Thrombolysis in acute ischaemic stroke: time for a rethink?
As the UK regulator reviews alteplase in ischaemic stroke, Brian Alper and colleagues interpret the evidence to suggest increased mortality with uncertain benefit for its use beyond three hours
Saved in:
Published in | BMJ (Online) Vol. 350; no. mar17 3; p. h1075 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
England
British Medical Journal Publishing Group
17.03.2015
BMJ Publishing Group LTD |
Subjects | |
Online Access | Get full text |
ISSN | 0959-8138 1756-1833 1756-1833 |
DOI | 10.1136/bmj.h1075 |
Cover
Abstract | As the UK regulator reviews alteplase in ischaemic stroke, Brian Alper and colleagues interpret the evidence to suggest increased mortality with uncertain benefit for its use beyond three hours |
---|---|
AbstractList | As the UK regulator reviews alteplase in ischaemic stroke, Brian Alper and colleagues interpret the evidence to suggest increased mortality with uncertain benefit for its use beyond three hours |
Author | Prasad, Kameshwar Manheimer, Eric McLellan, James S Alper, Brian S Malone-Moses, Meghan |
Author_xml | – sequence: 1 givenname: Brian S surname: Alper fullname: Alper, Brian S email: balper@EBSCO.com organization: Bahrain Branch of the Cochrane Collaboration, Awali, Bahrain – sequence: 2 givenname: Meghan surname: Malone-Moses fullname: Malone-Moses, Meghan email: balper@EBSCO.com organization: Bahrain Branch of the Cochrane Collaboration, Awali, Bahrain – sequence: 3 givenname: James S surname: McLellan fullname: McLellan, James S email: balper@EBSCO.com organization: Bahrain Branch of the Cochrane Collaboration, Awali, Bahrain – sequence: 4 givenname: Kameshwar surname: Prasad fullname: Prasad, Kameshwar email: balper@EBSCO.com organization: Bahrain Branch of the Cochrane Collaboration, Awali, Bahrain – sequence: 5 givenname: Eric surname: Manheimer fullname: Manheimer, Eric email: balper@EBSCO.com organization: Bahrain Branch of the Cochrane Collaboration, Awali, Bahrain |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25786912$$D View this record in MEDLINE/PubMed |
BookMark | eNp1kE9P3DAQxa0KxC7LHvoBWkUqh3IIeOK149ADQqj8kZC4wDly7InWSxJT2znw7etltyCt6FzmML838-Ydkr3BDUjIV6CnAEycNf3qdAm05F_IFEoucpCM7ZEprXiVS2ByQuYhrCilBStlJfgBmRS8lKKCYkp-PS696xvXvQYbMjtkSo8RMxv0UmFvdRaid894nkXbY9Y6n6nMY1za4fniiOy3qgs43_YZebr-_Xh1m98_3NxdXd7nDROLmBspFefKGJFcNq0pDS1Qs1bqBcoGwMhGLyhoo1EKjbxB3bZCMtBUCUDDZuTnZu-Ld39GDLHukz_sOjWgG0MNQnCAiqUHZ-THDrpyox-SuxrKVALKBU3U9y01Nj2a-sXbXvnX-l8sCTjZANq7EDy27wjQep16nVKv31JP7NkOq21U0bohemW7TxXfNopViM5_XBe8oIyt58eb-Vry_8N_AYkmmRI |
