Evidence map›Paper›PMID 29721111›Full record

ArticleJournal of arrhythmia2018

Risk factors and prevention of dabigatran-related gastrointestinal bleeding in patients with atrial fibrillation.

Teerapat Nantsupawat, Suthipong Soontrapa, Nopakoon Nantsupawat, David Sotello, Saranapoom Klomjit, Selcuk Adabag, Alejandro Perez-Verdia

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Prevention of nNon-Vitamin K Oral Anticoagulants-Related Gastrointestinal Bleeding With Acid Suppressants: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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  6. An Exploratory Association Analysis ofJournal of personalized medicine · 2020
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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

7 authors at 4 institutions in 1 country.

Teerapat NantsupawatDivision of Cardiology University of Minnesota Minneapolis MN USA.ORCID 0000-0002-3319-9066
Suthipong SoontrapaDivision of Cardiology Texas Tech University Health Sciences Center Lubbock TX USA.
Nopakoon NantsupawatDepartment of Internal Medicine Texas Tech University Health Sciences Center Lubbock TX USA.
David SotelloDepartment of Internal Medicine Texas Tech University Health Sciences Center Lubbock TX USA.
Saranapoom KlomjitDivision of Cardiology Texas Tech University Health Sciences Center Lubbock TX USA.
Selcuk AdabagDivision of Cardiology Minneapolis VA Health Care System Minneapolis MN USA.
Alejandro Perez-VerdiaEast Falls Primary Care and Specialty Clinic Idaho Falls ID USA.
Texas Tech University · USEastern Idaho Technical College · USMinneapolis VA Health Care System · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDabigatran, as compared with warfarin, was associated with lower rates of stroke and systemic embolism with similar rates of major hemorrhage. But it has a significantly higher risk of gastrointestinal bleeding (GIB). There are limited data on how to prevent GIB from dabigatran and what are the risk factors.

methodsWe performed a retrospective cohort study of patients with atrial fibrillation who have ever taken dabigatran for thromboprophylaxis from October 2010 to February 2013.

resultsA total of 247 patients were identified. There were 10 (4%) patients who developed GIB (6 (6.5%) in PPI/H2RA users vs 4 (2.6%) in non-PPI/H2RA users;

conclusionIn this real-world cohort, PPI/H2RA use was not associated with reduced GIB events. HAS-BLED score ≥3 and prior history of GIB within 1 year are independent risk factors for GIB among dabigatran users.

Indexed as

atrial fibrillationdabigatrangastrointestinal bleedingHAS‐BLED

Identifiers

PMID29721111
PMCPMC5828263
OpenAlexW2793737882

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.