Evidence map›Paper›PMID 29086244›Full record

Observational studyJournal of thrombosis and thrombolysis2018

Initiation of direct oral anticoagulants versus warfarin for venous thromboembolism: impact on time to hospital discharge.

Amanda N Basto, Nathan P Fewel, Kim Vo, Eileen M Stock, Mia Ta

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of thrombosis and thrombolysis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Amanda N BastoDepartment of Veterans Affairs, Central Texas Veterans Health Care System, 1901 Veterans Memorial Drive (119T), Temple, TX, 76504, USA. Amanda.Trimm@va.gov.
Nathan P FewelDepartment of Veterans Affairs, Central Texas Veterans Health Care System, 1901 Veterans Memorial Drive (119T), Temple, TX, 76504, USA.
Kim VoOregon State University/Oregon Health & Sciences University College of Pharmacy, Portland, OR, USA.
Eileen M StockDepartment of Veterans Affairs, Cooperative Studies Program Coordinating Center, Perry Point, MD, USA.
Mia TaDepartment of Veterans Affairs, Central Texas Veterans Health Care System, 1901 Veterans Memorial Drive (119T), Temple, TX, 76504, USA.
Central Texas Veterans Health Care System · USOregon State University · USThe Coordinating Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this project was to compare the time from initiation of oral anticoagulation to hospital discharge between warfarin and direct oral anticoagulants (DOACs) for the treatment of acute venous thromboembolism (VTE). This retrospective observational study was done at a single VA medical center. A total of 107 patients were included, with 42 patients (39%) in the DOAC group, which included rivaroxaban, dabigatran, and apixaban, and 65 patients (61%) in the warfarin group. Variables collected through chart review included comorbid conditions, time from initiation of oral anticoagulation to discharge, emergency department (ED) visits and readmission within 30 or 90 days, and bleeding events. The DOAC group had a shorter time to discharge compared to the warfarin group (28 vs. 114 h, p < 0.001). There were similar 30 and 90-day hospital readmission rates and/or ED visits for DOACs (23.8 and 33.3%) compared to warfarin (18.5 and 30.8%), including those related to bleeding of any severity (11.9% for DOACs vs. 9.2% for warfarin; p = 0.75). There was one major bleeding event in the DOAC group and two in the warfarin group. The use of DOACs for the treatment of acute VTE in hospitalized patients was associated with shorter time to hospital discharge when compared to warfarin.

Indexed as

Length of StayAdultAgedAged, 80 and overAnticoagulantsDabigatranFemaleHemorrhageHumansMaleMiddle AgedPatient ReadmissionPyrazolesPyridonesRetrospective StudiesRivaroxabanAnticoagulantsapixabanDabigatranPyrazolesPyridonesRivaroxabanWarfarinAnticoagulationDOACLength of stayVenous thromboembolismWarfarin

Identifiers

PMID29086244
OpenAlexW2765883189

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.