Evidence map›Paper›PMID 31511484›Full record

ArticleInternal medicine (Tokyo, Japan)2020

A Simple Formula for Predicting the Maintenance Dose of Warfarin with Reference to the Initial Response to Low Dosing at an Outpatient Clinic.

Masaaki Shoji, Shinya Suzuki, Takayuki Otsuka, Takuto Arita, Naoharu Yagi, Hiroaki Semba, Hiroto Kano, Shunsuke Matsuno, Yuko Kato, Tokuhisa Uejima and 4 more

Abstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Masaaki ShojiDepartment of Cardiovascular Medicine, National Cancer Center Hospital, Japan.
Shinya SuzukiDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Takayuki OtsukaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Takuto AritaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Naoharu YagiDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Hiroaki SembaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Hiroto KanoDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Shunsuke MatsunoDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Yuko KatoDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Tokuhisa UejimaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Yuji OikawaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Minoru MatsuhamaDepartment of Cardiovascular Surgery, The Cardiovascular Institute, Japan.
Junji YajimaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.
Takeshi YamashitaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective The pharmacodynamic effect of warfarin varies among individuals, and its maintenance dose is widely distributed. Although many formulae for predicting the maintenance dose of warfarin have been developed, most of them are complex and not in practical use. Methods and Materials Among 12,738 new patients visiting the Cardiovascular Institute between 2004 and 2009, we identified 127 patients (66.6±8.8 years, 89 men) with atrial fibrillation for whom warfarin was newly started with an initial dose of 2 mg/day and the international normalized ratio (INR) at 1 year after warfarin was started was within the therapeutic range. The prediction models for the maintenance dose were developed by an exponential equation and a first-order equation. Results The initial response of the INR to the dose of 2 mg/day (initial INR) ranged from 1.00-3.24 (mean 1.43), while the maintenance dose of warfarin ranged from 0.5-14 mg (mean 3.8 mg). The maintenance dose showed an exponential correlation to the initial INR: (predicted maintenance dose) =5.522× (initial INR)

Indexed as

International Normalized RatioAgedAmbulatory Care FacilitiesAnticoagulantsAtrial FibrillationDose-Response Relationship, DrugDrug Dosage CalculationsFemaleHumansMaleMiddle AgedStrokeWarfarinAnticoagulantsWarfarinanticoagulantsatrial fibrillationwarfarin

Identifiers

PMID31511484
PMCPMC6995699

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