Coronary disease & ACS

External validity of the PRECISE-DAPT score in patients undergoing percutaneous coronary intervention (PCI): a systematic review and meta-analysis

Eur Heart J Cardiovasc PharmacotherPublished Systematic review and meta-analysis

Pooled result · Any out-of-hospital bleedingResult — go to the resultOdds ratio 2.71 95% CI 2.24–3.29

Authors' conclusion

This systematic review and meta-analysis confirms the external validity of the PRECISE-DAPT score in predicting out-of-hospital bleeding outcomes in patients on DAPT following PCI.

Study context

Population
Patients receiving DAPT after PCI
Participants
67,283 patients21 studies
Comparison
High bleeding risk vs low bleeding risk
  • High bleeding riskn = 16,603
Outcome
Any out-of-hospital bleeding
Methodological detailsrandom-effects model
  • Random-effects model

Pooled result

As reported in the abstract

Odds ratio

2.71

95% CI 2.24–3.29

P < 0.001

High bleeding riskvs Low bleeding risk
OR 2.71 (95% CI 2.24–3.29); P < 0.001

Further pooled results

OutcomeOR (95% CI)P value
Major bleeding3.51 (2.71–4.55)P < 0.001

Discrimination of PRECISE-DAPT for major bleeding · 1 year

Pooled c-stat (moderate discriminative power)
0.71 (95% CI: 0.64-0.77)

Original publication

External validity of the PRECISE-DAPT score in patients undergoing PCI: a systematic review and meta-analysis. Eur Heart J Cardiovasc Pharmacother. Published 26 August 2023. doi:10.1093/ehjcvp/pvad063

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