Evidence map›Paper›PMID 34913359›Full record

ArticleJournal of the American Heart Association2021

COVID-19 and Anticoagulation for Atrial Fibrillation: An Analysis of US Nationwide Pharmacy Claims Data.

Inmaculada Hernandez, Nico Gabriel, Meiqi He, Jingchuan Guo, Mina Tadrous, Katie J Suda, Jared W Magnani

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. COVID-19 HEART unveiling as atrial fibrillation: pathophysiology, management and future directions for research.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
    Review
  6. Article
  7. Article
  8. 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

7 authors.

Inmaculada HernandezDivision of Clinical Pharmacy Skaggs School of Pharmacy and Pharmaceutical Sciences University of California, San Diego La Jolla CA.ORCID 0000-0002-0118-4986
Nico GabrielDivision of Clinical Pharmacy Skaggs School of Pharmacy and Pharmaceutical Sciences University of California, San Diego La Jolla CA.ORCID 0000-0003-1793-2245
Meiqi HeDivision of Clinical Pharmacy Skaggs School of Pharmacy and Pharmaceutical Sciences University of California, San Diego La Jolla CA.
Jingchuan GuoDepartment of Pharmaceutical Outcomes and Policy University of Florida College of Pharmacy Gainesville FL.
Mina TadrousLeslie Dan Faculty of Pharmacy University of Toronto and Women's College Hospital Toronto Canada.
Katie J SudaCenter for Health Equity Research and Promotion VA Pittsburgh Healthcare System Pittsburgh Pittsburgh PA.
Jared W MagnaniDivision of Cardiology Department of Medicine University of Pittsburgh School of Medicine Pittsburgh PA.ORCID 0000-0002-5075-3604

Funding

Diversity Supplement for geocoding in the parent grant "A Mobile Relational Agent to Enhance Atrial Fibrillation self-care"R33HL144669 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MAGNANI, JARED W. · 2020 to 2023
$3.8M
Mobile Health intervention for rural atrial fibrillationR01HL143010 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MAGNANI, JARED W. · 2019 to 2022
$3.0M
Pandemic Disruptions of Atrial Fibrillation CareR01HL157051 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PATEL, NIMISH · 2021 to 2024
$2.0M
Patient and System-Level Determinants of Oral Anticoagulation Use in Atrial FibrillationK01HL142847 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HERNANDEZ, INMACULADA · 2018 to 2022
$798k
NHLBI NIH HHS K01 HL142847NHLBI NIH HHS R01 HL143010NHLBI NIH HHS R01 HL157051NHLBI NIH HHS R33 HL144669
6 · The paper itself

Abstract

Background Adherence to oral anticoagulation (OAC) is critical for stroke prevention in atrial fibrillation. However, the COVID-19 pandemic may have disrupted access to such therapy. We hypothesized that our analysis of a US nationally representative pharmacy claims database would identify increased incidence of lapses in OAC refills during the COVID-19 pandemic. Methods and Results We identified individuals with atrial fibrillation prescribed OAC in 2018. We used pharmacy dispensing records to determine the incidence of 7-day OAC gaps and 15-day excess supply for each 30-day interval from January 1, 2019 to July 8, 2020. We constructed interrupted time series analyses to test changes in gaps and supply around the pandemic declaration by the World Health Organization (March 11, 2020), and whether such changes differed by medication (warfarin or direct OAC), prescription payment type, or prescriber specialty. We identified 1 301 074 individuals (47.5% women; 54% age ≥75 years). Immediately following the COVID-19 pandemic declaration, we observed a 14% decrease in 7-day OAC gaps and 56% increase in 15-day excess supply (both

Indexed as

AnticoagulantsAtrial FibrillationCOVID-19StrokeAdministration, OralAgedFemaleHumansMaleMedicarePandemicsUnited StatesWarfarinAnticoagulantsWarfarinadherenceanticoagulantsatrial fibrillationCOVID‐19

Identifiers

PMID34913359
PMCPMC9075244

What OpenQuestion holds

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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.