CitedBy_id | crossref_primary_10_12968_nrec_2017_19_7_367 crossref_primary_10_1016_j_jclinepi_2021_03_033 crossref_primary_10_1136_bmjopen_2018_028296 crossref_primary_10_1016_S1474_4422_16_30076_X crossref_primary_10_3310_hsdr05040 crossref_primary_10_1016_j_brainres_2016_04_039 crossref_primary_10_1007_s40266_016_0432_8 crossref_primary_10_1111_ene_12829 crossref_primary_10_1097_DCC_0000000000000492 crossref_primary_10_1155_2018_2479602 crossref_primary_10_1177_1747493017690755 crossref_primary_10_4103_1673_5374_357907 crossref_primary_10_1016_j_emc_2016_06_009 crossref_primary_10_1016_j_amjms_2021_10_027 crossref_primary_10_1016_S1474_4422_16_30139_9 crossref_primary_10_1002_adhm_202302276 crossref_primary_10_1002_14651858_CD007026_pub7 crossref_primary_10_1002_14651858_CD007026_pub6 crossref_primary_10_4103_aian_AIAN_263_18 crossref_primary_10_1002_14651858_CD007026_pub5 crossref_primary_10_1186_s13063_016_1595_7 crossref_primary_10_1007_s40263_019_00663_x crossref_primary_10_1111_1742_6723_12653 crossref_primary_10_1111_ane_13530 crossref_primary_10_1177_0025817217750494 crossref_primary_10_4037_aacnacc2018483 crossref_primary_10_1016_j_jstrokecerebrovasdis_2017_06_010 crossref_primary_10_1136_bmjqs_2015_004430 crossref_primary_10_1161_STROKEAHA_119_026922 crossref_primary_10_1177_0897190019840116 |
ContentType | Journal Article |
Copyright | BMJ Publishing Group Ltd 2015 Copyright BMJ Publishing Group LTD Mar 17, 2015 |
Copyright_xml | – notice: BMJ Publishing Group Ltd 2015 – notice: Copyright BMJ Publishing Group LTD Mar 17, 2015 |
DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7RV 7X7 7XB 88I 8AF 8FE 8FH 8FI 8FJ 8FK 8G5 ABUWG AFKRA AN0 ASE AZQEC BBNVY BENPR BHPHI BTHHO CCPQU DWQXO FPQ FYUFA GHDGH GNUQQ GUQSH HCIFZ K6X K9. KB0 LK8 M2O M2P M7P MBDVC NAPCQ PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQGLB PQQKQ PQUKI PRINS Q9U 7X8 |
DOI | 10.1136/bmj.h1075 |
DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Nursing & Allied Health Database Health & Medical Collection ProQuest Central (purchase pre-March 2016) Science Database (Alumni Edition) STEM Database ProQuest SciTech Collection ProQuest Natural Science Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni) ProQuest Central (Alumni) ProQuest Central UK/Ireland British Nursing Database British Nursing Index ProQuest Central Essentials Biological Science Collection ProQuest Central Natural Science Collection BMJ Journals ProQuest One ProQuest Central British Nursing Index (BNI) (1985 to Present) Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student ProQuest Research Library SciTech Premium Collection British Nursing Index ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Biological Sciences Research Library Science Database Biological Science Database Research Library (Corporate) Nursing & Allied Health Premium Proquest Central Premium ProQuest One Academic (New) ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Applied & Life Sciences ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic MEDLINE - Academic |
DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Research Library Prep ProQuest Central Student ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest AP Science ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College ProQuest One Health & Nursing Research Library (Alumni Edition) ProQuest Natural Science Collection ProQuest Central China ProQuest Central ProQuest One Applied & Life Sciences ProQuest Health & Medical Research Collection Health Research Premium Collection Natural Science Collection ProQuest Central Korea Health & Medical Research Collection Biological Science Collection ProQuest Research Library ProQuest Central (New) ProQuest Science Journals (Alumni Edition) ProQuest Biological Science Collection ProQuest Central Basic ProQuest Science Journals ProQuest One Academic Eastern Edition British Nursing Index with Full Text British Nursing Index ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) Biological Science Database ProQuest SciTech Collection ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition BMJ Journals ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | Research Library Prep |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: http://www.proquest.com/pqcentral?accountid=15518 sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1756-1833 |
EndPage | h1075 |
ExternalDocumentID | 4007710141 25786912 10_1136_bmj_h1075 26520335 bmj |
Genre | Journal Article |
GeographicLocations | United Kingdom--UK Australia |
GeographicLocations_xml | – name: United Kingdom--UK – name: Australia |
GroupedDBID | 23N 39C 4.4 40O 53G 5GY 7RV 7X7 88I 8AF 8F7 8FE 8FH 8FI 8FJ 8G5 AACGO AANCE AAWJN ABBHK ABIVO ABJNI ABPLY ABTLG ABUWG ABVAJ ABXSQ ACGFS ACGOD ACHIC ACMFJ ACPRK ADQXQ ADULT AEUPB AEXZC AFKRA AGFXO AHMBA AHNKE AHQMW AJYBZ ALIPV ALMA_UNASSIGNED_HOLDINGS AQVQM AZQEC BBNVY BENPR BHPHI BPHCQ BTHHO C45 CCPQU CS3 DCCCD DWQXO EBS EJD F5P FYUFA GNUQQ GUQSH H13 HAJ HCIFZ HMCUK HZ~ IPSME JAAYA JBMMH JENOY JHFFW JKQEH JLS JLXEF JPM JSG JST L7B LK8 M2O M2P M7P NAPCQ NXWIF O9- OVD PHGZT PQQKQ PROAC R53 RHI RMJ RV8 SA0 TEORI UKHRP VVN WOQ YFH YQY AN0 PHGZM PJZUB PPXIY PQGLB PUEGO AAYXX CITATION 0R~ CGR CUY CVF ECM EIF NPM 3V. 7XB 8FK ASE FPQ K6X K9. MBDVC PKEHL PQEST PQUKI PRINS Q9U 7X8 |
ID | FETCH-LOGICAL-b364t-d88a55add6107bfd7d02ec3f8c4e8b11d8bc401cdce86ce5becff6831c0a61ed3 |
IEDL.DBID | 7X7 |
ISSN | 0959-8138 1756-1833 |
IngestDate | Fri Sep 05 05:05:13 EDT 2025 Mon Sep 08 13:42:56 EDT 2025 Thu Apr 03 06:59:07 EDT 2025 Tue Jul 01 01:33:37 EDT 2025 Thu Apr 24 23:05:33 EDT 2025 Sun Sep 21 12:11:40 EDT 2025 Thu Apr 24 23:03:53 EDT 2025 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | mar17 3 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-b364t-d88a55add6107bfd7d02ec3f8c4e8b11d8bc401cdce86ce5becff6831c0a61ed3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
PMID | 25786912 |
PQID | 1777761740 |
PQPubID | 2043523 |
ParticipantIDs | proquest_miscellaneous_1665119302 proquest_journals_1777761740 pubmed_primary_25786912 crossref_primary_10_1136_bmj_h1075 crossref_citationtrail_10_1136_bmj_h1075 jstor_primary_26520335 bmj_primary_10_1136_bmj_h1075 |
ProviderPackageCode | CITATION AAYXX |
PublicationCentury | 2000 |
PublicationDate | 20150317 2015-03-17 2015-Mar-17 |
PublicationDateYYYYMMDD | 2015-03-17 |
PublicationDate_xml | – month: 3 year: 2015 text: 20150317 day: 17 |
PublicationDecade | 2010 |
PublicationPlace | England |
PublicationPlace_xml | – name: England – name: London |
