Evidence map›Paper›PMID 38778788›Full record

SynthesisBrain and behavior2024

Safety and efficacy of desmopressin (DDAVP) in preventing hematoma expansion in intracranial hemorrhage associated with antiplatelet drugs use: A systematic review and metaanalysis.

Faizan Shahzad, Usman Ahmed, Ayesha Muhammad, Farhan Shahzad, Syed Imam Naufil, Mohamad Walid Sukkari, Abdullah Bin Kamran, Sara Murtaza, Marwah Bintay Khalid, Haroon Shabbir and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
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

11 authors.

Faizan ShahzadMedical Student, Rawalpindi Medical University, Rawalpindi, Pakistan.
Usman AhmedDepartment of Medicine, Holy Family Hospital, Rawalpindi, Pakistan.
Ayesha MuhammadMedical Student, Rawalpindi Medical University, Rawalpindi, Pakistan.
Farhan ShahzadMedical Student, Rawalpindi Medical University, Rawalpindi, Pakistan.
Syed Imam NaufilDepartment of Medicine, Holy Family Hospital, Rawalpindi, Pakistan.
Mohamad Walid SukkariFaculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic.ORCID 0000-0002-2545-0142
Abdullah Bin KamranMedical Student, Rawalpindi Medical University, Rawalpindi, Pakistan.
Sara MurtazaDepartment of Medicine, Holy Family Hospital, Rawalpindi, Pakistan.
Marwah Bintay KhalidMedical Student, Rawalpindi Medical University, Rawalpindi, Pakistan.
Haroon ShabbirMedical Student, Rawalpindi Medical University, Rawalpindi, Pakistan.
Sajeel SaeedDepartment of Medicine, Holy Family Hospital, Rawalpindi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOne of the most serious complications associated with antiplatelet agents is antiplatelet-associated intracranial hemorrhage (AA-ICH). Desmopressin is a synthetic antidiuretic hormone (ADH) analog. It has been linked to improving patient outcomes in antiplatelet-induced intracranial hemorrhage. The secondary outcomes included the incidence of thrombotic complications and neurological outcomes.

methodsA systematic search was conducted on three databases (PubMed, Cochrane, and ClinicalTrials.gov) to find eligible literature that compares desmopressin (DDAVP) versus controls in patients with AA-ICH. The Mantel-Haenszel statistic was used to determine an overall effect estimate for each outcome by calculating the risk ratios and 95% confidence intervals (CI). Heterogeneity was measured using the I

resultsFive studies were included in the analysis with a total of 598 patients. DDAVP was associated with a nonsignificant decrease in the risk of hematoma expansion (RR = .8, 95% CI,.51-1.24; p = .31, I

conclusionDDAVP was associated with a nonsignificant decrease in hematoma expansion and thrombotic events. However, it was also associated with a significantly poor neurological outcome in the patients. Thus, until more robust clinical trials are conducted, the use of DDAVP should be considered on a case-to-case basis.

Indexed as

Deamino Arginine VasopressinHematomaIntracranial HemorrhagesPlatelet Aggregation InhibitorsHemostaticsHumansDeamino Arginine VasopressinHemostaticsPlatelet Aggregation Inhibitorsdesmopressinhematoma expansionintracerebral hemorrhageneurocritical care

Identifiers

PMID38778788
PMCPMC11112402

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.