Evidence map›Paper›PMID 32969288›Full record

ArticleJournal of the American Heart Association2020

Predictors of Bleeding in the Perioperative Anticoagulant Use for Surgery Evaluation Study.

Alfonso J Tafur, Nathan P Clark, Alex C Spyropoulos, Na Li, Eric Kaplovitch, Kira MacDougall, Sam Schulman, Joseph A Caprini, James Douketis

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06844227 (Perioperative Anticoagulant Use for Surgery Evaluation -Virtual Visit), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.6field-weighted citation impact, top 5% 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.

NCT06844227 recruitingnot on this mapstarted 2021, after this paper: background citation

Perioperative Anticoagulant Use for Surgery Evaluation -Virtual Visit (PAUSE-Virtual), a Simple Perioperative Anticoagulant Management Approach, Replacing a Resource-intensive In-person Doctor-patient Consultation, With a Simple Virtual Care Model That Will Provide a New Standard of Care for Patients on a Direct Oral Anticoagulant or Warfarin and Require Elective Surgery/Procedure.

TypeobservationalSponsorMcMaster UniversityRan2021 to 2026Enrolled1,780ConditionsAtrial Fibrillation (AF)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
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  11. How to undertake procedures while on antiplatelet agents: a hematologist's view.Research and practice in thrombosis and haemostasis · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Observational
  18. Article
  19. The value and limitations of new oral anticoagulant plasma level assessments.European heart journal supplements : journal of the European Society of Cardiology · 2022
    Article
  20. 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

9 authors at 6 institutions in 3 countries.

Alfonso J TafurNorthshore University HealthSystem Evanston IL.
Nathan P ClarkKaiser Permanente Colorado Aurora CO.
Alex C SpyropoulosZucker School of Medicine at Hofstra/Northwell Northwell Health at Lenox Hill Hospital New York NY.
Na LiMcMaster University Hamilton ON Canada.
Eric KaplovitchUniversity of Toronto Toronto ON Canada.
Kira MacDougallZucker School of Medicine at Hofstra/Northwell Northwell Health at Lenox Hill Hospital New York NY.
Sam SchulmanMcMaster University Hamilton ON Canada.
Joseph A CapriniNorthshore University HealthSystem Evanston IL.
James DouketisMcMaster University Hamilton ON Canada.
McMaster University · CANorthShore University HealthSystem · USNorthwell Health · USKaiser Permanente · USSechenov University · RUUniversity of Toronto · CA

Funding

CIHR 313156
6 · The paper itself

Abstract

Background In the PAUSE (Perioperative Anticoagulant Use for Surgery Evaluation) Study, a simple, standardized, perioperative interruption strategy was provided for patients with nonvalvular atrial fibrillation taking direct oral anticoagulants (DOACs). Our objective was to define the factors associated with perioperative bleeding. Methods and Results We analyzed bleeding as the composite of major and clinically relevant nonmajor bleeding. Putative predictors of bleeding, and preoperative DOAC level were prospectively collected during recruitment. We used stratified logistic regression models for analysis. All statistical analyses were performed in R version 3.6.0. There were 3007 patients requiring perioperative DOAC interruption. More than one third of the included patients underwent a high bleeding risk procedure. The 30-day rates of major and clinically relevant nonmajor bleeding were 3.02% in apixaban (n=1257), 2.84% in dabigatran (n=668), and 4.16% for rivaroxaban (n=1082). Multivariate analysis stratified by region found more bleeding for hypertension (odds ratio [OR], 1.79; 95% CI 1.07-2.99;

Indexed as

Atrial FibrillationBlood Loss, SurgicalDabigatranHemorrhagePyrazolesPyridonesRivaroxabanAgedElective Surgical ProceduresFactor Xa InhibitorsFemaleHumansMaleMedication Therapy ManagementPerioperative CareRisk AdjustmentapixabanDabigatranFactor Xa InhibitorsPyrazolesPyridonesRivaroxabanatrial fibrillationbleedingdirect oral anticoagulantsurgery

Identifiers

PMID32969288
PMCPMC7792425
OpenAlexW3088213816

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.