Evidence map›Paper›PMID 39678592›Full record

ArticleAmerican journal of translational research2024

Efficacy and safety of safflower yellow combined with low molecular weight heparin in preventing deep vein thrombosis after orthopedic surgery: a systematic review and meta-analysis.

Qiuyu Li, Lu Liu, Wenjie Yin, Zhuo Zhu, Hong Xu

Abstract read
In one paragraph

Article in American journal of translational research, 2024. 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
–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 synthesis or guideline pooled it.

  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.

Qiuyu LiDepartment of Intensive Care Unit, Kunming Medical University Affiliated Yan'an Hospital Kunming 650051, Yunnan, China.
Lu LiuDepartment of Intensive Care Unit, Kunming Medical University Affiliated Yan'an Hospital Kunming 650051, Yunnan, China.
Wenjie YinDepartment of Pharmacy, Kunming Medical University Affiliated Yan'an Hospital Kunming 650051, Yunnan, China.
Zhuo ZhuDepartment of Pharmacy, Kunming Medical University Affiliated Yan'an Hospital Kunming 650051, Yunnan, China.
Hong XuDepartment of Pharmacy, Kunming Medical University Affiliated Yan'an Hospital Kunming 650051, Yunnan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis aims to evaluate the efficacy and safety of safflower yellow (SY) combined with low molecular weight heparin (LMWH) in preventing deep vein thrombosis (DVT) after orthopedic surgery.

methodsWe conducted a comprehensive investigation of PubMed, EMbase, Cochrane Library, CNKI, VIP, and Wanfang databases to identify randomized controlled trials (RCTs) from January 2000 to March 2024. These trials compared the efficacy of SY combined with LMWH versus LMWH alone in preventing post-surgical DVT. Primary outcomes were the incidence of DVT, activated partial thromboplastin time (APTT), and prothrombin time (PT). The methodological quality of included studies was assessed using the modified Jadad scale. The meta-analysis, conducted with using RevMan 5.3 and STATA, employed fixed or random-effects models depending on heterogeneity assessments. It calculated risk ratios (RR) for DVT incidence and mean differences for APTT/PT, while also evaluating robustness and publication bias. Significance thresholds were set at P < 0.05 and P < 0.1, respectively.

resultsOur analysis included eight RCTs involving 624 patients. The meta-analysis revealed that the combination of SY and LMWH significantly reduced the incidence of DVT (RR: 0.29, 95% CI: 0.16-0.52) compared to LMWH alone, with no difference in adverse reaction rate. Additionally, the combination therapy demonstrated improved APTT and PT profiles.

conclusionThe combination of SY and LMWH is more effective than LMWH alone for preventing DVT post orthopedic surgery, offering a promising alternative for thromboprophylaxis in these patients.

Indexed as

deep vein thrombosislow molecular weight heparinmeta-analysisorthopedic surgerySafflower yellow

Identifiers

PMID39678592
PMCPMC11645637

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Registered trials

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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.