Evidence map›Paper›PMID 36974469›Full record

ArticleClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

A Single-Center Bleeding Comparison of Warfarin Plus Aspirin or Clopidogrel Following Coronary Artery Bypass Grafting and Surgical Valve Replacement.

Joseph J Zieminski, Kristin C Mara, Kyle S Wamsley, John M Stulak, Scott D Nei

Open access · goldAbstract read
In one paragraph

Article in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

5 authors at 3 institutions in 1 country.

Joseph J ZieminskiDepartment of Pharmacy, 6915Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-6597-4891
Kristin C MaraDepartment of Quantitative Health Sciences, 6915Mayo Clinic, Rochester, MN, USA.
Kyle S WamsleyDepartment of Pharmacy, Sanford Health, Fargo, ND, USA.
John M StulakDivision of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.
Scott D NeiDepartment of Pharmacy, 6915Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-9904-5932
Mayo Clinic in Arizona · USMayo Clinic in Florida · USSanford Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal antithrombotic therapy following combined coronary artery bypass graft (CABG) and surgical valve replacement (SVR) surgery remains unclear. The aim of this single-center, retrospective cohort study was to assess the safety and effectiveness of a vitamin K antagonist (VKA) plus either aspirin or clopidogrel in patients following combined CABG and SVR. The primary endpoint was the occurrence of bleeding within six months. The secondary endpoint was the occurrence of CV death, stroke, acute coronary syndrome (ACS), or valve dysfunction. Outcomes were identified by pre-specified ICD codes. A total of 629 patients were included in the analysis, with 583 patients receiving aspirin and 46 patients receiving clopidogrel. Bleeding occurred in 1.7% of patients receiving aspirin and in 0% of patients receiving clopidogrel (p  =  0.99). CV death, stroke, ACS, or valve dysfunction occurred in 3.1% of patients receiving aspirin and 4.3% of patients receiving clopidogrel (p  =  0.65). In this study, there were no differences in the safety or effectiveness of a VKA plus either aspirin or clopidogrel following combined CABG and SVR.

Indexed as

Acute Coronary SyndromeStrokeAnticoagulantsAspirinClopidogrelCoronary Artery BypassFibrinolytic AgentsHemorrhageHumansPlatelet Aggregation InhibitorsRetrospective StudiesWarfarinAnticoagulantsAspirinClopidogrelFibrinolytic AgentsPlatelet Aggregation InhibitorsWarfarinantiplateletantithromboticaspirinbleedingCABGclopidogrelcoronary artery bypass graft surgeryvalve replacement surgerywarfarin

Identifiers

PMID36974469
PMCPMC10052485
OpenAlexW4361302861

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.