Evidence map›Paper›PMID 38410198›Full record

ArticleFrontiers in neurology2024

Feasibility and comparability of different platelet function tests in acute stroke with or without prior antiplatelet therapy.

Jan Hendrik Schaefer, Franziska Lieschke, Hans Urban, Ferdinand O Bohmann, Florian Gatzke, Wolfgang Miesbach

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07644234 (Platelet Aggregation Function-Guided De-Escalation Antiplatelet Therapy in Patients With Acute Ischemic Stroke), which is not on this 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 41% 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.

NCT07644234 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Platelet Aggregation Function-Guided De-Escalation Antiplatelet Therapy in Patients With Acute Ischemic Stroke

TypeinterventionalSponsorSichuan Provincial People's HospitalRan2026 to 2029Enrolled3,836ConditionsIschemic Stroke, Transient Ischemic AttackArmsClopidogrel, Aspirin
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 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

6 authors at 2 institutions in 1 country.

Jan Hendrik SchaeferDepartment of Neurology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
Franziska LieschkeDepartment of Neurology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
Hans UrbanDepartment of Neurology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
Ferdinand O BohmannDepartment of Neurology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
Florian GatzkeDepartment of Internal Medicine II, Haemostaseology and Haemophilia Centre, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
Wolfgang MiesbachDepartment of Internal Medicine II, Haemostaseology and Haemophilia Centre, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
Goethe University Frankfurt · DEUniversity Hospital Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The clinical course of ischemic and hemorrhagic strokes can be influenced by the coagulation status of individual patients. The prior use of antiplatelet therapy (APT) such as acetylsalicylic acid (ASA) or P2Y12-antagonists has been inconsistently described as possibly increasing the risk of hemorrhagic transformation or expansion. Since clinical studies describing prior use of antiplatelet medication are overwhelmingly lacking specific functional tests, we aimed to implement testing in routine stroke care. Methods: We used fluorescence-activated cell sorting (FACS) with antibodies against CD61 for thrombocyte identification and CD62p or platelet activation complex-1 (PAC-1) to determine platelet activation. Aggregometry and automated platelet functioning analyzer (PFA-200) were employed to test thrombocyte reactivity. FACS and aggregometry samples were stimulated Results: Between February and July 2023, 20 blood samples ( Conclusion: In the clinical setting it is feasible to use differentiated platelet analytics to determine alterations caused by antiplatelet therapy. Among the tests under investigation, PFA-200 showed the highest sensitivity for the intake of ASA in stroke patients. FACS analysis on the other hand might be able to provide a more nuanced approach to altered platelet reactivity.

Indexed as

acute strokeaggregometryFACShemorrhagic strokeischemic strokeplatelet functioning analyzerplateletsthrombocytes

Identifiers

PMID38410198
PMCPMC10894916
OpenAlexW4391750446

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.