Evidence map›Paper›PMID 38510949›Full record

ArticleAmerican heart journal plus : cardiology research and practice2023

Therapeutic inefficacy of protocol driven intravenous unfractionated heparin infusion in the current era.

Kayla Torppey, Marc Cohen, Manpreet Kaur, Natale Wasef, Aanchal Wats, Sumit Sohal, Gautam Visveswaran, Sandra Richardson

Open access · goldAbstract read
In one paragraph

Article in American heart journal plus : cardiology research and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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

8 authors at 3 institutions in 1 country.

Kayla TorppeyDepartment of Pharmacy, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, United States of America.
Marc CohenDivision of Cardiovascular Diseases, Department of Medicine, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, United States of America.
Manpreet KaurDepartment of Internal Medicine, Catholic Health System-Sisters of Charity Hospital, 2157 Main St, Buffalo, NY 14214, United States of America.
Natale WasefDepartment of Internal Medicine, Saint Francis Medical Center, 601 Hamilton Ave, Trenton, NJ 08629, United States of America.
Aanchal WatsDivision of Cardiovascular Diseases, Department of Medicine, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, United States of America.
Sumit SohalDivision of Cardiovascular Diseases, Department of Medicine, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, United States of America.
Gautam VisveswaranDivision of Cardiovascular Diseases, Department of Medicine, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, United States of America.
Sandra RichardsonDepartment of Pharmacy, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, United States of America.
Newark Beth Israel Medical Center · USSaint Francis Medical Center · USSisters of Charity Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unfractionated heparin (UFH) is commonly used for several life-threatening conditions requiring anticoagulant therapy but failure to reach therapeutic levels in 24 h can be associated with adverse outcomes. Use of low molecular weight heparin (LMWH) may provide an alternative while providing superior outcomes as compared to UFH. We studied 100 patients who underwent UFH therapy for >24 h and found that theoretically 80 % were eligible for LMWH therapy. Only 29 % and 40 % of the total aPTT draws were in the therapeutic window within the first 24 h and at 25-48 h respectively. This study reports that a vast majority of patients remain outside of therapeutic aPTT within first 24-48 h when anticoagulated with UFH. With high eligibility for LMWH therapy, its substitution can potentially lead to better patient outcomes, higher levels of therapeutic efficacy, and decrease in hospital resources.

Indexed as

AnticoagulationLow molecular weight heparinUnfractionated heparin

Identifiers

PMID38510949
PMCPMC10946016
OpenAlexW4386442236

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.