Evidence map›Paper›PMID 41929963›Full record

ArticleJournal of Alzheimer's disease reports

Impact of anticoagulation on cognitive decline and clinical outcomes in patients with atrial fibrillation and dementia: A retrospective cohort study.

Yun Du, Weng-Chio Tam, Man-Fong Chu, Sio-Mui Wong, Kuok-Wun Lam, Tat-Kuong Tong, Mei-Hong Wong, Chon-Hou Chan, Weng-Hong Pun, Mario Evora and 2 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease reports. 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

12 authors.

Yun DuDepartment of Geriatrics, Centro Hospitalar Conde São Januário, Macau SAR, China.ORCID https://orcid.org/0009-0005-6474-9891
Weng-Chio TamDepartment of Cardiology, Centro Hospitalar Conde São Januário, Macau SAR, China.ORCID https://orcid.org/0000-0002-0288-2882
Man-Fong ChuDepartment of Cardiology, Centro Hospitalar Conde São Januário, Macau SAR, China.ORCID https://orcid.org/0000-0002-4832-3613
Sio-Mui WongDepartment of Geriatrics, Centro Hospitalar Conde São Januário, Macau SAR, China.
Kuok-Wun LamDepartment of Cardiology, Centro Hospitalar Conde São Januário, Macau SAR, China.ORCID https://orcid.org/0009-0004-2422-0304
Tat-Kuong TongDepartment of Geriatrics, Centro Hospitalar Conde São Januário, Macau SAR, China.ORCID https://orcid.org/0009-0005-5646-9275
Mei-Hong WongDepartment of Geriatrics, Centro Hospitalar Conde São Januário, Macau SAR, China.
Chon-Hou ChanDepartment of Dermatology, Centro Hospitalar Conde São Januário, Macau SAR, China.
Weng-Hong PunDepartment of Geriatrics, Centro Hospitalar Conde São Januário, Macau SAR, China.
Mario EvoraDepartment of Cardiology, Centro Hospitalar Conde São Januário, Macau SAR, China.ORCID https://orcid.org/0009-0004-9837-2933
U-Po LamDepartment of Cardiology, Centro Hospitalar Conde São Januário, Macau SAR, China.
Iek-Long LoHealth Bureau, The Government of Macau SAR, China.ORCID https://orcid.org/0000-0003-4635-3728

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) and dementia frequently coexist in older adults, yet the impact of anticoagulation on cognitive and clinical outcomes in this population remains uncertain. Objective: To evaluate the effects of anticoagulation on cognitive and clinical outcomes in patients with AF and dementia. Methods: This retrospective cohort study included 291 patients aged ≥65 years with AF and dementia, treated at a tertiary center between January 2020 and December 2024. Patients were grouped by anticoagulation status. Cognitive, functional outcomes (Mini-Mental State Examination [MMSE], Activities of Daily Living [ADL], Clinical Dementia Rating-Sum of Boxes [CDR-SB]) and clinical endpoints (all-cause mortality, hospitalization, major adverse cardiovascular events, and bleeding) were assessed over a median 28-month follow-up. Results: Anticoagulated patients were younger (82.8 versus 85.1 years, Conclusions: In this retrospective, confounder-adjusted study, anticoagulation was associated with slower cognitive/functional decline and lower hospitalization/mortality risk in AF and dementia patients. The findings warrant prospective research to investigate whether anticoagulation has disease-modifying effects in early-stage dementia.

Indexed as

Alzheimer's diseaseanticoagulationatrial fibrillationdementiahospitalization

Identifiers

PMID41929963
PMCPMC13039085

What OpenQuestion holds

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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.