Evidence map›Paper›PMID 39524040›Full record

ArticleJournal of the American College of Emergency Physicians open2024

Management of factor Xa inhibitor-related traumatic non-intracranial bleeding events with andexanet alfa or four-factor prothrombin complex concentrate in a US multicenter observational study.

Paul P Dobesh, Craig I Coleman, Mark Danese, Eva Lesén, Raymond C Chang, Onivefu Odelade, Gregory J Fermann

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05548777 (Andexanet Alfa and 4F-PCC Use in Patients Hospitalised With an Anticoagulant-related Major Bleed), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05548777 completednot on this map

Andexanet Alfa and 4F-PCC Use in Patients Hospitalised With an Anticoagulant-related Major Bleed

TypeobservationalSponsorAstraZenecaRan2022 to 2022Enrolled5,480ConditionsAnticoagulant-related Major BleedArmsAndexanet alfa, 4F-PCC
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Paul P DobeshCollege of Pharmacy University of Nebraska Medical Center Omaha Nebraska USA.ORCID https://orcid.org/0000-0002-2668-7168
Craig I ColemanUniversity of Connecticut School of Pharmacy Storrs Connecticut USA.
Mark DaneseOutcomes Insights Agoura Hills California USA.
Eva LesénAstraZeneca Gothenburg Sweden.
Raymond C ChangAstraZeneca Wilmington Delaware USA.
Onivefu OdeladeAstraZeneca Cambridge UK.
Gregory J FermannDepartment of Emergency Medicine University of Cincinnati Cincinnati Ohio USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study describes clinical characteristics and management strategies for patients with factor Xa (FXa) inhibitor-related traumatic non-intracranial bleeds who were treated with andexanet alfa or four-factor prothrombin complex concentrate (4F-PCC). Methods: An observational cohort study (ClinicalTrials.gov Identifier: NCT05548777) was conducted using electronic health records from 354 US hospitals. Included patients were hospitalized with rivaroxaban- or apixaban-related bleeding, had received andexanet alfa or 4F-PCC treatment during their hospitalization, and were discharged between May 2018 and September 2022. This analysis was performed in the subgroup of patients with traumatic non-intracranial critical compartment/non-compressible bleeds or other traumatic bleeds. Results: The study population included 250 patients (andexanet alfa, Conclusion: This analysis provides insights into the clinical characteristics and management strategies, including time to treatment, for patients treated with andexanet alfa or 4F-PCC while hospitalized for FXa inhibitor-related traumatic bleeds.

Indexed as

andexanet alfablood coagulation factorfactor Xa inhibitorshemorrhageinjury

Identifiers

PMID39524040
PMCPMC11543631

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Registered trials

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.