Evidence map›Paper›PMID 29081910›Full record

ArticleWorld journal of cardiology2017

Safety, efficiency and cost effectiveness of Bivalirudin: A systematic review.

Melorin Mehrzad, Rasikh Tuktamyshov, Raman Mehrzad

Open access · hybridAbstract read
In one paragraph

Article in World journal of cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

3 authors at 2 institutions in 1 country.

Melorin MehrzadDepartment of Internal Medicine, Yale New Haven Hospital, Yale School of medicine, New Haven, CT 06510, United States.
Rasikh TuktamyshovDepartment of Internal Medicine, Yale New Haven Hospital, Yale School of medicine, New Haven, CT 06510, United States.
Raman MehrzadDepartment of Internal Medicine, Yale New Haven Hospital, Yale School of medicine, New Haven, CT 06510, United States. Raman.Mehrzad@ynhh.org.
Creative Research Enterprises (United States) · USYale New Haven Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo review the early and more recent studies of Bivalirudin, to assess the safety, effectiveness, and cost benefits of this drug.

methodsLiterature search of MEDLINE and PubMed databases from 1990 to 2017 using keywords as "bivalirubin" and "angiomax", combined with the words "safety", "effectiveness", "efficiency", "side effects", "toxicity", "adverse effect", and "adverse drug reaction".

resultsA total of 66 publications were reviewed. The changes in clinical practice and differences in clinical protocols make it difficult to do direct comparisons of studies among each other. However, most trials showed decreased bleeding complications with bivalirudin, although ischemic complications and mortality were mostly comparable, with some favor towards bivalirudin.

conclusionBivalirudin and heparin are both acceptable options according to current ACA/AHA guidelines. Authors conclude however, that that due to bivalirudin safer bleeding profile, it should be the preferred medication for anticoagulation.

Indexed as

BivalirudinCost effectivenessEfficiencySafety

Identifiers

PMID29081910
PMCPMC5633541
OpenAlexW2760473898

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.