Evidence map›Paper›PMID 30560202›Full record

ArticleInternational journal of cardiology. Heart & vasculature2019

Short term outcome following acute phase switch among P2Y

Enrico Cerrato, Matteo Bianco, Akshay Bagai, Leonardo De Luca, Simone Biscaglia, Alessia Luciano, Paola Destefanis, Giorgio Quadri, Ilaria Meynet, Carol Gravinese and 5 more

Erratum issuedAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Enrico CerratoInterventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy.
Matteo BiancoDivision of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.
Akshay BagaiSt. Michael's Hospital, Division of Cardiology, Toronto, Canada.
Leonardo De LucaS. Giovanni Evangelista Hospital-Tivoli, Division of Cardiology, Rome, Italy.
Simone BiscagliaUniversity of Ferrara, Division of Cardiology, Ferrara, Italy.
Alessia LucianoDivision of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.
Paola DestefanisDivision of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.
Giorgio QuadriInterventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy.
Ilaria MeynetDivision of Cardiology, Infermi Hospital, Rivoli,Turin, Italy.
Carol GravineseDivision of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.
Alessandra ChinagliaDivision of Cardiology, Martini Hospital, Turin, Italy.
Shaun G GoodmanSt. Michael's Hospital, Division of Cardiology, Toronto, Canada.
Roberto PozziDivision of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.
Gianluca CampoUniversity of Ferrara, Division of Cardiology, Ferrara, Italy.
Ferdinando VarbellaInterventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe efficacy and safety of switching P2Y

methodsMEDLINE/PubMed/SCOPUS/Cochrane databases were screened for studies regarding switching of P2Y

results22,500 patients from 14 studies were included. Unstable angina/non-ST elevation myocardial infarction (62.0%, interquartile range, 52.8%-68.0%) was the most common clinical presentation. The total number switched was 4294 (19.1%); escalation in 3416 (79.5%) patients (from clopidogrel to prasugrel, 62.9%) and de-escalation in 18.5%. Pooled analysis revealed no significant differences in MACE for any comparison; risk of bleeding was significantly increased among switched patients overall (odds ratio [OR], 1.60; 95% confidence interval [CI] 1.22-2.10) and increased in the escalation group (OR, 1.51; 95% CI, 1.06-2.16).

conclusionsAmong patients presenting with ACS, switching from one P2Y

Indexed as

Acute coronary syndromeClopidogrelNovel P2Y12 inhibitorsPrasugrelSwitchingTicagrelor

Identifiers

PMID30560202
PMCPMC6288462

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Registered trials

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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.