Evidence map›Paper›PMID 35172721›Full record

ArticleBMC cardiovascular disorders2022

Safety profile of bivalirudin in Chinese female patients undergoing percutaneous coronary intervention: a multi-center study.

Fan Wu, Xueying Liu, Huazhong Ran, Qiwei Tang, Cheng Zhong, Yanqing Wu, Jun Xiao

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC cardiovascular disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 at 5 institutions in 1 country.

Fan Wu *Department of Cardiovascular Medicine II, Xuchang Central Hospital, 30 Huatuo Road, Xuchang, 461001, Henan Province, China.
Xueying Liu *Department of Cardiology, The First Hospital of Zhangjiakou, No.6 Chapel Lane, Xinhua Front Street, Qiaoxi District, Zhangjiakou, 075061, Hunan, China.
Huazhong RanDepartment of Cardio-Thoracic Surgery, ZhouKou Center Hospistal of Henan Province, East Section of Renmin Road, Zhoukou, 466699, Henan, China.
Qiwei TangDepartment of Cardiology, The First Affiliated Hospital of Henan University, 357 Ximen Dajie, Kaifeng, 475004, Henan, China.
Cheng ZhongDepartment of Cardiovascular Medicine, Zhejiang Lvcheng Cardiovascular Hospital, 409 Gudun Road, Wenxin Street, Xihu District, Hangzhou, 310011, Zhejiang, China.
Yanqing WuDepartment of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, 1 Minde Road, Donghu District, Nanchang, 330006, China. quyanjie490429890@163.com.
Jun XiaoDepartment of Cardiovascular Medicine, Chongqing University Central Hospital, No. 1 Jiankang Road, Yuzhong District, Chongqing, 400014, China. qiaoji3208262@163.com.
Chongqing University · CNFirst Affiliated Hospital of Henan University · CNNanchang University · CNZhangjiakou Academy of Agricultural Sciences · CNZhoukou City Academy of Agricultural Sciences · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study aimed to comprehensively investigate the occurrence and risk factors of adverse events (AEs) or adverse drug reactions (ADRs) (especially for thrombocytopenia and bleeding) in Chinese female patients receiving bivalirudin during percutaneous coronary intervention (PCI).

methodsA total of 918 female patients from 27 Chinese medical centers took bivalirudin as anticoagulant for PCI were enrolled in this prospective, multi-center, intensive monitoring study. Safety data (AEs, ADRs, thrombocytopenia and bleeding) were collected from admission to 72 h post bivalirudin administration; then, patients were followed up at the 30

resultsOne hundred and twenty (13.1%) patients occurred AEs, among which 7 (0.8%) cases experienced severe AEs, and 2 (0.2%) cases died. Besides, 40 (4.4%) patients occurred bivalirudin-related ADRs, in which 3 (0.3%) cases experienced severe ADRs, but 0 (0.0%) cases died. It was of note that 27 (2.9%) and 13 (1.4%) patients experienced thrombocytopenia and bleeding, respectively. Subsequent multivariate analyses observed that: clinical presentation of spontaneous coronary artery dissection (SCAD) (odds ratio (OR) = 3.191, P = 0.004), CRUSADE high risk (OR = 2.075, P = 0.031), multiple culprit vessel (OR = 2.328, P = 0.019) independently correlated with higher risk of bivalirudin-related ADRs; clinical presentation of SCAD (OR = 4.388, P = 0.002) and multiple culprit vessel (OR = 2.974, P = 0.010) independently linked with raised thrombocytopenia risk; history of diabetes mellitus (OR = 5.227, P = 0.007) and CRUSADE high risk (OR = 4.475, P = 0.016) were independent factor related to elevated bleeding risk.

conclusionBivalirudin is well tolerated with low ADRs, thrombocytopenia and bleeding incidences in Chinese female patients undergoing PCI.

Indexed as

Percutaneous Coronary InterventionAgedAntithrombinsChinaCoronary Artery DiseaseFemaleHemorrhageHirudinsHumansIncidenceMiddle AgedPeptide FragmentsProspective StudiesRecombinant ProteinsRisk AssessmentRisk FactorsAntithrombinsbivalirudinHirudinsPeptide FragmentsRecombinant ProteinsAdverse events and adverse drug reactionsBivalirudinFemalePercutaneous coronary interventionThrombocytopenia and bleeding

Identifiers

PMID35172721
PMCPMC8851799
OpenAlexW4213068301

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.