Evidence map›Paper›PMID 36890452›Full record

ArticleBMC cardiovascular disorders2023

Trends in antiplatelet strategies 12-months following coronary stent placement in anticoagulated patients.

Eleni M Gamvroulas, Aubrey E Jones, John A Saunders, Tara L Jones, Daniel M Witt

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 1 institution in 1 country.

Eleni M GamvroulasHuntsman Cancer Institute, University of Utah, UT, Salt Lake City, USA.
Aubrey E JonesDepartment of Pharmacotherapy, University of Utah College of Pharmacy, 30 South 2000 East, Room 4323, Salt Lake City, UT, 84112, USA.
John A SaundersDepartment of Cardiology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Tara L JonesDepartment of Cardiology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Daniel M WittDepartment of Pharmacotherapy, University of Utah College of Pharmacy, 30 South 2000 East, Room 4323, Salt Lake City, UT, 84112, USA. dan.witt@pharm.utah.edu.ORCID 0000-0002-3930-8358
University of Utah · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Overcoming barriers to warfarin patient self-management implementation in the US healthcare systemR18HS027960 · AHRQ · UNIVERSITY OF UTAH · PI WITT, DANIEL M. · 2021 to 2023
$1.3M
A theory-based practice guide for creating patient educationK23HL157751 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Aubrey Elise Jones · 2022 to 2026
$748k
AHRQ HHS R18 HS027960NCATS NIH HHS UL1 TR002538NHLBI NIH HHS K23 HL157751
6 · The paper itself

Abstract

backgroundAntithrombotic guidelines for patients undergoing percutaneous coronary interventions (PCIs) and also requiring anticoagulant medications are evolving. This study describes changes to antithrombotic therapy and associated outcomes 12-months following PCI in patients requiring ongoing anticoagulation therapy.

methodsRecords of patients identified from queries of electronic medical records were manually reviewed to verify changes to antithrombotic therapy from discharge to 12-months and at 12-months following PCI, and episodes of major bleeding, clinically relevant non-major bleeding (CRNMB), major adverse cardiovascular or neurological events (MACNE), and all-cause mortality outcomes during an additional 6-months follow-up.

resultsPatients (n = 120) receiving anticoagulation therapy at 12-months post PCI were classified into the following groups according to antiplatelet therapy status: no antiplatelet therapy (n = 16), single antiplatelet therapy (SAPT) (n = 85), and dual antiplatelet therapy (DAPT) (n = 19). Between 12- and 18-months following PCI there were 2 major bleeds, 7 CRNMB, 6 MACNE, 2 venous thromboembolisms, and 5 deaths. All but one bleeding episode occurred in the SAPT group. The odds of remaining on DAPT at 12-months were higher in patients who had PCI for acute coronary syndrome (odds ratio [OR] 2.91, 95% confidence interval [CI] 0.96, 8.77), and in those experiencing MACNE in the 12-months following PCI (OR 1.95, 95% CI 0.67, 5.66), but these associations were not statistically significant.

conclusionMost anticoagulated patients were continued on antiplatelet therapy 12-months post PCI. Bleeding was numerically more common in anticoagulated patients continuing SAPT therapy beyond 12 months. There was significant variability in antithrombotic prescribing patterns 12-months post PCI suggesting a potential opportunity for standardizing care in this patient population.

Indexed as

Atrial FibrillationPercutaneous Coronary InterventionAnticoagulantsDrug Therapy, CombinationFibrinolytic AgentsHemorrhageHumansPlatelet Aggregation InhibitorsStentsTreatment OutcomeAnticoagulantsFibrinolytic AgentsPlatelet Aggregation InhibitorsAntiplatelet therapyAtrial fibrillationDrug eluting stentPercutaneous coronary interventionVenous thromboembolism

Identifiers

PMID36890452
PMCPMC9993590
OpenAlexW4323653604

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.