Evidence map›Paper›PMID 37804191›Full record

ArticleJournal of the American Heart Association2023

Clinical Outcomes of Left Atrial Appendage Occlusion Versus Switch of Direct Oral Antcoagulant in Atrial Fibrillation: A Territory-Wide Retrospective Analysis.

Andrew Kei-Yan Ng, Pauline Yeung Ng, April Ip, Raymond Chi-Yan Fung, Shing-Fung Chui, Chung-Wah Siu, Bryan P Yan

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Left Atrial Appendage Occlusion in Cancer-Associated Atrial Fibrillation: Who, When, and How to Manage Antithrombotic Therapy.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
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 2 countries.

Andrew Kei-Yan NgCardiac Medical Unit Grantham Hospital Hong Kong SAR China.ORCID 0000-0002-5553-016X
Pauline Yeung NgDepartment of Adult Intensive Care Queen Mary Hospital Hong Kong SAR China.ORCID 0000-0001-6671-5963
April IpDivision of Respiratory and Critical Care Medicine, Department of Medicine, Li Ka Shing Faculty of Medicine The University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-7429-8167
Raymond Chi-Yan FungDepartment of Medicine and Geriatrics Prince Margret Hospital Hong Kong SAR China.ORCID 0009-0006-2454-7678
Shing-Fung ChuiDepartment of Medicine Queen Elizabeth Hospital Hong Kong SAR China.ORCID 0000-0001-9858-2819
Chung-Wah SiuDepartment of Medicine, Queen Mary Hospital The University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-2666-3086
Bryan P YanDepartment of Medicine and Therapeutics, Faculty of Medicine Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0003-0430-5752
Chinese University of Hong Kong · HKGrantham Hospital · CNPrince of Wales Hospital · CNQueen Elizabeth Hospital · CNQueen Mary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Left atrial appendage occlusion (LAAO) has emerged as an alternative to oral anticoagulation therapy for stroke prevention in atrial fibrillation, but data comparing LAAO with direct oral anticoagulant (DOAC) are sparse. Methods and Results This cohort study compared LAAO (with or without prior anticoagulation) with a switch of one DOAC to another DOAC by 1:2 propensity score matching. The primary outcome was a composite of all-cause mortality, ischemic stroke, and major bleeding. A total of 2350 patients (874 in the LAAO group and 1476 in the DOAC switch group) were included. After a mean follow-up of 1052±694 days, the primary outcome developed in 215 (24.6%) patients in the LAAO group and in 335 (22.7%) patients in the DOAC switch group (hazard ratio [HR], 0.94 [95% CI, 0.80-1.12];

Indexed as

Atrial AppendageAtrial FibrillationIschemic StrokeStrokeAnticoagulantsCohort StudiesHemorrhageHumansRetrospective StudiesTreatment OutcomeAnticoagulantsatrial fibrillationdirect oral anticoagulantleft atrial appendage occlusionmajor bleedingmortalitystroke

Identifiers

PMID37804191
PMCPMC10757547
OpenAlexW4387425824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.