Meta AnalysisID 5485

维生素K拮抗剂对比新型口服抗凝药治疗颈动脉夹层:交互式系统评价与Meta分析

CRD42022337739

P: patients with cervical artery dissection I: novel oral anticoagulants (NOAC) C: vitamin K antagonists (VKA) anticoagulants O: clinical and radiologic outcomes, rates of TIA/stroke and hemorrhage

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Record Fields

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Meta Analysis Id
5485
Evidence Id
14043
Core Evidence Id
14043
Source Meta Analysis Id
5469
Herb2 Meta Analysis Id
HBMA005469
Crd Id
CRD42022337739
Title
Vitamin K Antagonist versus Novel Oral Anticoagulants for Management of Cervical Artery Dissection: Interactive Systematic Review and Meta-analysis
Review Question
P: patients with cervical artery dissection I: novel oral anticoagulants (NOAC) C: vitamin K antagonists (VKA) anticoagulants O: clinical and radiologic outcomes, rates of TIA/stroke and hemorrhage
Study Type Included
All types of clinical studies (randomized control trials, cohort studies) except for case reports.
Condition Being Studied
The use of vitamin K antagonist anticoagulants (VKA) and novel oral anticoagulants (NOAC) in the treatment of cervical artery dissection (CAD).
Participant
Patients with Cervical artery dissection
Animal
Human Disease Modelled
Intervention
vitamin K antagonist anticoagulants (VKA) and novel oral anticoagulants (NOAC)
Comparator Control
Treatment groups
Main Outcome
Outcomes of interest were stratified by applied medical treatment into two groups; patients receiving VKA and ones treated with NOAC. Clinical outcomes included good outcomes (mRS 0-2), poor outcomes (mRS 3-5), mortality rates, rates of TIA or stroke, intracranial bleeding, and minor and major bleeding. Radiographic outcomes included partial or total angiographic recanalization rates of the occluded dissected vessel and rates of angiographic worsening. Angiographic worsening was defined as a progressive occlusive or aneurysmal morphological changes in the dissected vessel. Measures of effect The cumulative incidence (event rate per patient at the end of the study) for each study was estimated and 95% CI. We used a random-effects model to pool incidence rates across studies because of the marked heterogeneity that we expected in the populations and interventions across various studies. The I² statistic was used to express the proportion of inconsistency not attributable to chance.
Outcome Measure
Additional Outcome
Study Method
Intervention, Meta-analysis, Systematic review
Keyword
Anticoagulants; Arteries; Humans; Vitamin K; Warfarin
Contact
Muhammed Amir Essibayi [email protected]
Organisational Affiliation
Department of Neurosurgery, Mayo Clinic, Rochester.
Funding Source
None Grant number(s) <span style=font-size: 14px>State the funder, grant or award number and the date of award</span> None
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
United States of America
Review Stage
Review Ongoing
First Submission Date
2022-06-06
Registration Date
2022-06-17
Anticipated Start Date
2022-02-01
Anticipated Completion Date
2022-07-06
Title Cn
维生素K拮抗剂对比新型口服抗凝药治疗颈动脉夹层:交互式系统评价与Meta分析
Title En
Vitamin K Antagonist versus Novel Oral Anticoagulants for Management of Cervical Artery Dissection: Interactive Systematic Review and Meta-analysis
Bilingual Status
complete