Evidence map›Paper›PMID 37560265›Full record

ArticleJournal of arrhythmia2023

Impact of anemia on major bleeding in patients taking oral anticoagulants for nonvalvular atrial fibrillation.

Norito Kinjo, Shinichiro Ueda, Kazutaka Uchida, Fumihiro Sakakibara, Mari Nezu, Hideki Arai, Takeshi Morimoto

Abstract read
In one paragraph

Article in Journal of arrhythmia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Norito KinjoDepartment of Clinical Epidemiology Hyogo Medical University Nishinomiya Japan.ORCID https://orcid.org/0000-0003-1555-0614
Shinichiro UedaDepartment of Clinical Pharmacology and Therapeutics University of the Ryukyus Nishihara Japan.
Kazutaka UchidaDepartment of Clinical Epidemiology Hyogo Medical University Nishinomiya Japan.
Fumihiro SakakibaraDepartment of Clinical Epidemiology Hyogo Medical University Nishinomiya Japan.
Mari NezuDepartment of Clinical Epidemiology Hyogo Medical University Nishinomiya Japan.
Hideki AraiDepartment of Clinical Epidemiology Hyogo Medical University Nishinomiya Japan.
Takeshi MorimotoDepartment of Clinical Epidemiology Hyogo Medical University Nishinomiya Japan.ORCID https://orcid.org/0000-0002-6844-739X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anemia is encountered in patients with nonvalvular atrial fibrillation (NVAF) on oral anticoagulants (OACs) but the prognostic impact was not well scrutinized in real-world settings. Methods: We conducted a historical multicenter registry of patients with NVAF taking OACs at 71 centers in Japan. Those with mechanical heart valves or a history of pulmonary thrombosis or deep venous thrombosis were excluded. Anemic patients were divided into three groups of hemoglobin (Hb) level: moderate/severe (Hb < 11.0 g/dL), mild (men: Hb of 11.0-12.9 g/dL; women: Hb of 11.0-11.9 g/dL), and no anemia. The endpoints included major bleeding, hemorrhagic stroke, ischemic events, ischemic stroke, and all-cause mortality. Results: Among 7558 consecutive patients (mean age, 73 years; men 67%) registered in February 2013 and followed until February 2017, 2100 (28%) patients had anemia. The anemic patients were older (moderate/severe: 79 years; mild: 77 years; no anemia: 71 years, Conclusions: The severity of anemia in the patients with NVAF on OACs was associated with major bleeding.

Indexed as

anemiaatrial fibrillationbleedingoral anticoagulantsregistry

Identifiers

PMID37560265
PMCPMC10407181

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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.