Evidence map›Paper›PMID 40836668›Full record

SynthesisClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Oral Anticoagulant Therapy in Patients with Atrial Fibrillation After Intracranial Hemorrhage: A Meta-Analysis of Randomized Controlled Trials.

Guangjing Zhang, Yipeng Wu, Luxia Gao, Zhiqiang Xiao, Xi Chen

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. 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.

Guangjing ZhangDepartment of Cardiology, The First Affiliated Hospital of Sanming, Fujian Medical University, Sanming, Fujian, China.
Yipeng WuDepartment of Cardiology, The First Affiliated Hospital of Sanming, Fujian Medical University, Sanming, Fujian, China.
Luxia GaoDepartment of Cardiology, The First Affiliated Hospital of Sanming, Fujian Medical University, Sanming, Fujian, China.
Zhiqiang XiaoDepartment of Cardiology, The First Affiliated Hospital of Sanming, Fujian Medical University, Sanming, Fujian, China.ORCID 0009-0005-4757-5041
Xi ChenDepartment of Cardiology, The First Affiliated Hospital of Sanming, Fujian Medical University, Sanming, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundThe management of atrial fibrillation (AF) in patients with a history of intracranial hemorrhage (ICH) presents a significant clinical challenge. Although oral anticoagulants (OACs), have been shown to effectively reduce thromboembolic events in AF patients, their use in survivors of ICH raises concerns regarding the risk of recurrent bleeding. In this study, we conduct a systematic review of randomized controlled trials (RCTs) to assess the safety and efficacy of OAC therapy in AF patients following ICH.MethodsWe searched PubMed/Embase for RCTs assessing OACs in AF patients with ICH history. Efficacy outcomes included ischemic stroke, major vascular events, stroke or vascular death, major embolic events, and all-cause mortality.ResultsA total of three RCTs with 623 participants were included. Compared to no anticoagulation or antiplatelet therapy alone, OAC did not significantly reduce the risk of ischemic stroke (HR = 0.27, 95% CI [0.02, 3.92],

Indexed as

AnticoagulantsAtrial FibrillationIntracranial HemorrhagesAdministration, OralHumansRandomized Controlled Trials as TopicAnticoagulantsatrial fibrillationintracranial hemorrhageoral anticoagulantsrandomized controlled trials

Identifiers

PMID40836668
PMCPMC12374039

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.