Evidence map›Paper›PMID 30859645›Full record

ArticleJournal of veterinary internal medicine2019

Therapeutic monitoring of rivaroxaban in dogs using thromboelastography and prothrombin time.

Junwoo Bae, Hyunwoo Kim, Woosun Kim, Suhee Kim, Jinho Park, Dong-In Jung, Dohyeon Yu

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  3. A case of suspected canine multifocal cervical venous sinus thrombosis causing cervical myelopathy.The Canadian veterinary journal = La revue veterinaire canadienne · 2023
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  7. Comparison of assessment of coagulation in healthy dogs by the TEG 6s and TEG 5000 viscoelastic analyzers.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2022
    Article
  8. Article
  9. Article
  10. Congenital protein C deficiency and thrombosis in a dog.Journal of veterinary internal medicine · 2020
    Article
  11. Article
  12. 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

7 authors at 4 institutions in 1 country.

Junwoo BaeCollege of Veterinary Medicine, Chonnam National University, Gwangju, Republic of Korea.
Hyunwoo KimCollege of Veterinary Medicine, Chonnam National University, Gwangju, Republic of Korea.
Woosun KimCollege of Veterinary Medicine, Chonnam National University, Gwangju, Republic of Korea.
Suhee KimNational Institute of Animal Science, Rural Development Administration, Wanju, Republic of Korea.
Jinho ParkCollege of Veterinary Medicine, Chonbuk National University, Iksan, Republic of Korea.
Dong-In JungCollege of Veterinary Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Dohyeon YuCollege of Veterinary Medicine, Gyeongsang National University, Jinju, Republic of Korea.ORCID https://orcid.org/0000-0001-7645-6926
Chonnam National University · KRGyeongsang National University · KRJeonbuk National University · KRRural Development Administration · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe chromogenic anti-Xa assay, the gold standard for monitoring the anti-Xa effect of rivaroxaban, is not available as a cage-side diagnostic test for use in a clinical setting. HYPOTHESIS/

objectivesTo evaluate clinical modalities for measuring the anticoagulant effects of rivaroxaban using a point-of-care prothrombin time (PT) and thromboelastography (TEG). ANIMALS: Six healthy Beagle dogs.

methodsProspective, experimental study. Four different doses of rivaroxaban (0.5, 1, 2, and 4 mg/kg) were administered PO to dogs. Single PO and 3 consecutive dosing regimens also were assessed. Plasma rivaroxaban concentration was determined using a chromogenic anti-Xa assay, point-of-care PT, and TEG analysis with 4 activators (RapidTEG, 1 : 100 tissue factor [TF100], 1 : 3700 tissue factor [TF3700], and kaolin), and results were compared. Spearman correlation coefficients were calculated between ratios (peak to baseline PT; peak reaction time [R] of TEG to baseline [R] of TEG) and anti-Xa concentration.

resultsAnti-Xa concentration had a significant correlation with point-of-care PT (R = 0.82, P < .001) and RapidTEG-TEG, TF100-TEG, and TF3700-TEG (R = 0.76, P < .001; R = 0.82, P < .001; and R = 0.83, P < .001, respectively). CONCLUSIONS AND CLINICAL IMPORTANCE: Overall, a 1.5-1.9 × delay in PT and R values of TEG 3 hours after rivaroxaban administration is required to achieve therapeutic anti-Xa concentrations of rivaroxaban in canine plasma. The R values of TEG, specifically using tissue factors (RapidTEG, TF100, TF3700) and point-of-care PT for rivaroxaban can be used practically for therapeutic monitoring of rivaroxaban in dogs.

Indexed as

AnimalsDogsFactor Xa InhibitorsMaleProspective StudiesProthrombin TimeRivaroxabanThrombelastographyFactor Xa InhibitorsRivaroxabananti-Xaoral anticoagulantpoint-of-care PT testTEG

Identifiers

PMID30859645
PMCPMC6524124
OpenAlexW2921419214

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.