Evidence map›Paper›PMID 38989229›Full record

ReviewAnnals of medicine and surgery (2012)2024

Factor Xa inhibitors versus low-molecular-weight heparin for preventing coagulopathy following COVID-19: a systematic review and meta-analysis of randomized controlled trials.

Laraib Amin, Komal Qayyum, Muhammad Uzair, Fatima Khan, Parkha Sethi, Laiba Hanif, Aima Azhar, Saad Mazhar, Umer Ejaz, Sayed Jawad

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2024. 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
–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

1 citing paper in PubMed.

  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

10 authors.

Laraib AminDepartment of Medicine, Northwest General Hospital And Research Centre, Peshawar.
Komal QayyumDepartment of Medicine, Northwest General Hospital And Research Centre, Peshawar.
Muhammad UzairDepartment of Medicine, Northwest General Hospital And Research Centre, Peshawar.
Fatima KhanDepartment of Medicine, Northwest General Hospital And Research Centre, Peshawar.
Parkha SethiDepartment of Medicine, Northwest General Hospital And Research Centre, Peshawar.
Laiba HanifDepartment of Medicine, Pakistan Institute of Medical Sciences, Islamabad.
Aima AzharDepartment of Medicine, King Edward Medical University, Lahore, Pakistan.
Saad MazharDepartment of Medicine, King Edward Medical University, Lahore, Pakistan.
Umer EjazDepartment of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan.
Sayed JawadDepartment of Medicine, Kabul University of Health Sciences, Kabul, Afghanistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hospitalized patients with COVID-19 have shown a significant occurrence of thromboembolism and a heightened risk of death. It remains unclear whether factor Xa inhibitors are superior to enoxaparin in this context. Hence, there is a need for a direct comparison to assess the preventive effects and safety of factor Xa inhibitors versus enoxaparin in hospitalized COVID-19 patients. Methods: MEDLINE, Embase, and Cochrane Central databases were searched for randomized controlled trials (RCTs) or retrospective studies that compared the effectiveness or safety of factor Xa inhibitors and enoxaparin in preventing thromboembolism in hospitalized patients with COVID-19. Embolic incidence, incidence of bleeding, and all-cause mortality were among the outcomes of interest. Mantel-Haenszel weighted random-effects model was used to calculate relative risks (RRs) with 95 percent CIs. Results: The analysis included six RCTs and two retrospective studies containing 4048 patients. Meta-analysis showed a statistically significant reduction among patients on factor Xa inhibitors compared with low-molecular-weight heparin (LMWH) in the embolic incidence [risk ratio (RR) 0.64 (95%, CI 0.42, 0.98); Conclusion: Factor Xa inhibitors are more effective than enoxaparin in preventing thromboembolism among patients with COVID-19 who are not acutely ill and are hospitalized. Additional rigorous RCTs comparing factor Xa inhibitors with enoxaparin are warranted.

Indexed as

coagulopathycovid-19factor Xaheparinmolecular weight

Identifiers

PMID38989229
PMCPMC11230789

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.