Evidence map›Paper›PMID 37312137›Full record

ArticleBMC research notes2023

Incidence and risk factors of warfarin therapy complications in community hospitals, central and eastern regions, Thailand: a retrospective, multicenter, cohort study.

Benyapha Sombat, Sarisa Tongkaew, Aticha Nilwaranon, Mathirut Mungthin, Kanlaya Jongcherdchootrakul, Teeraboon Lertwanichwattana

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC research notes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 14% 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, 8 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 1 country.

Benyapha SombatPhramongkutklao College of Medicine, Bangkok, Thailand.
Sarisa TongkaewPhramongkutklao College of Medicine, Bangkok, Thailand.
Aticha NilwaranonPhramongkutklao College of Medicine, Bangkok, Thailand.
Mathirut MungthinDepartment of Parasitology, Phramongkutklao college of medicine, Bangkok, Thailand.
Kanlaya JongcherdchootrakulDepartment of Military and Community Medicine, Phramongkutklao college of medicine, Bangkok, Thailand.
Teeraboon LertwanichwattanaDepartment of Military and Community Medicine, Phramongkutklao college of medicine, Bangkok, Thailand. teeraboon.l@pcm.ac.th.
Phramongkutklao College of MedicinePhramongkutklao Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWarfarin, like many other anticoagulants, has been linked to an elevated risk of bleeding proportional to the amount of anticoagulation used. Not only was the incidence of bleeding raised by the dosage, but the subtherapeutic international normalized ratio (INR) was also associated with increased thrombotic events. This retrospective cohort and multi-center study evaluated the incidence and risk factors of warfarin therapy complications in community hospitals in Thailand's central and eastern regions from 2016 to 2021.

resultsAmong 335 patients (683.90 person-year of follow-up), The incidence rate of warfarin complications was 4.91 events per 100 person-year. The independent factor associated with warfarin therapy complications was propranolol prescription (Adjusted RR: 2.29, 95%CI: 1.12-4.71). The secondary analysis was divided according to the outcome of the major bleeding and thromboembolic event. Major bleeding events, hypertension (Adjusted RR: 0.40, 95%CI: 0.17-0.95), amiodarone prescription (Adjusted RR: 5.11, 95%CI: 1.08-24.15), and propranolol prescription (Adjusted RR: 2.86, 95%CI: 1.19-6.83) were the independent risk factors. While in the major thrombotic event, non-steroidal anti-inflammatory drugs (NSAIDs) prescription was an independent factor (Adjusted RR: 10.65, 95%CI: 1.26-90.35).

Indexed as

Hospitals, CommunityWarfarinAnticoagulantsCohort StudiesHumansIncidencePropranololRetrospective StudiesRisk FactorsThailandAnticoagulantsPropranololWarfarinINRMajor bleedingThromboembolismWarfarin

Identifiers

PMID37312137
PMCPMC10265845
OpenAlexW4380482040

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.