Evidence map›Paper›PMID 41297947›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Characteristics of Intracranial Hemorrhage in Patients on Factor-Xa Inhibitors: Japan Stroke Data Bank.

Shinichi Wada, Sohei Yoshimura, Takako Torii-Yoshimura, Junji Miyazaki, Yoshito Arakaki, Yasuhisa Yoshida, Masato Inoue, Masateru Katayama, Kenichi Morita, Yoshiki Yagita and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. 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
–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

1 citing paper in PubMed.

  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

13 authors.

Shinichi WadaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Japan.
Sohei YoshimuraDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Japan.
Takako Torii-YoshimuraDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Japan.
Junji MiyazakiDepartment of Medical and Health Information Management, National Cerebral and Cardiovascular Center, Japan.
Yoshito ArakakiDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Japan.
Yasuhisa YoshidaDepartment of Neurosurgery, Yoshida Hospital, Cerebrovascular Research Institute, Japan.
Masato InoueDepartment of Neurosurgery, National Center for Global Health and Medicine, Japan.
Masateru KatayamaDepartment of Neurosurgery, Tokyo Dental College Ichikawa General Hospital, Japan.
Kenichi MoritaDepartment of Neurosurgery, Niigata City General Hospital, Japan.
Yoshiki YagitaDepartment of Stroke Medicine, Kawasaki Medical School Hospital, Japan.
Yoshihiro MiyamotoDepartment of Medical and Health Information Management, National Cerebral and Cardiovascular Center, Japan.
Kazunori ToyodaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Japan.
Masatoshi KogaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Since andexanet alfa was approved in May 2022 in Japan, improvement in clinical outcomes of patients with intracranial hemorrhage while on factor Xa inhibitors (FXaIs) is expected. To assess real-world outcomes before approval, this study investigated the clinical outcomes in Japan prior to 2022. Methods Patients who developed intracerebral hemorrhage (ICH) or non-traumatic subarachnoid hemorrhage (SAH) and were admitted within 24 h of their last known well time or onset of symptoms between January 2016 and December 2021 were included. Data were obtained from the Japan Stroke Data Bank, a nationwide multicenter prospective registry. The outcomes were in-hospital mortality and favorable outcomes (modified Rankin Scale score of 0-2 at discharge). Results A total of 859 patients (rivaroxaban, n=227; apixaban, n=355; edoxaban, n=277) with ICH (ICH: n=822, age 79±9 years, 38.6% female; SAH: n=37, age 79±10, 75.7% female) were investigated. On admission, the median National Institutes of Health Stroke Scale (NIHSS) score in ICH patients was 13 [interquartile range (IQR): 6-24], and the median Glasgow Coma Scale score in patients with SAH was 11 (IQR: 6-14). During the in-hospital period [20 (IQR: 11-37) days], 167 patients with ICH (20.3%) and 14 patients with SAH (37.8%) died in hospital; 135 patients with ICH (16.4%) and 5 patients with SAH (13.5%) achieved a favorable outcome. Conclusion This study presents the clinical outcomes prior to the approval of andexanet alfa. Further studies are needed to evaluate post-approval outcome changes.

Indexed as

Factor Xa InhibitorsIntracranial HemorrhagesStrokeSubarachnoid HemorrhageAgedAged, 80 and overDatabases, FactualFemaleHospital MortalityHumansJapanMaleProspective StudiesPyrazolesPyridinesPyridonesapixabanedoxabanFactor Xa InhibitorsPyrazolesPyridinesPyridonesRecombinant ProteinsRivaroxabanThiazolesfactor-Xa inhibitorintracerebral hemorrhageintracranial hemorrhagesubarachnoid hemorrhage

Identifiers

PMID41297947
PMCPMC13447775

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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.