Evidence map›Paper›PMID 28913672›Full record

ReviewJournal of thrombosis and thrombolysis2017

Reversal of dabigatran-associated bleeding using idarucizumab: review of the current evidence.

Michela Giustozzi, Melina Verso, Giancarlo Agnelli, Cecilia Becattini

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Journal of thrombosis and thrombolysis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

4 authors at 1 institution in 1 country.

Michela GiustozziInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Via G Dottori 1, 06129, Perugia, Italy. michelagiustozzi@hotmail.it.ORCID http://orcid.org/0000-0002-8033-4945
Melina VersoInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Via G Dottori 1, 06129, Perugia, Italy.
Giancarlo AgnelliInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Via G Dottori 1, 06129, Perugia, Italy.
Cecilia BecattiniInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Via G Dottori 1, 06129, Perugia, Italy.
University of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major bleeding occurs in about 4% of patients while on treatment with direct oral anticoagulants (DOACs). The case-fatality rate associated with these events is estimated to be about 5%. The specific roles of antidotes, when used with DOACs in reducing the case fatality or improving the overall clinical course of these events, are not thoroughly understood. To this regard, the US Food and Drug Administration as well as European Medicines Agency have recently licensed idarucizumab for the management of patients with life-threatening bleeding or the need for urgent surgery/procedures while on treatment with dabigatran. Specifically, idarucizumab is a humanized monoclonal antibody fragment that rapidly reverses the anticoagulant effect of dabigatran. Two other antidotes, andeXanet and ciraparantag are currently under evaluation for reversal of DOACs. Here, we report on the use of idarucizumab in two patients who experienced life-threatening bleeding while on treatment with dabigatran for atrial fibrillation and provide a review highlighting the need for antidotes use with DOACs.

Indexed as

Aged, 80 and overAntibodies, Monoclonal, HumanizedAnticoagulantsAntidotesAtrial FibrillationDabigatranFemaleHemorrhageHumansMaleAntibodies, Monoclonal, HumanizedAnticoagulantsAntidotesDabigatranidarucizumabAntidoteAtrial fibrillationDabigatranIdarucizumab

Identifiers

PMID28913672
OpenAlexW2756262729

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.