PublicationTitle | BMJ (Online) |
PublicationTitleAlternate | BMJ |
PublicationYear | 2015 |
Publisher | British Medical Journal Publishing Group BMJ Publishing Group LTD |
Publisher_xml | – name: British Medical Journal Publishing Group – name: BMJ Publishing Group LTD |
References | 2013; 19 2012; 141 2004; 363 2013; 44 2013; 22 1991; 54 1999; 18 2013; 61 2010; 100 2010; 375 2002; 2 2008; 359 2014; 46 2012; 379 2012; 7 2013; 8 2014; 7 2014; 384 1999; 319 25851154 - BMJ. 2015;350:h1795 25850827 - BMJ. 2015;350:h1790 |
References_xml | – volume: 379 start-page: 2352 year: 2012 publication-title: Lancet – volume: 18 start-page: 1293 year: 1999 publication-title: Stat Med – volume: 384 start-page: 662 year: 2014 publication-title: Lancet – volume: 359 start-page: 1317 year: 2008 publication-title: N Engl J Med – volume: 8 start-page: 278 year: 2013 publication-title: Stroke – volume: 384 start-page: 1929 year: 2014 publication-title: Lancet – volume: 7 start-page: CD000213 year: 2014 publication-title: Cochrane Database Syst Rev – volume: 46 start-page: 385 year: 2014 publication-title: J Emerg Med – volume: 54 start-page: 1044 year: 1991 publication-title: J Neurol Neurosurg Psychiatry – volume: 22 start-page: 571 year: 2013 publication-title: J Stroke Cerebrovasc Dis – volume: 375 start-page: 1695 year: 2010 publication-title: Lancet – volume: 7 start-page: 186 year: 2012 publication-title: Int J Stroke – volume: 44 start-page: 870 year: 2013 publication-title: Stroke – volume: 19 start-page: 543 year: 2013 publication-title: CNS Neurosci Ther – volume: 100 start-page: 747 year: 2010 publication-title: S Afr Med J – volume: 2 start-page: 3 year: 2002 publication-title: BMC Med Res Methodol – volume: 363 start-page: 768 year: 2004 publication-title: Lancet – volume: 141 start-page: e601 year: 2012 publication-title: Chest – volume: 61 start-page: 225 year: 2013 publication-title: Ann Emerg Med – volume: 319 start-page: 1492 year: 1999 publication-title: BMJ – reference: 25851154 - BMJ. 2015;350:h1795 – reference: 25850827 - BMJ. 2015;350:h1790 |
SSID | ssj0002378965 |
Score | 2.349183 |
SecondaryResourceType | review_article |
Snippet | As the UK regulator reviews alteplase in ischaemic stroke, Brian Alper and colleagues interpret the evidence to suggest increased mortality with uncertain... |
SourceID | proquest pubmed crossref jstor bmj |
SourceType | Aggregation Database Index Database Enrichment Source Publisher |
StartPage | h1075 |
SubjectTerms | ANALYSIS Associations Clinical medicine Disability Drug Administration Schedule Emergency medical care Evidence-Based Medicine Fibrinolytic Agents - therapeutic use Humans Ischemia Medicine Meta-Analysis as Topic Patients Physicians Practice Guidelines as Topic Review Literature as Topic Stroke Stroke - drug therapy Thrombolytic Therapy Tissue Plasminogen Activator - therapeutic use |
Title | Thrombolysis in acute ischaemic stroke: time for a rethink? |
