Evidence map›Paper›PMID 34458554›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2021

Acetylcholinesterase inhibitors and risk of bleeding and acute ischemic events in non-hypertensive Alzheimer's patients.

Faez Saleh Al-Hamed, Stamatis Kouniaris, Iskandar Tamimi, Marie Lordkipanidzé, Sreenath Arekunnath Madathil, Abbas Kezouh, Igor Karp, Belinda Nicolau, Faleh Tamimi

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2021. 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
–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

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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.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Faez Saleh Al-HamedFaculty of Dentistry McGill University 2001 McGill College Avenue Montreal Quebec H3A 1G1 Canada.
Stamatis KouniarisFaculty of Dentistry McGill University 2001 McGill College Avenue Montreal Quebec H3A 1G1 Canada.
Iskandar TamimiOrthopedic Surgery Department Hospital Regional Universitario de Malaga Malaga Spain.
Marie LordkipanidzéFaculté de pharmacie Université de Montréal Montréal Quebec Canada.
Sreenath Arekunnath MadathilFaculty of Dentistry McGill University 2001 McGill College Avenue Montreal Quebec H3A 1G1 Canada.
Abbas KezouhDepartment of Epidemiology and Biostatistics Davis Institute Montreal Quebec Canada.
Igor KarpDepartment of Epidemiology and Biostatistics Schulich School of Medicine and Dentistry Western University London Ontario Canada.
Belinda NicolauFaculty of Dentistry McGill University 2001 McGill College Avenue Montreal Quebec H3A 1G1 Canada.
Faleh TamimiFaculty of Dentistry McGill University 2001 McGill College Avenue Montreal Quebec H3A 1G1 Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcetylcholinesterase inhibitors (AChEIs) are commonly used to treat mild to moderate cases of Alzheimer disease (AD). To the best of our knowledge, there has been no study estimating the risk of bleeding and cardiovascular events in patients with non-hypertensive AD. Therefore, this study aimed to estimate the association between AChEIs and the risk of bleeding and cardiovascular ischemic events in patients with non-hypertensive AD.

methodsA nested case-control study was conducted to estimate the risk of bleeding and ischemic events (angina, myocardial infarction [MI], and stroke) in patients with AD. This study was conducted using the UK Clinical Practice Research Datalink and Hospital Episode Statistics (HES) databases. The study cohort consisted of AD patients ≥65 years of age. The case groups included all AD subjects in the database who had a bleeding or ischemic event during the cohort follow-up. Four controls were selected for each case. Patients were classified as current users or past users based on a 60-day threshold of consuming the drug. Simple and multivariable conditional logistic regression analyses were used to calculate the adjusted odds ratio for bleeding events and cardiovascular events.

resultsWe identified 507 cases and selected 2028 controls for the bleeding event cohort and 555 cases and 2220 controls for the ischemic event cohort. The adjusted odds ratio (OR) (95% confidence interval [CI]) for the association of AChEI use was 0.93 (0.75 to 1.16) for bleeding events, 2.58 (1.01 to 6.59) for angina, and 1.89 (1.07 to 3.33) for MI. Past users of AChEIs were also at increased risk of stroke (1.51 [1.00 to 2.27]). DISCUSSION: This is the first study assessing the risk of bleeding and cardiovascular events in patients with non-hypertensive AD. Our findings could be of great interest for clinicians and researchers working on AD.

Indexed as

acetylcholinesterase inhibitorsagingAlzheimer's diseasebleedingcardiovascular diseasestroke

Identifiers

PMID34458554
PMCPMC8377777

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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.