Evidence map›Paper›PMID 37323315›Full record

ReviewCureus2023

Comparison of the Efficacy and Safety of Aspirin and Low-Molecular-Weight Heparin in Patients With a Fracture: A Meta-Analysis.

Fnu Nimerta, Sana Faisal, Nafisa Reyaz, Syeda Urooba Shah, Swathi Gurajala, Raja Ram Khenhrani, Muhammad Waqas Khan, Adil Amin

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 28% 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, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 3 institutions in 5 countries.

Fnu NimertaMedical College, Jinnah Sindh Medical University, Karachi, PAK.
Sana FaisalInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, California, USA.
Nafisa ReyazInternal Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh, IND.
Syeda Urooba ShahMedical College, Jinnah Sindh Medical University, Karachi, PAK.
Swathi GurajalaMedical Microbiology, College of Applied Medical Sciences, Imam Abdul Rahman Bin Faisal University, Jubail, SAU.
Raja Ram KhenhraniInternal Medicine, Liaquat University of Medical and Health Sciences, Karachi, PAK.
Muhammad Waqas KhanInternal Medicine, Services Institute of Medical Sciences, Lahore, PAK.
Adil AminCardiology, PNS (Pakistan Navy Ship) Shifa, Karachi, PAK.
Imam Abdulrahman Bin Faisal University · SAServices Institute of Medical Sciences · PKJinnah Sindh Medical University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study is to compare the efficacy and safety of aspirin and low-molecular-weight heparin (LMWH) in preventing thromboembolic events in patients with fractures. The present meta-analysis was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched EMBASE, PubMed, and EBSCO to find articles comparing aspirin and LMWH in patients with orthopedic trauma from inception to April 15, 2023. Limits were set to studies published in the English language only. Outcomes assessed in this meta-analysis included VTE and all-cause mortality. VTE can manifest as deep venous thrombosis (DVT) and pulmonary embolism. For safety analysis, rates of wound complication, infection, and bleeding complications were compared between the two study groups. A total of three studies were included in this meta-analysis enrolling 12884 patients. The study found no significant difference between the two groups in the risk of DVT and pulmonary embolism, and aspirin was non-inferior to LMWH for the prevention of all-cause mortality in patients. Additionally, no significant safety risk was associated with aspirin thromboprophylaxis. These findings suggest that inexpensive over-the-counter aspirin is as effective as LMWH in terms of safety and efficacy profile, making it a feasible option to consider in clinical practice.

Indexed as

aspirinfracturelow molecular weight heparinmeta-analysisvenous thromboembolism

Identifiers

PMID37323315
PMCPMC10265923
OpenAlexW4376613340

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.