Evidence map›Paper›PMID 31707834›Full record

Observational studyJournal of cardiovascular pharmacology and therapeutics2020

Multicenter Analysis of Dosing Protocols for Sotalol Initiation.

Minakshi Biswas, Andrew Levy, Rachel Weber, Khaldoun Tarakji, Mina Chung, Peter A Noseworthy, Christopher Newton-Cheh, Michael A Rosenberg

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of cardiovascular pharmacology and therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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

8 authors at 5 institutions in 1 country.

Minakshi BiswasDivision of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Andrew LevyDivision of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Rachel WeberDivision of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, USA.
Khaldoun TarakjiCenter for Atrial Fibrillation, Section of Cardiac Pacing and Electrophysiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Mina ChungCenter for Atrial Fibrillation, Section of Cardiac Pacing and Electrophysiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Peter A NoseworthyRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
Christopher Newton-ChehCardiovascular Research Center, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Michael A RosenbergDivision of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0002-6708-1648
University of Colorado Anschutz Medical Campus · USCleveland Clinic · USColorado School of Public Health · USHarvard University · USMayo Clinic in Arizona · US

Funding

Functional Genomics of Atrial Fibrillation in Human AtriaR01HL111314 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BARNARD, JOHN, CHUNG, MINA KAY · 2012 to 2019
$6.1M
Influence of genetic variation on QT prolongation over the lifecourse and as a cardiotoxic drug responseR01HL143070 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEWTON-CHEH, CHRISTOPHER HOLMES · 2018 to 2021
$3.0M
Genetics of Cardiotoxic Drug ResponseK23HL127296 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ROSENBERG, MICHAEL A · 2015 to 2020
$932k
NHLBI NIH HHS K23 HL127296NHLBI NIH HHS L30 HL123413NHLBI NIH HHS R01 HL111314NHLBI NIH HHS R01 HL143070
6 · The paper itself

Abstract

Sotalol, a Vaughan-Williams Class III antiarrhythmic medication, is used to manage atrial arrhythmias. Due to its QT-prolonging effect and subsequent increased risk of torsade de pointes, many centers admit patients during the initial dosing period. Despite its widespread use, little information is available regarding dosing protocols during this period. In this multicenter investigation, dosing protocols in patients initiating sotalol therapy were examined to identify predictors of successful sotalol initiation. Over a 4-year period, patients admitted to 5 hospitals in the United States for inpatient telemetry monitoring during initiation for nonresearch purposes were enrolled. A 3-day course of 5 of 6 doses of sotalol was considered successful completion of the loading protocol. Of the 213 enrolled patients, over 90% were successfully discharged on sotalol. Significant bradycardia, ineffectiveness, and excessive QT prolongation were reasons for failed completion. Absence of a dose adjustment was a strong predictor of successful initiation (odds ratio: 6.6, 95% confidence interval: 1.3-32.7,

Indexed as

Adrenergic beta-AntagonistsAgedAnti-Arrhythmia AgentsArrhythmias, CardiacBradycardiaDrug Dosage CalculationsDrug MonitoringFemaleHeart RateHumansInpatientsMaleMiddle AgedPatient SafetyRisk AssessmentRisk FactorsAdrenergic beta-AntagonistsAnti-Arrhythmia AgentsSotalolantiarrhythmicatrial fibrillationventricular tachycardia

Identifiers

PMID31707834
PMCPMC7113108
OpenAlexW2986785027

What OpenQuestion holds

Textmetadata
LicenceTDM
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.