• Medicine · Sep 2021

    Comparison of the effects of left atrial appendage closure and oral anticoagulants in preventing stroke in patients with non-valvular atrial fibrillation: A protocol for systematic review and meta-analysis.

    • Deyong Yue, Yunda Jiang, Zhongying Yang, Liang Cao, Long Huo, and Jing Wang.
    • Department of Pharmacy, Chongming Branch of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 25 Nanmen Road, Chengqiao Town, Chongming District, Shanghai, China.
    • Medicine (Baltimore). 2021 Sep 17; 100 (37): e27251.

    BackgroundThis study aims to analyze and evaluate the difference in efficacy between left atrial appendage closure (LAAC) and oral anticoagulants (OA) in preventing stroke in patients with non-valvular atrial fibrillation (NVAF) through the method of meta-analysis. The purpose is to provide for the prevention of stroke in patients with NVAF valuable treatment guidance.MethodsThis study is a comprehensive collection of randomized controlled studies of LAAC and OA in the prevention of stroke in patients with NVAF, and searches PubMed, Embase, the Cochrane Library, Web of Science, CNKI, SinoMed, VIP Database, WANFANG Database, and other Chinese and English databases by combining subject words with free words, and the retrieval time is from the establishment of each database to June 1, 2021. At the same time, searching the included literature and literature of related reviews by manual. Two researchers independently conduct literature screening and quality evaluation. Statistical software RevMan 5.3 and Stata 12.0 were used for meta-analysis.ResultsThis study evaluating the difference in efficacy between LAAC and OA in preventing stroke in patients with NVAF will be published in high-quality medical academic journals.ConclusionThis study will give the best treatment strategy to prevent stroke in patients with NVAF, and provide some reference for clinical medical staff.OSF registration number: DOI 10.17605/OSF.IO/2UXPA (https://osf.io/2uxpa).Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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