Evidence map›Paper›PMID 34725976›Full record

ArticleJournal of Korean medical science2021

Clinical Outcomes of Ticagrelor in Korean Patients with Acute Myocardial Infarction without High Bleeding Risk.

Keun-Ho Park, Myung Ho Jeong, Hyun Kuk Kim, Young-Jae Ki, Sung Soo Kim, Dong-Hyun Choi, Young-Youp Koh, Youngkeun Ahn, Hyo-Soo Kim, Hyeon-Cheol Gwon and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 6 institutions in 1 country.

Keun-Ho ParkDepartment of Internal Medicine, Chosun University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-2303-4954
Myung Ho JeongDepartment of Cardiovascular Medicine, Chonnam National University Hospital and Medical School, Gwangju, Korea. myungho@chollian.net.ORCID https://orcid.org/0000-0003-2424-810X
Hyun Kuk KimDepartment of Internal Medicine, Chosun University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-4554-041X
Young-Jae KiDepartment of Internal Medicine, Chosun University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0003-2499-3433
Sung Soo KimDepartment of Internal Medicine, Chosun University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-5190-227X
Dong-Hyun ChoiDepartment of Internal Medicine, Chosun University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0003-0334-9809
Young-Youp KohDepartment of Internal Medicine, Chosun University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-4768-1654
Youngkeun AhnDepartment of Cardiovascular Medicine, Chonnam National University Hospital and Medical School, Gwangju, Korea.ORCID https://orcid.org/0000-0003-2022-9366
Hyo-Soo KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-0847-5329
Hyeon-Cheol GwonHeart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8967-4305
Seung-Woon RhaCardiovascular Center, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-9456-9852
Jin-Yong HwangDepartment of Internal Medicine, Gyeongsang National University Hospital and School of Medicine, Jinju, Korea.ORCID https://orcid.org/0000-0002-9198-4564
KAMIR-NIH registry investigators
Chosun University Hospital · KRChonnam National University Hospital · KRSeoul National University Hospital · KRGyeongsang National University Hospital · KRKorea University Medical Center · KRSamsung Medical Center · KR

Funding

Chosun University HospitalKorea Centers for Disease Control & Prevention 2016-ER6304-02
6 · The paper itself

Abstract

backgroundAlthough ticagrelor is known to increase the bleeding risk compared to clopidogrel in East Asian patients, its clinical benefits in patients with acute myocardial infarction (AMI) without high bleeding risk (HBR) remains unknown.

methodsA total of 7,348 patients who underwent successful percutaneous coronary intervention (PCI) from the Korea Acute Myocardial Infarction Registry-National Institute of Health (KAMIR-NIH), between November 2011 and December 2015, were divided into two groups according to the Academic Research Consortium for HBR criteria (KAMIR-HBR, 2,469 patients; KAMIR-non HBR, 4,879 patients). We compared in-hospital major adverse cardiovascular events (MACEs, defined as a composite of cardiac death, non-fatal myocardial infarction, or stroke), and the thrombolysis in myocardial infarction (TIMI) major bleeding between ticagrelor and clopidogrel in the KAMIR-HBR and the KAMIR-non HBR groups, respectively.

resultsAfter propensity score matching, ticagrelor had a higher incidence of in-hospital TIMI major bleeding than clopidogrel in all patients (odds ratio [OR], 1.683; 95% confidence interval [CI], 1.010-2.805;

conclusionsThe bleeding risk of ticagrelor was attenuated in Korean patients with AMI without HBR. Appropriate patient selection could reduce in-hospital bleeding complications associated with ticagrelor in Korean patients with AMI who underwent successful PCI.

Indexed as

Acute DiseaseAgedClopidogrelFemaleHemorrhageHumansKaplan-Meier EstimateMaleMiddle AgedMyocardial InfarctionPropensity ScorePurinergic P2Y Receptor AntagonistsRegistriesRepublic of KoreaRiskTicagrelorClopidogrelPurinergic P2Y Receptor AntagonistsTicagrelorHemorrhageMyocardial InfarctionP2Y12 Receptor InhibitorsPercutaneous Coronary Intervention

Identifiers

PMID34725976
PMCPMC8560314
OpenAlexW3204070122

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.