Evidence map›Paper›PMID 32633538›Full record

ArticleClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Implementation of the Management of Anticoagulation in the Periprocedural Period App Into an Electronic Health Record: A Prospective Cohort Study.

Alex C Spyropoulos, Dimitrios Giannis, Jessica Cohen, Suja John, Anne Myrka, Damian Inlall, Michael Qiu, Saydi Akgul, Roger J Hyman, Jason J Wang

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 33% 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.

NCT06844227 recruitingnot on this map

Perioperative Anticoagulant Use for Surgery Evaluation -Virtual Visit (PAUSE-Virtual), a Simple Perioperative Anticoagulant Management Approach, Replacing a Resource-intensive In-person Doctor-patient Consultation, With a Simple Virtual Care Model That Will Provide a New Standard of Care for Patients on a Direct Oral Anticoagulant or Warfarin and Require Elective Surgery/Procedure.

TypeobservationalSponsorMcMaster UniversityRan2021 to 2026Enrolled1,780ConditionsAtrial Fibrillation (AF)
NCT06957366 narecruitingnot on this map

Perioperative Anticoagulant Use for Surgery Evaluation -2 (PAUSE-2) Study Patients Receiving a Direct Oral Anticoagulant (DOACs-Dabigatran, Rivaroxaban, Apixaban or Edoxaban) and Needing Elective High-Bleed-Risk Surgery or an Invasive Procedure: A Randomized Control Trial

TypeinterventionalSponsorMcMaster UniversityRan2025 to 2027Enrolled920ConditionsAtrial Fibrillation (AF), VTEArmsPAUSE Perioperative DOAC Management, ASRA Perioperative DOAC Management
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Implementation of the Management of Anticoagulation in the Periprocedural Period App into an Electronic Health Record: A Cost-Effectiveness Analysis.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

10 authors at 5 institutions in 1 country.

Alex C SpyropoulosInstitute of Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, NY, USA.ORCID https://orcid.org/0000-0002-3175-461X
Dimitrios GiannisInstitute of Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, NY, USA.
Jessica CohenThe Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Suja JohnNorthwell Health at North Shore University Hospital, Manhasset, NY, USA.
Anne MyrkaIPRO, Albany, NY, USA.
Damian InlallInstitute of Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, NY, USA.
Michael QiuInstitute of Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, NY, USA.
Saydi AkgulDecker College of Health Sciences, Binghamton University, Binghamton, NY, USA.
Roger J HymanSC Johnson College of Business, Cornell University, Ithaca, NY, USA.
Jason J WangInstitute of Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, NY, USA.
Feinstein Institute for Medical Research · USNorthwell Health · USBinghamton University · USCornell University · USIsland Peer Review Organization · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Appropriate perioperative management of patients on chronic oral anticoagulation (OAC)-including warfarin and the direct oral anticoagulants-is a poorly defined yet important clinical issue with potentially severe consequences in the postoperative period. We sought to prospectively evaluate the effect of the Management of Anticoagulation in the Periprocedural Period (MAPPP) mobile app as a clinical decision tool in the management of patients on chronic OAC undergoing elective procedures or surgeries. Between January 1, 2018, and January 31, 2019, 642 patients treated in our health system were included. Eligible patients met the following criteria: age >18 years old, creatinine clearance ≥15 mL/min, and on chronic OAC with adequate information regarding baseline characteristics. Our study outcome was patient's emergency department (ED) visits within 30 days postprocedure. The MAPPP app was integrated into the electronic health record (EHR), and the end user was free to accept or decline recommended evidence-based perioperative anticoagulation management guidance. Analysis revealed that acceptance was more common in younger patients (

Indexed as

AdultAgedAged, 80 and overAnticoagulantsCohort StudiesElectronic Health RecordsFemaleHumansMaleMiddle AgedMobile ApplicationsProspective StudiesYoung AdultAnticoagulantsadverse drug eventanticoagulationdirect oral anticoagulantselectronic health recordemergency visitshealth informatics technologyMAPPPperioperativewarfarin

Identifiers

PMID32633538
PMCPMC7495935
OpenAlexW3041480145

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.