Cochrane · systematic review · CD013252

Non‐vitamin K antagonist oral anticoagulants (NOACs) post‐percutaneous coronary intervention: a network meta‐analysis

Al Said, S, Alabed, S, Kaier, K, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
28
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 14.3%Low 18 · 64.3%Moderate 6 · 21.4%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings – death from cardiovascular causes

Population: adults who underwent percutaneous coronary intervention and who have an indication for anticoagulation
3 questions
OutcomeEffectEvidenceStatus / GRADE
APX vs VKA
no estimate extracted2 studies · 4930 participantsModerate
Downgraded: risk of bias, imprecision
RVX (high dose, 10 mg to 20 mg) vs VKA
no estimate extracted2 studies · 1542 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
RVX (low dose, 2.5 mg) vs VKA
no estimate extracted1 study · 1399 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings – myocardial infarction

Population: adults who underwent percutaneous coronary intervention and who have an indication for anticoagulation
5 questions
OutcomeEffectEvidenceStatus / GRADE
APX vs VKA
no estimate extracted2 studies · 4930 participantsModerate
Downgraded: risk of bias, imprecision
RVX (high dose, 10 mg to 20 mg) vs VKA
no estimate extracted2 studies · 1542 participantsVery low
Downgraded: imprecision
RVX (low dose, 2.5 mg) vs VKA
no estimate extracted1 study · 1399 participantsLow
Downgraded: risk of bias, imprecision
DAB (low dose, 110 mg) vs VKA
no estimate extracted1 study · 1962 participantsLow
Downgraded: risk of bias, imprecision
DAB (high dose, 150 mg) vs VKA
no estimate extracted1 study · 1527 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings – stroke

Population: adults who underwent percutaneous coronary intervention and who have an indication for anticoagulation
5 questions
OutcomeEffectEvidenceStatus / GRADE
APX vs VKA
no estimate extracted2 studies · 4930 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
RVX (high dose, 10 mg to 20 mg) vs VKA
no estimate extracted2 studies · 1546 participantsVery low
Downgraded: risk of bias, imprecision
RVX (low dose, 2.5 mg) vs VKA
no estimate extracted1 study · 1399 participantsLow
Downgraded: risk of bias, imprecision
DAB (low dose, 110 mg) vs VKA
no estimate extracted1 study · 1962 participantsLow
Downgraded: risk of bias, imprecision
DAB (high dose, 150 mg) vs VKA
no estimate extracted1 study · 1527 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings – major bleeding

Population: adults who underwent percutaneous coronary intervention and who have an indication for anticoagulation
5 questions
OutcomeEffectEvidenceStatus / GRADE
APX vs VKA
no estimate extracted2 studies · 4865 participantsModerate
Downgraded: risk of bias, imprecision
RVX (high dose, 10 mg to 20 mg) vs VKA
no estimate extracted2 studies · 1546 participantsVery low
Downgraded: risk of bias, imprecision
RVX (low dose, 2.5 mg) vs VKA
no estimate extracted1 study · 1403 participantsLow
Downgraded: risk of bias, imprecision
DAB (low dose, 110 mg) vs VKA
no estimate extracted1 study · 1962 participantsModerate
Downgraded: risk of bias, imprecision
DAB (high dose, 150 mg) vs VKA
no estimate extracted1 study · 1527 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings – death from any cause

Population: adults who underwent percutaneous coronary intervention and who have an indication for anticoagulation
5 questions
OutcomeEffectEvidenceStatus / GRADE
APX vs VKA
no estimate extracted2 studies · 4930 participantsModerate
Downgraded: risk of bias, imprecision
RVX (high dose, 10 mg to 20 mg) vs VKA
no estimate extracted1 study · 1393 participantsLow
Downgraded: risk of bias, imprecision
RVX (low dose, 2.5 mg) vs VKA
no estimate extracted1 study · 1403 participantsLow
Downgraded: risk of bias, imprecision
DAB (low dose, 110 mg) vs VKA
no estimate extracted1 study · 1962 participantsLow
Downgraded: risk of bias, imprecision
DAB (high dose, 150 mg) vs VKA
no estimate extracted1 study · 1527 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings – stent thrombosis

Population: adults who underwent percutaneous coronary intervention and who have an indication for anticoagulation
5 questions
OutcomeEffectEvidenceStatus / GRADE
APX vs VKA
no estimate extracted1 study · 4614 participantsModerate
Downgraded: risk of bias
RVX (high dose, 10 mg to 20 mg) vs VKA
no estimate extracted1 study · 1389 participantsLow
Downgraded: risk of bias, imprecision
RVX (low dose, 2.5 mg) vs VKA
no estimate extracted1 study · 1399 participantsLow
Downgraded: risk of bias, imprecision
DAB (low dose, 110 mg) vs VKA
no estimate extracted1 study · 1962 participantsLow
Downgraded: risk of bias, imprecision
DAB (high dose, 150 mg) vs VKA
no estimate extracted1 study · 1527 participantsLow
Downgraded: risk of bias, imprecision