Table 11.
—[Sections 4.1.1-4.3] Thienopyridine Plus Aspirin vs Warfarin Plus Aspirin in the First Month Following PCI68
Outcomes | Participants (Studies), Follow-up | Quality of the Evidence (GRADE) | Relative Effect (95% CI) | Anticipated Absolute Effects Over
30 d |
|
Risk With Warfarin and Aspirin | Risk Difference With Thienopyridine and Aspirin (95% CI) | ||||
Total mortality |
2,436 (4 RCTs), 4-6 wk |
Moderate due to imprecisiona |
RR 0.73 (0.25-2.18) |
7 per 1,000b |
No significant difference; 2 fewer per 1,000 (from 5 fewer
to 8 more) |
MI nonfatal events |
13,608 (1 RCT), 14.5 mo |
Moderate due to risk of biasc |
RR 0.50 (0.29-0.83) |
39 per 1,000b |
19 fewer per 1,000 (from 28 fewer to 7 fewer) |
Stroke |
This critical outcome was not
reported in the meta-analysis |
||||
Major extracranial bleedd | 2,436 (4 RCTs), 4-6 wk | Low due to inconsistency,e imprecision,a and risk of biasc | RR 0.38 (0.14-1.02) | 64 per 1,000b | No significant difference; 40 fewer per 1,000 (from 55 fewer to 1 more) |
Wide CIs including benefit and harm (total mortality) or no benefit (major bleeding events).
Control group risk estimates come from the meta-analysis.
Lack of blinding in RCTs.
Bleeding definitions varied greatly across studies.
Heterogeneity was observed for major bleeding events (I = 72%).