Evidence map›Paper›PMID 21655672›Full record

ArticleThrombosis and haemostasis2011

Rivaroxaban differentially influences ex vivo global coagulation assays based on the administration time.

Helen Mani, Christian Hesse, Gertrud Stratmann, Edelgard Lindhoff-Last

Abstract read
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In one paragraph

Article in Thrombosis and haemostasis, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
13.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 99 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Inherited Thrombophilia in the Era of Direct Oral Anticoagulants.International journal of molecular sciences · 2022
    Review
  7. Article
  8. Review
  9. [Monitoring of NOAC].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2017
    Article
  10. Article
  11. Rivaroxaban and apixaban in orthopaedics: is there a difference in their plasma concentrations and anticoagulant effects?Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis · 2015
    Observational
  12. Review
  13. Measurement of rivaroxaban and apixaban in serum samples of patients.European journal of clinical investigation · 2014
    Article
  14. Safety of new oral anticoagulant drugs: a perspective.Therapeutic advances in drug safety · 2014
    Review
  15. Rivaroxaban and hemostasis in emergency care.Emergency medicine international · 2014
    Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Helen ManiDepartment of Internal Medicine, Division of Vascular Medicine, Johann Wolfgang Goethe-University Hospital Frankfurt/Main, Germany. Helen.Mani@kgu.de
Christian Hesse
Gertrud Stratmann
Edelgard Lindhoff-Last
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It was the objective of this study to quantify the effects of rivaroxaban administration on global coagulation parameters associated with routine clinical procedures, we collected plasma samples from patients undergoing major orthopaedic surgery receiving rivaroxaban at various time points after drug administration. Forty-seven patients received rivaroxaban (10 mg daily) for venous thromboembolism prophylaxis. Blood samples were collected at four different time points: A) before surgery; B) before drug administration at day 4-5 after surgery (steady state of rivaroxaban); C) 2 hours (h) after drug administration and D) 12 h after drug administration. The prothrombin time (PT), activated partial thromboplastin time (aPTT), thrombin time (TT), antithrombin (AT) level, fibrinogen level by Clauss method (FibC), and derived fibrinogen (dFIB) level were assessed with various reagents. At 2 h after rivaroxaban administration, the PT and aPTT clotting times were significantly prolonged to different extents up to 1.4 fold, whereas 12 h after drug administration, no significant effect was observed. Rivaroxaban administration had no influence on the TT or the FibC concentration. The dFIB assay was differentially affected by rivaroxaban when different reagents were tested. The AT assay dependent on thrombin activity was not influenced by rivaroxaban, whereas the AT levels dependent on factor Xa activity were significantly increased by rivaroxaban. Clinicians should be aware of the time-dependent influence of rivaroxaban on factor Xa-dependent routine coagulation assays. Therefore, routine coagulation parameters should be assessed directly before drug administration to keep the interaction of rivaroxaban low.

Indexed as

Orthopedic ProceduresPostoperative ComplicationsAgedAnticoagulantsAntithrombinsBlood CoagulationBlood Coagulation TestsClinical ProtocolsDrug InteractionsFactor Xa InhibitorsFemaleFibrinogenHumansMaleMiddle AgedMorpholinesAnticoagulantsAntithrombinsFactor Xa InhibitorsFibrinogenMorpholinesRivaroxabanThiophenes

Identifiers

PMID21655672
OpenAlexW2053361486

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.