Evidence map›Paper›PMID 34703471›Full record

ArticleKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2021

The impact of dual antiplatelet therapy administration on the risk of bleeding complications during coronary artery bypass surgery.

Paolo Nardi, Calogera Pisano, Maria Turturici, Fabio Bertoldo, Vito Renato Maggio, Carlo Bassano, Dario Buioni, Antonio Scafuri, Claudia Altieri, Giovanni Ruvolo

Open access · diamondAbstract read
In one paragraph

Article in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Platelet inhibitor withdrawal and outcomes after coronary artery surgery: an individual patient data meta-analysis.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024
    Pooled it
  2. Pooled it
  3. The Association of P2YCardiovascular therapeutics · 2025
    Article
  4. Article
  5. Article
  6. 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

10 authors at 1 institution in 1 country.

Paolo NardiCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Calogera PisanoCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Maria TurturiciCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Fabio BertoldoCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Vito Renato MaggioCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Carlo BassanoCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Dario BuioniCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Antonio ScafuriCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Claudia AltieriCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
Giovanni RuvoloCardiac Surgery Division, Tor Vergata University Hospital, Rome, Italy.
University of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDual antiplatelet therapy reduces the risk of cardiovascular death, myocardial infarction and recurrence of adverse ischemic events in patients affected by acute coronary syndromes, but in patients urgently needing coronary artery surgery it can increase the risk of severe perioperative bleeding complications.

aimWe evaluated the impact of dual antiplatelet therapy (DAPT) based on acetylsalicylic acid plus clopidogrel or ticagrelor in patients undergoing coronary artery bypass grafting (CABG). MATERIAL AND

methodsThree hundred and thirty-three patients underwent coronary artery bypass grafting with DAPT discontinuation > 72 hours or 3-4 days (group A,

resultsOperative mortality was 1.87% (group A), 0.79% (group B), absent (group C). The incidence of mediastinal re-exploration was 1.25% or 2 patients (group A), 1.59% or 2 patients (group B), 8.33% or 4 patients (group C) (

conclusionsDual antiplatelet therapy ongoing until 1 day or 24 hours before CABG showed a significantly increased risk of bleeding complications in comparison with its discontinuation at 2-3 and > 3-4 days before, respectively. Major blood loss and surgical re-exploration were not associated with increased risk of operative all-cause or bleeding-related mortality. As expected, taking ticagrelor compared with clopidogrel in the short interval confers a higher risk of bleeding complications.

Indexed as

coronary artery bypass graftingdual antiplatelet therapyP2Y12 inhibitors

Identifiers

PMID34703471
PMCPMC8525274
OpenAlexW3204710743

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.