Evidence map›Paper›PMID 33014194›Full record

ArticleJournal of cardiology cases2020

Management of anticoagulant therapy using a portable point-of-care international normalized ratio device and social networking service in a patient with a left ventricular assist device.

Machiko Asaka, Daisuke Nagatomo, Norihiko Kotooka, Tetsuya Kaneko, Ayumu Yajima, Toshifumi Morooka, Koichi Node

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of cardiology cases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 93% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 institutions in 1 country.

Machiko AsakaDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Daisuke NagatomoDepartment of Cardiovascular Medicine, Saiseikai Fukuoka General Hospital, Fukuoka, Japan.
Norihiko KotookaDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Tetsuya KanekoDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Ayumu YajimaDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Toshifumi MorookaDepartment of Cardiovascular Medicine, Yamamoto Memorial Hospital, Saga, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Saga University · JPSaiseikai Fukuoka General Hospital · JPYamamoto Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Device infection and stroke are still frequently reported as complications of left ventricular assist devices, and strict management of anticoagulation therapy is sometimes difficult at the time of infection status. We report the case of a 55-year-old man with a HeartMate II (Abbott, Inc., Abbott Park, IL, USA) as a bridge to cardiac transplantation. The patient measured his prothrombin time-international normalized ratio (PT-INR) by himself using a point-of-care device at home and reported the result promptly on a social networking service (SNS). Physicians instructed the patient on how to adjust his dose of warfarin based on the result and suggested the next time of measurement on the SNS. Until cardiac transplantation, we adjusted the dose of warfarin 106 times using the SNS because of unexpected PT-INR fluctuations caused by antibiotics. The time in the therapeutic range was maintained at 83.2% without complications, including major bleeding, stroke, or pump replacement; however, there was transient intra-pump thrombosis triggered by severe dehydration due to hyperthyroidism. <

Indexed as

Anticoagulant therapyContinuous-flow ventricular assist deviceSocial networking serviceTime in therapeutic range

Identifiers

PMID33014194
PMCPMC7520535
OpenAlexW3040306136

What OpenQuestion holds

Textmetadata
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.