Evidence map›Paper›PMID 33986592›Full record

ArticleDrug design, development and therapy2021

Body Mass Index Influence on the Clinical Outcomes for Nonvalvular Atrial Fibrillation Patients Admitted to a Hospital Treated with Direct Oral Anticoagulants: A Retrospective Cohort Study.

Xiaoye Li, Chengchun Zuo, Qiuyi Ji, Ying Xue, Zi Wang, Qianzhou Lv

Open access · goldAbstract readComparative Study
In one paragraph

Article in Drug design, development and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Apixaban Use in Obese Patients: A Review of the Pharmacokinetic, Interventional, and Observational Study Data.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Review
  9. 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

6 authors at 1 institution in 1 country.

Xiaoye Li *Department of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Chengchun Zuo *Department of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Qiuyi JiDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Ying XueDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Zi WangDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Qianzhou LvDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.ORCID 0000-0002-6353-7767
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsidering that the current fixed dose of direct oral anticoagulants (DOACs) might have insufficient anticoagulation effect for overweight patients, the aim of this study was to compare the effectiveness and safety of anticoagulation between dabigatran and rivaroxaban in different body mass index (BMI) population.

methodsWe conducted a retrospective cohort study of 2402 DOAC anticoagulated patients with atrial fibrillation who underwent catheter ablation (1290 dabigatran, 53.7% and 1112 rivaroxaban, 46.3%) between January 2017 and December 2018. Patients were distributed based on the BMI into nonobese (1362, BMI <25 kg/m

resultsThe incidence of systemic embolism and stroke complications was higher in the class II+ obese group (

conclusionThe fixed dose of 15 mg rivaroxaban might carry a risk of under exposure, which would lead to an increase of thromboembolic complications in patients with high BMI. Therefore, rivaroxaban dose increase was suggested for obese patients. Use of DOACs appears to have considerable safety in obese patients.

Indexed as

Administration, OralAgedAged, 80 and overAntithrombinsAtrial FibrillationBody Mass IndexCohort StudiesDabigatranEmbolismFactor Xa InhibitorsFemaleHemorrhageHumansIncidenceMaleMiddle AgedAntithrombinsDabigatranFactor Xa InhibitorsRivaroxabanbleedingbody mass indexcomposite cardiovascular endpointsdirect oral anticoagulantsthrombosis

Identifiers

PMID33986592
PMCPMC8110253
OpenAlexW3159432844

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.