Evidence map›Paper›PMID 29862035›Full record

ArticleJournal of pharmaceutical health care and sciences2018

Interaction between warfarin and short-term intravenous amiodarone in intensive care unit patients after cardiac surgery.

Tomoki Takase, Hiroaki Ikesue, Makiko Tohi, Hiroshi Ueta, Hiroyuki Mima, Tadaaki Koyama, Tohru Hashida

Open access · goldAbstract read
In one paragraph

Article in Journal of pharmaceutical health care and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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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

7 authors at 1 institution in 1 country.

Tomoki Takase1Department of Pharmacy, Kobe City Medical Center General Hospital, 2-2-1, Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047 Japan.
Hiroaki Ikesue1Department of Pharmacy, Kobe City Medical Center General Hospital, 2-2-1, Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047 Japan.ORCID 0000-0002-8499-131X
Makiko Tohi1Department of Pharmacy, Kobe City Medical Center General Hospital, 2-2-1, Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047 Japan.
Hiroshi Ueta2Department of Anesthesiology and Critical Care, Kobe City Medical Center General Hospital, 2-2-1, Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047 Japan.
Hiroyuki Mima2Department of Anesthesiology and Critical Care, Kobe City Medical Center General Hospital, 2-2-1, Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047 Japan.
Tadaaki Koyama3Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 2-2-1, Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047 Japan.
Tohru Hashida1Department of Pharmacy, Kobe City Medical Center General Hospital, 2-2-1, Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047 Japan.
Kobe City Medical Center General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmiodarone and warfarin are sometimes administered immediately after cardiac surgery. Although the interaction between long-term oral amiodarone and warfarin has been reported, the interaction between warfarin and short-term intravenous amiodarone has not been reported. In this study, we investigated the effect of short-term intravenous amiodarone on the anticoagulant effect of warfarin in patients who underwent cardiac surgery.

methodsWe retrospectively reviewed the medical records of 11 patients who received oral warfarin before and after cardiac surgery, and loading doses of 125-150 mg or a 750 mg continuous infusion of amiodarone, or both in the intensive care unit (ICU) within 5 days after the surgery between July 2011 and January 2017. The prothrombin time-international normalized ratio (PT-INR)/daily warfarin dose (PT-INR/dose) was used as an indicator of anticoagulant effect. The values before surgery were considered as the baseline.

resultsThe PT-INR and PT-INR/dose values were elevated in 7 and 10 patients, respectively, after amiodarone administration. The mean PT-INR values were not significantly different before and after amiodarone administration (2.13 ± 0.58 vs 2.29 ± 0.50, respectively,

conclusionsShort-term intravenous amiodarone enhanced the anticoagulant effect of warfarin in patients admitted to the ICU after cardiac surgery. We suggest that the dose of warfarin should be carefully adjusted for a few days after cardiac surgery if intravenous amiodarone is coadministered.

Indexed as

AmiodaroneCardiac surgeryIntensive care unitInteractionIntravenousProthrombin timeShort-termWarfarin

Identifiers

PMID29862035
PMCPMC5977484
OpenAlexW2806658790

What OpenQuestion holds

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Registered trials

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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.