardioembolic stroke in patients previously on SAPT.

methodsWe identified 9,284 patients with acute non-cardioembolic ischemic stroke that occurred on SAPT using linked data. Patients were categorized into three groups according to antiplatelet strategy at discharge: 1) SAPT; 2) dual antiplatelet therapy (DAPT); and 3) triple antiplatelet therapy (TAPT). One-year outcomes included recurrent ischemic stroke, composite outcomes (recurrent ischemic stroke, myocardial infarction, intracerebral hemorrhage, and death), and major bleeding.

resultsOf 9,284 patients, 5,565 (59.9%) maintained SAPT, 3,638 (39.2%) were treated with DAPT, and 81 (0.9%) were treated with TAPT. Multiple antiplatelet therapy did not reduce the risks of 1-year recurrent stroke (DAPT, hazard ratio [HR], 1.08, 95% confidence interval [CI], 0.92-1.27,

conclusionAdditional use of antiplatelet agents in patients with non-cardioembolic ischemic stroke who were already on SAPT did not reduce the 1-year incidence of vascular outcomes, although it increased the risk of bleeding complications.

Indexed as

Ischemic StrokeStrokeBig DataHumansNaphthalenesulfonatesPeptidesPlatelet Aggregation InhibitorsSemantic WebNaphthalenesulfonatesP 500PeptidesPlatelet Aggregation InhibitorsBleeding RiskMultiple Antiplatelet TherapyNon-Cardioembolic StrokeVascular Outcome

Identifiers

PMID37750368
PMCPMC10519784
OpenAlexW4386297872

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.