URI | http://bmj.com/content/350/bmj.h1075.full https://www.jstor.org/stable/26520335 https://www.ncbi.nlm.nih.gov/pubmed/25786912 https://www.proquest.com/docview/1777761740 https://www.proquest.com/docview/1665119302 |
Volume | 350 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3dT9swED8NkBAv0xiUdaOVQXvYS6CO44-MhwoQCCGBpqlIfYtsx1HL1qRr0_9_59QtQoLmKYov93Bn3_3ufLoD-K64NKlSJkLrX0SJM0lkeOEipgtapDHXPPcJ_YdHcfeU3A_5MCTc5qGscmUTG0OdV9bnyM-pxAfdbdLrT_9FfmqUv10NIzS2YIciEvGjG-RQrnMsMZMqFTw0FKJMnJvJ89kIIx7vSvD9lTNa1iO-jzQbj3P7CT4GqEgul7rdhw-u_Ay7D-Ey_AAuBqNZNTFV01SEjEui7aJ2ZDz3hfCTsSXzelb9cT-Jnx9PEJwSTWauHmH02T-Ep9ubwfVdFGYhRIaJpI5ypTTnaIwQ7khT5DLvxc6yQtnEKUNprozFUMnm1ilhHUfVFIVQjNqeFtTlrAXbZVW6L0BiajW6cYu_mERLm2LI5XMZyJ0zLUwbOiiabLrsdpE1UQITmf_WiK4NP1ZCy2xoJO7nWfx9i_R0TbqBX6uR_JoiFjzuMYYLxytVZOFkzbOXfdCGk_Uyngl_0aFLVy2QRgje7Ie4DUdLFb4wRxMlUhp_3cz8G-whNOK-2ozKY9iuZwvXQfhRm26zx7qwc3Xz-Ov3fzvS2v8 |
linkProvider | ProQuest |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtR1db9Mw8DQ6CfYyjY-xsg0MAomXbLEdOw5omvjY1LG1QqiT9hZsx1ELNNnaVIg_x2_jnCadkGBvy1MUXy7K-Xy-L98BvFQiNolSJkDpnweRM1FgRO4CrnOaJ0xokXmHfn8ge-fRpwtxsQK_27MwPq2ylYm1oM5K633k-zTGC7fbKDy8vAp81ygfXW1baOimtUJ2UJcYaw52nLpfP9GEmx2cfMT5fsXY8dHwQy9ougwEhsuoCjKltBC4zFGRiE2exVnInOW5spFThtJMGYtGiM2sU9I6gT-d51JxakMtqcs44r0Dq5F3oHRg9f3R4POXpZeH8VglUjQljSiX-2bybW-EX_KbGd7_tR0uMiL_r-vWe97xBqw3yip5t-Cu-7Diigdwt9-E4x_C2-FoWk5MWZc1IeOCaDuvHBnPfCr-ZGzJrJqW390b4jvYE1SPiSZTV43Q_j18BOe3QqdN6BRl4baAMGo1KhIWXzGRjm2CRp_3piB2wbU0XdhF0qSXi3obaW2ncJn6ZzXpuvC6JVpqm1LmvqPGj3-BvliC3oBvs6b8EoJJwULOcWCnnYq0Wduz9JoTu_B8OYyr0odadOHKOcJI6QO0PGRdeLyYwmvkKCRlQtmTm5E_g3u9Yf8sPTsZnG7DGipqwue-0XgHOtV07nZRGarM04bjCHy9bSb_A5u6IAQ |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtR1da9RAcKgVii9i1eppq6so-BIvu5v9SEWKWI_W2uJDC_cWdzcb7tRL6l0O8a_113U2H1cE7VvzFJLJhMzOzndmAF5poWyqtY1Q-hdR4m0SWVH4iJuCFikTRuQhoH98Ig_Oks9jMV6Di_5fmFBW2cvERlDnlQsx8iFVeKC6TeJh0ZVFfN0f7Z3_isIEqZBp7cdptCxy5P_8Rvdt8f5wH9f6NWOjT6cfD6JuwkBkuUzqKNfaCIFbHI0IZYtc5THzjhfaJV5bSnNtHTogLndeS-cFfnBRSM2pi42kPueI9xbcVjxJwtgINVar-A7jSqdSdM2MKJdDO_v-doLvCWoMz_9ShG0t5P-t3Ebbje7B3c5MJR9avtqENV_eh43jLhH_AN6dTubVzFZNQxMyLYlxy9qT6SIU4c-mjizqefXD75Iwu56gYUwMmft6gp7v3kM4uxEqbcF6WZX-MRBGnUETwuEjNjHKpejuhTgKYhfcSDuAHSRNdt522sgaD4XLLFxrSDeANz3RMtc1MQ-zNH7-C_TlCvQafFsN5VcQTAoWc443tvulyLpdvciueHAAL1a3cT-GJIspfbVEGClDapbHbACP2iW8Qo7iUaaUPbke-XPYQNbOvhyeHD2FO2ihiVD0RtU2rNfzpd9BK6i2zxp2I_Dtpvn7Es5GHaA |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Thrombolysis+in+acute+ischaemic+stroke%3A+time+for+a+rethink%3F&rft.jtitle=BMJ.+British+medical+journal+%28Clinical+research+ed.%29&rft.au=Alper%2C+B.+S.&rft.au=Malone-Moses%2C+M.&rft.au=McLellan%2C+J.+S.&rft.au=Prasad%2C+K.&rft.date=2015-03-17&rft.issn=1756-1833&rft.eissn=1756-1833&rft.volume=350&rft.issue=mar17+3&rft.spage=h1075&rft.epage=h1075&rft_id=info:doi/10.1136%2Fbmj.h1075&rft.externalDBID=n%2Fa&rft.externalDocID=10_1136_bmj_h1075 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0959-8138&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0959-8138&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0959-8138&client=summon |