Evidence map›Paper›PMID 37373582›Full record

ArticleJournal of clinical medicine2023

Impact of Clinical Pharmacist Running Anticoagulation Clinic in Saudi Arabia.

Abdulrahman Alshaiban, Sirajudeen S Alavudeen, Ibrahim Alshahrani, Abdulaziz M Kardam, Ibrahim Mohammed Alhasan, Saleh Abdulrahman Alasiri, Mohammad Tarique Imam, Ziyad Saeed Almalki, Md Sayeed Akhtar

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  7. Review
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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

9 authors at 3 institutions in 1 country.

Abdulrahman AlshaibanKing Faisal Medical City, Ministry of Health, Abha 62521, Saudi Arabia.
Sirajudeen S AlavudeenDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Al-Fara, Abha 62223, Saudi Arabia.
Ibrahim AlshahraniKing Faisal Medical City, Ministry of Health, Abha 62521, Saudi Arabia.
Abdulaziz M KardamKing Faisal Medical City, Ministry of Health, Abha 62521, Saudi Arabia.ORCID 0000-0002-1566-1704
Ibrahim Mohammed AlhasanKing Faisal Medical City, Ministry of Health, Abha 62521, Saudi Arabia.
Saleh Abdulrahman AlasiriKing Faisal Medical City, Ministry of Health, Abha 62521, Saudi Arabia.
Mohammad Tarique ImamDepartment of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-Kharj 16273, Saudi Arabia.ORCID 0000-0002-5991-6924
Ziyad Saeed AlmalkiDepartment of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-Kharj 16273, Saudi Arabia.ORCID 0000-0003-1618-4142
Md Sayeed AkhtarDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Al-Fara, Abha 62223, Saudi Arabia.ORCID 0000-0002-1064-0365
Ministry of Health · SAKing Khalid University · SAPrince Sattam Bin Abdulaziz University · SA

Funding

King Khalid University RGP.2/207/44
6 · The paper itself

Abstract

Despite the effectiveness of warfarin in extended anticoagulation, its narrow therapeutic index requires frequent dose adjustments and careful patient monitoring. Thus, we aimed to evaluate the outcomes of clinical pharmacists' intervention in warfarin therapy management in terms of International Normalized Ratio (INR) control, reduction of bleeding, and hospitalization in a tertiary care hospital. An observational retrospective cohort study was conducted on 96 patients taking warfarin therapy in a clinical pharmacist-led anticoagulation clinic. We observed that 39.6% of patients required dose adjustments at their first and second visits. However, dose adjustments during the third, fourth, and fifth weeks were required at 31.1%, 20.8%, and 4.2%, respectively, to achieve INR levels. We also observed that 36.46% of the patients attained the target INR at baseline, which was increased over the first week to the fifth week to 57.29%, 61.46%, 61.46%, 68.75%, and 85.42%, respectively. No one reported the ADR between the third and fifth weeks. Based on our findings, the study strongly suggests that pharmacists' interventions can improve the health-related quality of life of patients undergoing warfarin therapy. Thus, competent pharmacy personnel must be a priority in both usual patient care and critical care among primary care networks.

Indexed as

adverse drug reactionsanticoagulationclinical pharmacistquality of lifewarfarin

Identifiers

PMID37373582
PMCPMC10299558
OpenAlexW4379647698

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.