Evidence map›Paper›PMID 31530618›Full record

ArticleBMJ open2019

A retrospective cohort study of oral anticoagulant treatment in patients with acute coronary syndrome and atrial fibrillation.

Linlin Mai, Yu Wu, Jianjing Luo, Xinyue Liu, Hailan Zhu, Haoxiao Zheng, Guoquan Liang, Yan Zhang, Yuli Huang

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Linlin Mai *Department of Cardiology, Shunde Hospital, Southern Medical University (The first people's hospital of Shunde), Foshan, China.
Yu Wu *Department of Cardiology, Shunde Hospital, Southern Medical University (The first people's hospital of Shunde), Foshan, China.
Jianjing Luo *Department of Cardiology, Shunde Hospital, Southern Medical University (The first people's hospital of Shunde), Foshan, China.
Xinyue LiuDepartment of Cardiology, Shunde Hospital, Southern Medical University (The first people's hospital of Shunde), Foshan, China.
Hailan ZhuDepartment of Cardiology, Shunde Hospital, Southern Medical University (The first people's hospital of Shunde), Foshan, China.
Haoxiao ZhengDepartment of Cardiology, Shunde Hospital, Southern Medical University (The first people's hospital of Shunde), Foshan, China.
Guoquan LiangDepartment of Cardiology, The Second Hospital of Zhaoqing, Zhaoqing, China.
Yan ZhangDepartment of Cardiology, Shunde Hospital, Southern Medical University (The first people's hospital of Shunde), Foshan, China.
Yuli HuangDepartment of Cardiology, Shunde Hospital, Southern Medical University (The first people's hospital of Shunde), Foshan, China hyuli821@smu.edu.cn.
Southern Medical University · CNThe First People's Hospital of Shunde · CNThe First People's Hospital of Zhaoqing · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the real-world patterns of oral anticoagulant (OAC) therapy in patients with acute coronary syndrome (ACS) and atrial fibrillation (AF) in Southern China undergoing percutaneous coronary intervention (PCI) and determine the clinical characteristics associated with OAC prescription.

designA retrospective cohort study.

settingThis study was conducted in the Shunde Hospital, Southern Medical University and the second hospital of Zhaoqing, China, from January 2013 to 31 December 2018.

participantsPatients were aged ≥18 years, hospitalised for ACS and received PCI treatment. OUTCOME MEASURES: AF was diagnosed based on an ECG recording or a Holter monitor. Prescription of OACs and antiplatelets were determined from the discharge medication list.

resultsA total of 3612 patients with ACS were included: 286 (7.9%) were diagnosed with AF, including 45 (1.2%) with paroxysmal AF, 227 (6.3%) with persistent/permanent AF and 14 (0.4%) with unclassified AF. Although 95.5% of patients with AF were at high risk (CHA

conclusionWe found that approximately 8% of patients who underwent PCI during ACS hospitalisation also demonstrated AF. Anticoagulant therapy was greatly underused. Patients with paroxysmal AF and an increased risk of bleeding were less likely to receive anticoagulant treatment. Further efforts should be made to increase the adherence to guideline recommendations for OACs.

Indexed as

Acute Coronary SyndromeAdministration, OralAgedAnticoagulantsAtrial FibrillationChinaFemaleHemorrhageHumansLogistic ModelsMaleMiddle AgedPatient DischargePercutaneous Coronary InterventionRegistriesRetrospective StudiesAnticoagulantsacute coronary syndromeatrial fibrillationoral anticoagulants

Identifiers

PMID31530618
PMCPMC6756322
OpenAlexW2973650400

What OpenQuestion holds

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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.