Evidence map›Paper›PMID 34120532›Full record

ArticleTherapeutic advances in cardiovascular disease

Impact of body mass index on 90-day warfarin requirements: a retrospective chart review.

Bolanle M Soyombo, Ashley Taylor, Christopher Gillard, Candice Wilson, Janel Bailey Wheeler

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in cardiovascular disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Warfarin Time in Therapeutic INR Range and Direct Oral Anticoagulant Adherence for Venous Thromboembolism Across the Spectrum of Weight and Body Mass Index: Findings from Veterans Health Administration.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 1 institution in 1 country.

Bolanle M SoyomboXavier University of Louisiana, 1 Drexel Drive, New Orleans, LA 70125-1056, USA.ORCID https://orcid.org/0000-0002-0116-9356
Ashley TaylorFaculty, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA, USA.
Christopher GillardFaculty, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA, USA.
Candice WilsonFaculty, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA, USA.
Janel Bailey WheelerFaculty, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA, USA.
Xavier University of Louisiana · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRates of obesity continue to rise worldwide as evidenced in the 2017

methodsThis retrospective chart review evaluated patients who reported to a community anticoagulation clinic for warfarin management between 1 June 2017 and 30 September 2017. Along with baseline demographics, chronic use of drugs that have clinically significant interactions with warfarin, social activity such as tobacco use and alcohol consumption, were collected. Body mass indexes (BMI) were collected and categorized according to the World Health Organization definitions as follows: Normal (BMI 18-24.9 kg/m

resultsA total of 433 patient encounters were included in this study. There was a total of 43 encounters in the Normal BMI category, 111 Overweight encounters, 135 Obesity Class I encounters, 45 Obesity Class II encounters, and 99 Obesity Class III encounters. Approximately 63% of the study population were male, and over 90% the patients were African American. The Obesity Class I and Obesity Class II class required an average of 11.47 mg and 17.10 mg more warfarin, respectively, to maintain a therapeutic INR when compared with the Normal BMI category. These findings were statistically significant with

conclusionAs BMI increases, there is an increased chronic warfarin requirement to maintain "intermediate control" or "good control" of INR between 2 and 3 in an ambulatory care setting.

Indexed as

Body Mass IndexAdultAgedAged, 80 and overAnticoagulantsBlood CoagulationDrug Dosage CalculationsDrug InteractionsDrug MonitoringFemaleHumansInternational Normalized RatioMaleMedical RecordsMiddle AgedObesityAnticoagulantsWarfarincoumadinINRNSAIDsobesitysmokingtherapeuticvitamin Kwarfarin

Identifiers

PMID34120532
PMCPMC8207262
OpenAlexW3165890522

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.