Eke Onyinyechi, Shanechi Mercedeh, Gottlieb Michael
*Department of Emergency Medicine,Cook County (Stroger) Hospital.
†Department of Emergency Medicine,Rush University Medical Center.
CJEM. 2018 Oct;20(S2):S78-S81. doi: 10.1017/cem.2017.438. Epub 2018 Feb 14.
Clinical questionIn patients taking antiplatelet therapy, does a platelet transfusion after acute spontaneous primary intracerebral hemorrhage reduce the risk of death or dependence?Article chosenBaharoglu MI, Cordonnier C, Al-Shahi Salman R, et al. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral hemorrhage associated with antiplatelet therapy (PATCH): a randomized, open-label, phase 3 trial. Lancet 2016;387(10038):2605-13.Study objectiveThe primary objective of this study was to investigate whether a platelet transfusion with standard care, compared with standard care alone, reduced death or dependence after intracerebral hemorrhage associated with antiplatelet therapy use.
临床问题
在接受抗血小板治疗的患者中,急性自发性原发性脑出血后输注血小板是否能降低死亡或依赖的风险?
所选文章
巴哈罗格鲁·米,科尔东尼尔·C,阿尔-沙希·萨尔曼·R等。抗血小板治疗相关自发性脑出血所致急性卒中后血小板输注与标准治疗的比较(PATCH):一项随机、开放标签的3期试验。《柳叶刀》2016年;387(10038):2605 - 13。
研究目的
本研究的主要目的是调查与单独的标准治疗相比,标准治疗联合血小板输注是否能降低抗血小板治疗相关脑出血后的死亡或依赖风险。