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Table 2 Grade results

From: A comparison of the effects of ticagrelor and clopidogrel in patients with acute ST-segment elevation myocardial infarction: a systematic review and meta-analysis of randomized clinical trials

 

Certainty assessment

№ of patients

Effect

Certainty

Outcomes

№ of studies

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

Ticagrelor

Clopidogrel

Relative

 

(95% CI)

Mortality

6

RCT

Not serious

Not serious

Not serious

Not serious

None

78/2480 (3.1%)

91/2443 (3.7%)

RR 0.857

(0.637 to 1.153)

High

MI

6

RCT

Not serious

Not serious

Not serious

Not serious

Publication bias is strongly suspected

49/2467 (2.0%)

58/2470 (2.3%)

RR 0.680

(0.333 to 1.382)

Moderate

Major Adverse Cardiovascular Events

4

RCT

Not serious

Not serious

Not serious

Not serious

None

10/457 (2.2%)

20/488 (4.1%)

RR 0.630

(0.226 to 1.750)

High

BARC

7

RCT

Not serious

Not serious

Not serious

Not serious

None

48/2635 (1.8%)

48/2637 (1.8%)

RR 1.020

(0.651 to 1.595)

High

TIMI Flow Grade Major

5

RCT

Not serious

Not serious

Not serious

Not serious

None

135/2067 (6.5%)

130/2032 (6.4%)

RR 1.020

(0.860 to 1.201)

High

Stroke

5

RCT

Not serious

Not serious

Not serious

Not serious

none

29/2312 (1.3%)

36/2276 (1.6%)

RR 0.830

(0.508–1.348)

High