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. 2012 Feb;141(2 Suppl):e637S–e668S. doi: 10.1378/chest.11-2306

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)

See Table 1-3 legends for expansion of abbreviations.

a

Wide CIs including benefit and harm (total mortality) or no benefit (major bleeding events).

b

Control group risk estimates come from the meta-analysis.

c

Lack of blinding in RCTs.

d

Bleeding definitions varied greatly across studies.

e

Heterogeneity was observed for major bleeding events (I = 72%).

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