Evidence map›Paper›PMID 29953528›Full record

ArticlePloS one2018

Thrombodynamics-A new global hemostasis assay for heparin monitoring in patients under the anticoagulant treatment.

Anna N Balandina, Ilya I Serebriyskiy, Alexander V Poletaev, Dmitry M Polokhov, Marina A Gracheva, Ekaterina M Koltsova, David M Vardanyan, Irina A Taranenko, Alexey Yu Krylov, Evdokiya S Urnova and 6 more

Abstract readComparative Study
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Clinical use of thrombin generation assays.Journal of thrombosis and haemostasis : JTH · 2021
    Review
  11. Observational
  12. Article
  13. Article
  14. Observational
  15. Correction of Anticoagulant Therapy in Patients with Severe COVID-19 Virus Infection Using a Thrombodynamics Coagulation Assay.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

16 authors.

Anna N BalandinaDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Ilya I SerebriyskiyRussian Laboratory Federation, Moscow, Russia.
Alexander V PoletaevDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Dmitry M PolokhovDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Marina A GrachevaDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Ekaterina M KoltsovaDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.ORCID 0000-0003-0167-6726
David M VardanyanCity Clinical Hospital No. 15, Moscow, Russia.
Irina A TaranenkoAltay Regional Clinical Hospital, Barnaul, Russia.
Alexey Yu KrylovFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Evdokiya S UrnovaNational Research Center for Hematology, Moscow, Russia.
Kirill V LobastovCity Clinical Hospital No. 24, Moscow, Russia.ORCID 0000-0002-5358-7218
Artem V ChernyakovCity Clinical Hospital No. 15, Moscow, Russia.
Elena M ShulutkoNational Research Center for Hematology, Moscow, Russia.
Andrey P MomotNational Research Center for Hematology, Altay Department, Barnaul, Russia.
Alexander M ShulutkoFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Fazoil I AtaullakhanovDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeparin therapy and prophylaxis may be accompanied by bleeding and thrombotic complications due to individual responses to treatment. Dosage control based on standard laboratory assays poorly reflects the effect of the therapy. The aim of our work was to compare the heparin sensitivity of new thrombodynamics (TD) assay with sensitivity of other standard and global coagulation tests available to date. STUDY POPULATION AND

methodsA total of 296 patients with high risk of venous thromboembolism (deep vein thrombosis (DVT), early postoperative period, hemoblastosis) were enrolled in the study. We used a case-crossover design to evaluate the sensitivity of new thrombodynamics assay (TD) to the hemostatic state before and after unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) therapy/prophylaxis and to compare it with the activated partial thromboplastin time (APTT), anti-Xa activity test, thrombin generation test (TGT) and thromboelastography (TEG). A receiver operating characteristic (ROC) curve analysis was used to evaluate changes before and after heparin prophylaxis and therapy. Blood was sampled before heparin injection, at the time of maximal blood heparin concentration and before the next injection.

resultsHypercoagulation before the start of heparin treatment was detected by TD, TGT and TEG but not by APTT. The area under the ROC curve (AUC) was maximal for TD and anti-Xa, intermediate for TGT and TEG and minimal for APTT.

conclusionsThese results indicate that TD has a high sensitivity to the effects of UFH and LMWH after both prophylactic and therapeutic regimes and may be used for heparin monitoring.

Indexed as

AnticoagulantsHeparinAdultAgedCross-Sectional StudiesDrug MonitoringFemaleHumansMaleMiddle AgedPartial Thromboplastin TimeThrombelastographyVenous ThrombosisAnticoagulantsHeparin

Identifiers

PMID29953528
PMCPMC6023127

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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.