Evidence map›Paper›PMID 34444740›Full record

Observational studyNutrients2021

Intravenous Vitamin K1 for the Correction of Prolonged Prothrombin Times in Non-Bleeding Critically Ill Patients: A Prospective Observational Study.

Sofia Dahlberg, Ulf Schött, Emilia Ängeby Eriksson, Yllnor Tahirsylaj, Leon Schurgers, Thomas Kander

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Sofia DahlbergThoracic Sugery, Department of Clinical Sciences, Lund University, Skane University Hospital, 22184 Lund, Sweden.
Ulf SchöttAnaesthesia & Intensive Care, Department of Clinical Sciences, Lund University, Skane University Hospital, 22184 Lund, Sweden.
Emilia Ängeby ErikssonDepartment of Clinical Sciences, Lund University, 22184 Lund, Sweden.
Yllnor TahirsylajDepartment of Clinical Sciences, Lund University, 22184 Lund, Sweden.
Leon SchurgersDepartment of Biochemistry, Cardiovascular Research Institute, 6200 MD Maastricht, The Netherlands.ORCID 0000-0001-7867-6957
Thomas KanderAnaesthesia & Intensive Care, Department of Clinical Sciences, Lund University, Skane University Hospital, 22184 Lund, Sweden.ORCID 0000-0002-5404-2981
Lund University · SEMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate the effects of vitamin K1 on various vitamin K-dependent proteins in critically ill patients with prolonged Owren PT. We included critically ill non-bleeding adult patients without liver failure or anticoagulation treatment, with Owren PT > 1.2, who were prescribed intravenous vitamin K1. Blood was drawn at baseline and at 20-28 h after vitamin K1 administration. At both time points, we measured various vitamin K-dependent proteins and coagulation assays. ClinicalTrials.gov; Identifier: NTC3782025. In total, 52 patients were included. Intravenous vitamin K1 reduced Owren PT, Quick PT, protein induced by vitamin K absence/antagonist-II and desphospho-uncarboxylated matrix Gla protein (dp-ucMGP), but not to normal levels. Concomitantly, there were increases in thrombin generation and the activity of coagulation factors II, VII, IX and X that was only counteracted with a small increase in Protein C activity. In conclusion, the results suggest that vitamin K1 strengthens coagulation as measured by PT decrease and increases in the activity of vitamin K-dependent clotting factors and thrombin generation. The decreased dp-ucMGP, and its potential positive short- and long-term non-coagulative effects, merits further research.

Indexed as

Critical IllnessProthrombin TimeAgedBiomarkersBlood CoagulationBlood Coagulation FactorsCalcium-Binding ProteinsExtracellular Matrix ProteinsFemaleHumansInjections, IntravenousMaleMatrix Gla ProteinMiddle AgedProspective StudiesProtein CacarboxyprothrombinBiomarkersBlood Coagulation FactorsCalcium-Binding ProteinsExtracellular Matrix ProteinsMatrix Gla ProteinProtein CProtein PrecursorsProthrombinThrombinVitamin K 1dp-ucMGPGla proteinintensive carePIVKA-IIprothrombinvitamin K

Identifiers

PMID34444740
PMCPMC8401696
OpenAlexW3184269473

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Registered trials

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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.