Evidence map›Paper›PMID 31360075›Full record

ArticleClinical medicine insights. Blood disorders2019

Enoxaparin Dosing for Venous Thromboembolism Prophylaxis in Low Body Weight Patients.

Daniel Dybdahl, Grant Walliser, Michelle Pershing, Christy Collins, David Robinson

Open access · diamondAbstract read
In one paragraph

Article in Clinical medicine insights. Blood disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Hemorrhagic stroke and anticoagulation in COVID-19.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
    Article
  10. Venous Thromboembolism Prophylaxis in Underweight Hospitalized Patients.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

5 authors at 2 institutions in 1 country.

Daniel DybdahlDepartment of Pharmacy, OhioHealth Grant Medical Center, Columbus, OH, USA.
Grant WalliserDepartment of Pharmacy, OhioHealth Grant Medical Center, Columbus, OH, USA.
Michelle PershingDepartment of Academic Research, OhioHealth Research and Innovation Institute, Columbus, OH, USA.
Christy CollinsDepartment of Academic Research, OhioHealth Research and Innovation Institute, Columbus, OH, USA.
David RobinsonDepartment of Pharmacy, OhioHealth Grant Medical Center, Columbus, OH, USA.
OhioHealth · USGrant Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe appropriate dose of enoxaparin for venous thromboembolism (VTE) prophylaxis in low body weight patients is unknown.

objectiveThe aim of this study is to evaluate the impact of enoxaparin dosing on major and minor bleeding events in low body weight patients.

methodsThis was a retrospective cohort study of patients weighing less than 45 kg receiving subcutaneous (SC) enoxaparin for VTE prevention. The primary objective was to determine whether enoxaparin dose was associated with major and minor bleeding. The secondary objective was to determine the incidence of VTE by enoxaparin dose.

resultsThere were 173 patients included in the study, of which 37 patients received 2 different courses of enoxaparin during hospitalization, resulting in 210 enoxaparin courses. Among all enoxaparin courses, 16.2% were associated with major bleeding and 5.2% with minor bleeding. There was no difference in the incidence of major bleeding by dose (enoxaparin 30 mg SC daily, 30 mg SC twice daily, or 40 mg SC daily; CONCLUSION AND RELEVANCE: The risk of bleeding was similar by enoxaparin dose but increased with age in low body weight patients. Given the low incidence of VTE in this study, it is reasonable to consider decreasing the prophylactic enoxaparin dose in low body weight patients, especially in the elderly population.

Indexed as

bleedingenoxaparinlow body weightprophylaxisvenous thromboembolism

Identifiers

PMID31360075
PMCPMC6637836
OpenAlexW2956243212

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.