Evidence map›Paper›PMID 38689634›Full record

ArticleEmergency medicine international2024

Are We Overusing Coagulation Studies in the Emergency Department?

Bader Alyahya, Abdulaziz Alalshaikh, Ali Alkhulaif, Tareq Al-Salamah, Badr Aldawood, Alwaleed Alsubaie, Meshal Alohali, Saud Alshenaifi, Abdulaziz Alohali, Majed B Alzin and 3 more

Open access · goldAbstract read
In one paragraph

Article in Emergency medicine international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

13 authors at 2 institutions in 1 country.

Bader AlyahyaDepartment of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-4869-4852
Abdulaziz AlalshaikhDepartment of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Ali AlkhulaifKing Abdullah University Hospital, Riyadh, Saudi Arabia.
Tareq Al-SalamahDepartment of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Badr AldawoodDepartment of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Alwaleed AlsubaieDepartment of Emergency Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Meshal AlohaliMedical Services Saudi Royal Guard, Riyadh, Saudi Arabia.
Saud AlshenaifiCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Abdulaziz AlohaliCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Majed B AlzinCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Abdullah AlmanaCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mohammed HabibCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Rana HasanatoLaboratory Medicine Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
King Saud University · SARiyadh Armed Forces Hospital · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Methods: This retrospective observational study, conducted in the ED of King Saud University Medical City (KSUMC) in Riyadh, Saudi Arabia, during July and August of 2021(2 months) examined coagulation profile requests. Patients' demographic data (age and gender), medical and clinical history (presenting complaint, comorbidities, and diagnosis), the use of antiplatelets or anticoagulant agents and laboratory values for PT, APTT, and INR were collected. We calculated the total cost of unnecessary coagulation profile testing based on the independent assessment of two ED consultants. Results: Of 1,754 patients included in the study, 811 (46.2%) were males and 943 (53.8%) were females, with a mean age of 42.1 ± 18.5 years. There were 29 (1.7%) patients with liver disease and 21 (1.2%) patients had thromboembolic disease. The majority of the patients' results were within normal levels of PT ( Conclusion: This study showed that coagulation tests are overused in the ED. More than half of coagulation profile tests in our study population were deemed unnecessary and associated with significant cost. Targeted testing based on specific patient presentation and medical history can guide physicians in wisely choosing who needs coagulation studies.

Identifiers

PMID38689634
PMCPMC11060872
OpenAlexW4395025772

What OpenQuestion holds

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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.