Evidence map›Paper›PMID 31997620›Full record

Trial reportYonsei medical journal2020

Current Anticoagulant Usage Patterns and Determinants in Korean Patients with Nonvalvular Atrial Fibrillation.

Hyun Su Ha, Joongmin Kim, Young Soo Lee, Tae Hoon Kim, Jung Myung Lee, Junbeom Park, Jin Kyu Park, Ki Woon Kang, Jaemin Shim, Jae Sun Uhm and 7 more

Erratum issuedAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Yonsei medical journal, 2020. 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Hyun Su Ha *Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-6383-2136
Joongmin Kim *Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-1049-4211
Young Soo LeeDivision of Cardiology, Department of Internal Medicine, Daegu Catholic University Medical Center, Daegu, Korea.ORCID https://orcid.org/0000-0002-8229-8300
Tae Hoon KimDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-4200-3456
Jung Myung LeeDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, School of Medicine, Kyung Hee University, Seoul, Korea.ORCID https://orcid.org/0000-0002-1904-5335
Junbeom ParkDepartment of Cardiology, School of Medicine, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0003-2192-9401
Jin Kyu ParkDepartment of Cardiology, Hanyang University Seoul Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-7931-777X
Ki Woon KangDivision of Cardiology, Eulji University Hospital, Daejeon, Korea.ORCID https://orcid.org/0000-0002-1361-0022
Jaemin ShimDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0001-8251-1522
Jae Sun UhmDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1611-8172
Hyung Wook ParkDepartment of Cardiology, Chonnam National University Hospital, Chonnam National University School of Medicine, Gwangju, Korea.ORCID https://orcid.org/0000-0002-9630-0467
Myung Jin ChaDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-6180-0157
Eue Keun ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-0411-6372
Jun KimHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3573-638X
Jin Bae KimDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, School of Medicine, Kyung Hee University, Seoul, Korea.ORCID https://orcid.org/0000-0002-0293-0901
Changsoo KimDepartment of Preventive Medicine, Institute of Human Complexity and Systems Science, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5940-5649
Boyoung JoungDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. cby6908@yuhs.ac.ORCID https://orcid.org/0000-0001-9036-7225

Funding

Ministry of Health and Welfare HI15C1200
6 · The paper itself

Abstract

purposeStroke prevention in patients with atrial fibrillation (AF) is influenced by many factors. Using a contemporary registry, we evaluated variables associated with the use of warfarin or direct oral anticoagulants (OACs). MATERIALS AND

methodsIn the prospective multicenter CODE-AF registry, 10529 patients with AF were evaluated. Multivariate analyses were performed to identify variables associated with the use of anticoagulants.

resultsThe mean age of the patients was 66.9±14.4 years, and 64.9% were men. The mean CHA₂DS₂-VASc and HAS-BLED scores were 2.6±1.7 and 1.8±1.1, respectively. In patients with high stroke risk (CHA₂DS₂-VASc ≥2), OACs were used in 83.2%, including direct OAC in 68.8%. The most important factors for non-OAC treatment were end-stage renal disease [odds ratio (OR) 0.27; 95% confidence interval (CI): 0.19-0.40], myocardial infarct (OR 0.53; 95% CI: 0.40-0.72), and major bleeding (OR 0.57; 95% CI: 0.39-0.84). Female sex (OR 1.40; 95% CI: 1.21-1.61), cancer (OR 1.78; 95% CI: 1.38-2.29), and smoking (OR 1.60; 95% CI: 1.15-2.24) were factors favoring direct OAC use over warfarin. Among patients receiving OACs, the rate of combined antiplatelet agents was 7.8%. However, 73.6% of patients did not have any indication for a combination of antiplatelet agents.

conclusionRenal disease and history of valvular heart disease were associated with warfarin use, while cancer and smoking status were associated with direct OAC use in high stroke risk patients. The combination of antiplatelet agents with OAC was prescribed in 73.6% of patients without definite indications recommended by guidelines.

Indexed as

Administration, OralAgedAnticoagulantsAntithrombinsAtrial FibrillationFemaleHemorrhageHumansMaleMiddle AgedPlatelet Aggregation InhibitorsProspective StudiesRepublic of KoreaRisk FactorsStrokeAnticoagulantsAntithrombinsPlatelet Aggregation InhibitorsanticoagulationAtrial fibrillationdeterminantpattern

Identifiers

PMID31997620
PMCPMC6992454

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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.