Evidence map›Paper›PMID 34806430›Full record

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

Appropriateness of Using Vitamin K for the Correction of INR Elevation Secondary to Hepatic Disease in Critically ill Patients: An Observational Study.

Khalid Al Sulaiman, Mashael Al Mutairi, Omar Al Harbi, Alanoud Al Duraihim, Sara Aldosary, Haifa Al Khalil, Abdulrahman Al Shaya, Shmeylan Al Harbi, Nouf Alotaibi, Kholoud Al Aamer and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study 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. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-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.

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, 10 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Vitamin K Deficiency: Diagnosis and Management.Annals of laboratory medicine · 2025
    Review
  7. Article
  8. 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

15 authors at 5 institutions in 2 countries.

Khalid Al Sulaiman48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-5547-2043
Mashael Al Mutairi48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Omar Al Harbi48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Alanoud Al Duraihim48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Sara Aldosary48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Haifa Al Khalil48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Abdulrahman Al Shaya48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Shmeylan Al Harbi48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Nouf AlotaibiCollege of Pharmacy, 48058Umm Al-Qura University, Mecca, Saudi Arabia.ORCID https://orcid.org/0000-0001-7029-3089
Kholoud Al Aamer48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Ramesh Vishwakarma309817King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Mohammed Al Asiri244127Prince Sultan Airbase Hospital, Al Kharj, Saudi Arabia.
Ohoud Aljuhani108781King Abdulaziz University, Jeddah, Saudi Arabia.
Abdulmalik Al Katheri48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Abdulkareem M Al Bekairy48168King Abdulaziz Medical City, Riyadh, Saudi Arabia.
King Abdulaziz Medical City · SAKing Saud bin Abdulaziz University for Health Sciences · SAKing Abdulaziz University · SAKing Abdullah International Medical Research Center · SAUmm al-Qura University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUsing vitamin K for correction of coagulopathy in critically ill patients is controversial with limited evidence. This study aims to evaluate the efficacy and safety of vitamin K in the correction of international normalized ratio (INR) elevation secondary to liver disease in critically ill patients.

methodA retrospective study of critically ill patients with coagulopathy secondary to liver disease. The primary outcome was to evaluate the association between vitamin K administration and the incidence of new bleeding events in critically ill patients with INR elevation; other outcomes were considered secondary. Patients were categorized into two groups based on vitamin K administration to correct INR elevation. The propensity score was generated based on disease severity scores and the use of pharmacological DVT prophylaxis.

resultsA total of 98 patients were included in the study. Forty-seven patients (48%) received vitamin K during the study period. The odds of the new bleeding event was not statistically different between groups (OR 2.4, 95% CI 0.28-21.67,

conclusionThe administration of vitamin K for INR correction in critically ill patients with coagulopathy secondary to liver disease was not associated with a lower odds of new bleeding events. Further studies are needed to assess the value of vitamin K administration in critically ill patients with liver diseases related coagulopathy.

Indexed as

Blood Coagulation DisordersCritical IllnessFemaleHumansInternational Normalized RatioLiver DiseasesMaleMiddle AgedRetrospective StudiesVitamin KVitamin Kchronic liver diseasecritically illInternational normalized ratiophytonadionevitamin K

Identifiers

PMID34806430
PMCPMC8646191
OpenAlexW3167690171

What OpenQuestion holds

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LicenceCC BY-NC
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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.