Evidence map›Paper›PMID 30928922›Full record

Observational studyBMJ open2019

Risk factors for thromboembolic and bleeding events in anticoagulated patients with atrial fibrillation: the prospective, multicentre observational PREvention oF thromboembolic events - European Registry in Atrial Fibrillation (PREFER in AF).

Miklos Rohla, Thomas W Weiss, Ladislav Pecen, Giuseppe Patti, Jolanta M Siller-Matula, Renate B Schnabel, Richard Schilling, Dipak Kotecha, Markus Lucerna, Kurt Huber and 2 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06168838 (Anticoagulant-associated Intracranial Hemorrhage), which is not on this map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 2% 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.

NCT06168838 unknown statusnot on this mapstarted 2023, after this paper: background citation

Anticoagulant-associated Intracranial Hemorrhage: Patient Characteristics and Outcomes From National Institute of Neurology and Neurosurgery Manuel Velasco: Single-Center Observational Study

TypeobservationalSponsorEl Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco SuarezRan2023 to 2024Enrolled1,200ConditionsAnticoagulant-induced Bleeding, Intracranial HemorrhagesArmsAnticoagulant
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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  19. Article
  20. Assessment and mitigation of bleeding risk in atrial fibrillation and venous thromboembolism: A Position Paper from the ESC Working Group on Thrombosis, in collaboration with the European Heart Rhythm Association, the Association for Acute CardioVascular Care and the Asia-Pacific Heart Rhythm Society.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    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

12 authors at 10 institutions in 5 countries.

Miklos Rohla3rd Medical Department, Cardiology and Intensive Care Medicine, Wilhelminen Hospital, Vienna, Austria.ORCID 0000-0002-8967-0806
Thomas W WeissInstitute for Cardiometabolic Diseases, Karl Landsteiner Society, St. Pölten, Austria.
Ladislav PecenCardiology, Medical Faculty Pilsen, Charles University, Pilsen, Czech Republic.
Giuseppe PattiDepartment of Cardiovascular Sciences, Campus Bio-Medico University of Rome, Rome, Italy.
Jolanta M Siller-MatulaDepartment of Cardiology, Medical University of Vienna, Vienna, Austria.
Renate B SchnabelUniversity Heart Center Hamburg, Clinic for General and Interventional Cardiology, Hamburg, Germany and DZHK (German Center for Cardiovascular Research), partner site Hamburg/Kiel/Luebeck, Hamburg, Germany.
Richard SchillingDepartment of Cardiology, St Bartholomew's Hospital, London, UK.
Dipak KotechaUniversity of Birmingham Institute of Cardiovascular Sciences, University of Birmingham, UHB and SWBH NHS Trusts, Birmingham, UK.ORCID 0000-0002-2570-9812
Markus LucernaDaiichi Sankyo Europe, Munich, Germany.
Kurt Huber3rd Medical Department, Cardiology and Intensive Care Medicine, Wilhelminen Hospital, Vienna, Austria.
Raffaele De CaterinaUniversity of Pisa and Division of Cardiology, Pisa University Hospital, Pisa, Italy.
Paulus KirchhofUniversity of Birmingham Institute of Cardiovascular Sciences, University of Birmingham, UHB and SWBH NHS Trusts, Birmingham, UK.ORCID 0000-0002-1881-0197
Sigmund Freud Privatuniversität Wien · ATUniversity of Birmingham · GBCharles University · CZDaiichi Sankyo (Germany) · DEMedical University of Vienna · ATSt Bartholomew's Hospital · GBUniversità Campus Bio-Medico · ITUniversität Hamburg · DEUniversity of Pisa · ITWilhelminen Hospital · AT

Funding

Department of Health CDF-2015-08-074
6 · The paper itself

Abstract

objectivesWe identified factors associated with thromboembolic and bleeding events in two contemporary cohorts of anticoagulated patients with atrial fibrillation (AF), treated with either vitamin K antagonists (VKA) or non-VKA oral anticoagulants (NOACs).

designProspective, multicentre observational study.

setting461 centres in seven European countries.

participants5310 patients receiving a VKA (PREvention oF thromboembolic events - European Registry in Atrial Fibrillation (PREFER in AF), derivation cohort) and 3156 patients receiving a NOAC (PREFER in AF Prolongation, validation cohort) for stroke prevention in AF. OUTCOME MEASURES: Risk factors for thromboembolic events (ischaemic stroke, systemic embolism) and major bleeding (gastrointestinal bleeding, intracerebral haemorrhage and other life-threatening bleeding).

resultsThe mean age of patients enrolled in the PREFER in AF registry was 72±10 years, 40% were female and the mean CHA

conclusionAttending to modifiable risk factors is an important treatment target in anticoagulated AF patients to reduce thromboembolic and bleeding events. Initiation of anticoagulation in those at risk of stroke should not be prevented by elevated bleeding risk scores.

Indexed as

Administration, OralAgedAged, 80 and overAnticoagulantsAtrial FibrillationEuropeFemaleFollow-Up StudiesHeart FailureHemorrhageHumansInternational Normalized RatioIschemic Attack, TransientLogistic ModelsMaleMiddle AgedAnticoagulantsanticoagulationatrial fibrillationmajor bleedingrisk stratificationthromboembolism

Identifiers

PMID30928922
PMCPMC6475354
OpenAlexW2931457447

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.