Evidence map›Paper›PMID 28588426›Full record

ArticleThrombosis journal2017

Effects of Ramadan fasting on platelet reactivity in diabetic patients treated with clopidogrel.

W Bouida, H Baccouche, M Sassi, Z Dridi, T Chakroun, I Hellara, R Boukef, M Hassine, F Added, R Razgallah and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Thrombosis journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02720133 (Ramadan Fasting Effects in Patients With Cardiovascular Risk Factors), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 28% 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.

NCT02720133 completednot on this map

Ramadan Fasting Effects in Patients With Cardiovascular Risk Factors

Typeobservational_patient_registrySponsorUniversity of MonastirRan2013 to 2015Enrolled500ConditionsCardiovascular Risk Factors, FastingArmsbiochemical parameters
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Ramadan and Diabetes: A Narrative Review and Practice Update.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Review
  6. Ramadan and Diabetes: A Narrative Review and Practice Update.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    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

13 authors at 4 institutions in 1 country.

W BouidaEmergency Department, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
H BaccoucheEmergency Department, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
M SassiLaboratory of Biology, Maternity and Neonatal Medicine Center, 5000 Monastir, Tunisia.
Z DridiCardiology Department, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
T ChakrounRegional Blood Transfusion Center, Farhat Hached University Hospital, 4004 Sousse, Tunisia.
I HellaraHematology Department, Fattouma Bourguiba University Hospital, 5000 Monasitr, Tunisia.
R BoukefEmergency Department, Sahloul University Hospital, 4011 Sousse, Tunisia.
M HassineHematology Department, Fattouma Bourguiba University Hospital, 5000 Monasitr, Tunisia.
F AddedCardiology Department, Abderrahman Mami University Hospital, 1080 Ariana, Tunisia.
R RazgallahMedis Laboratories, 1053 Tunis, Tunisia.
I KhochtaliEndocrinology and Internal Medicine Department, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
S NouiraEmergency Department, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.ORCID 0000-0002-0137-5491
Ramadan Research Group
University of Monastir · TNHôpital Farhat Hached · TNHospital Fatuma Bourguiba Monastir · TNMediterranean School of Business · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of Ramadan fasting (RF) on clopidogrel antiplatelet inhibition were not previously investigated. The present study evaluated the influence of RF on platelet reactivity in patients with high cardiovascular risk (CVR) in particular those with type 2 diabetes mellitus (DM).

methodsA total of 98 stable patients with ≥2 CVR factors were recruited. All patients observed RF and were taking clopidogrel at a maintenance dose of 75 mg. Clinical findings and serum lipids data were recorded before Ramadan (Pre-R), at the last week of Ramadan (R) and 4 weeks after the end of Ramadan (Post-R). During each patient visit, nutrients intakes were calculated and platelet reactivity assessment using Verify Now P2Y12 assay was performed.

resultsIn DM patients, the absolute PRU changes from baseline were +27 (

conclusionsRF significantly decreased platelet sensitivity to clopidogrel in DM patients during and after Ramadan. This effect is possibly related to an increase of glycemia and serum lipids levels induced by fasting.

trial registrationClinical Trials.gov NCT02720133. Registered 24 July 2014.Retrospectively registered.

Indexed as

ClopidogrelDiabetes mellitusFastingPlatelet activationPlatelet aggregation inhibitors

Identifiers

PMID28588426
PMCPMC5457725
OpenAlexW2621339580

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.