Evidence map›Paper›PMID 40433135›Full record

ArticleCJC open2025

DOAC Score for Predicting Clinical Outcomes After Left Atrial Appendage Closure.

Masahiko Asami, Yu Horiuchi, Jun Tanaka, Daiki Yoshiura, Masanori Taniwaki, Kota Komiyama, Hitomi Yuzawa, Kengo Tanabe, Mitsuru Sago, Shuhei Tanaka and 18 more

Abstract read
In one paragraph

Article in CJC open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

28 authors.

Masahiko AsamiDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Yu HoriuchiDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Jun TanakaDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Daiki YoshiuraDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Masanori TaniwakiDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Kota KomiyamaDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Hitomi YuzawaDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Kengo TanabeDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Mitsuru SagoDepartment of Cardiology, Toyohashi Heart Center, Aichi, Japan.
Shuhei TanakaDepartment of Cardiology, Toyama University Hospital, Toyama, Japan.
Ryuki ChataniDepartment of Cardiology, Kurashiki Central Hospital, Okayama, Japan.
Toru NaganumaDepartment of Cardiology, New Tokyo Hospital, Chiba, Japan.
Yohei OhnoDepartment of Cardiology, Tokai University School of Medicine, Kanagawa, Japan.
Tomoyuki TaniDepartment of Cardiology, Sapporo Higashi Tokushukai Hospital, Hokkaido, Japan.
Hideharu OkamatsuDepartment of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Kazuki MizutaniDepartment of Cardiology, Kinki University School of Medicine, Osaka, Japan.
Yusuke WatanabeDepartment of Cardiology, Teikyo University School of Medicine, Tokyo, Japan.
Masaki IzumoDepartment of Cardiology, St Marianna University School of Medicine, Kanagawa, Japan.
Mike SajiDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Shingo MizunoDepartment of Cardiology, Shonan Kamakura General Hospital, Kanagawa, Japan.
Daisuke HachinoheDepartment of Cardiology, Sapporo Heart Center, Sapporo Cardio Vascular Clinic, Hokkaido, Japan.
Hiroshi UenoDepartment of Cardiology, Toyama University Hospital, Toyama, Japan.
Shunsuke KuboDepartment of Cardiology, Kurashiki Central Hospital, Okayama, Japan.
Shinichi ShiraiDepartment of Cardiology, Kokura Memorial Hospital, Fukuoka, Japan.
Masaki NakashimaDepartment of Cardiology, Sendai Kousei Hospital, Miyagi, Japan.
Masanori YamamotoDepartment of Cardiology, Toyohashi Heart Center, Aichi, Japan.
Kentaro HayashidaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
OCEAN-LAAC investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The direct-acting oral anticoagulant (DOAC) score has been validated for assessing the bleeding risk in patients with atrial fibrillation (AF). However, data on DOAC scores in patients undergoing percutaneous left atrial appendage closure (LAAC) is limited. This study aimed to evaluate the predictive impact of the DOAC score on clinical events following LAAC and compare it with that of the HAS-BLED ( Methods: In this prospective, multicenter, observational study, patients with nonvalvular AF (NVAF) undergoing LAAC were categorized by the DOAC score into higher (HBR) and lower bleeding risk groups. The primary endpoints of all-cause death, stroke, and bleeding were evaluated at 3 months and 1 year. Results: Among 1464 patients (mean age 77.1 years; 67.6% male), the HBR group (923 patients) had a lower body mass index, more frequent comorbidities, and higher risk profiles for bleeding and stroke. The device, technical, and procedural success rates were high and similar between groups. At 1 year, the primary endpoint was higher in the HBR group (17.6% vs 12.4%, Conclusions: The DOAC score is a reliable predictor of composite outcomes, including death, stroke, and bleeding, in patients undergoing LAAC, demonstrating superior utility compared with the HAS-BLED score. This scoring system may improve risk stratification and patient management in daily clinical practice. Clinical Trial Registration: UMIN-ID: UMIN000038498 (OCEAN-LAAC registry).

Identifiers

PMID40433135
PMCPMC12105744

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LicenceCC BY-NC-ND
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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.