Evidence map›Paper›PMID 36173545›Full record

ArticleIrish journal of medical science2023

Short-term DAPT after coronary stenting has similar ischemic and bleeding outcomes as long-term DAPT: a 5-year population-based cohort study.

Sriraag Balaji Srinivasan, Amro Sehly, Biyanka Jaltotage, Simon Qin, Abdul Rahman Ihdayhid, James Marangou, James M Rankin, Frank M Sanfilippo, Girish Dwivedi

Open access · hybridAbstract read
In one paragraph

Article in Irish journal of medical science, 2023. 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 47% 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

9 authors at 3 institutions in 1 country.

Sriraag Balaji SrinivasanDepartment of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia.
Amro SehlyDepartment of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia.
Biyanka JaltotageDepartment of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia.
Simon QinSchool of Population and Global Health, University of Western Australia, Perth, WA, Australia.
Abdul Rahman IhdayhidDepartment of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia.
James MarangouDepartment of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia.
James M RankinDepartment of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia.
Frank M SanfilippoSchool of Population and Global Health, University of Western Australia, Perth, WA, Australia.
Girish DwivediDepartment of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia. girish.dwivedi@perkins.uwa.edu.au.ORCID http://orcid.org/0000-0003-0717-740X
Fiona Stanley Hospital · AUThe University of Western Australia · AUCurtin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal duration of dual antiplatelet therapy (DAPT) following percutaneous coronary intervention (PCI) remains controversial.

aimWe investigated the relationship between DAPT duration following PCI and long-term ischemic and bleeding outcomes under real-world conditions.

methodsPatients aged ≥ 65 years who underwent PCI with stenting in Western Australian hospitals between 2003 and 2008 and survived 2 years were identified from linked hospital admissions data. The primary outcome was major adverse cardiovascular and cerebrovascular events (MACCE) defined as a composite of all-cause death and admissions for acute coronary syndrome (ACS), coronary artery revascularization procedure, stroke, and major bleeding. Secondary outcomes were ACS admissions, all-cause death, and major bleeding admissions. Patients were followed up for 5 years from initial PCI.

resultsA total of 3963 patients were included in the final analysis. The mean age of the cohort was 74.5 ± 6.1 years with 67.3% males. No significant difference was seen with 6-12, 12-18, or 18-24 months DAPT, compared to 0-6 months DAPT duration for MACCE and all secondary outcomes at 3- and 5-year post-PCI.

conclusionThere is no significant difference in both bleeding and ischemic outcomes in long-term DAPT as compared to short-term DAPT for first- and second-generation drug-eluting stents in a real-world population.

Indexed as

Acute Coronary SyndromePercutaneous Coronary InterventionAgedAged, 80 and overAustraliaCohort StudiesFemaleHemorrhageHumansMalePlatelet Aggregation InhibitorsTreatment OutcomePlatelet Aggregation InhibitorsBleedingDAPTStentingThrombosis

Identifiers

PMID36173545
PMCPMC10390362
OpenAlexW4297965417

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.