Evidence map›Paper›PMID 40415097›Full record

ArticleScientific reports2025

Study of target INR achievement, incidence of hemorrhagic complications and affecting factors after during warfarin treatment in western area of China.

Rui Shi, Wei Wei, Yanbiao Yang, Shouyuan Yang, Liping Yan, Zongjie Zhu

Abstract read
In one paragraph

Article in Scientific reports, 2025. 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
–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.

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. 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

6 authors.

Rui ShiThe First People's Hospital of Lanzhou, Lanzhou, China.
Wei WeiThe First People's Hospital of Lanzhou, Lanzhou, China.
Yanbiao YangThe First People's Hospital of Lanzhou, Lanzhou, China.
Shouyuan YangThe First People's Hospital of Lanzhou, Lanzhou, China.
Liping YanThe First People's Hospital of Lanzhou, Lanzhou, China.
Zongjie ZhuThe First People's Hospital of Lanzhou, Lanzhou, China. 119256026@qq.com.

Funding

Lanzhou City Medical and Health Care Industry Research Project, China A2023014Natural Science Foundation of Gansu Province 23JRRA1789
6 · The paper itself

Abstract

This study aimed to assess the clinical management of warfarin therapy in Western China by investigating: the rate of international normalized ratio (INR) target achievement and its influencing factors, and the incidence and risk factors for hemorrhagic complications. The primary goal was to identify high-risk patient populations requiring intensified monitoring in this resource-limited region with distinct demographic challenges including multi-ethnic populations and limited healthcare access. We conducted a retrospective cohort analysis of 154 consecutive inpatients prescribed warfarin at a tertiary care center in Western China. Data were systematically collected from: baseline demographics, detailed medication histories, INR monitoring results, and documentation of bleeding events. Statistical analysis employed Pearson chi-square tests to evaluate associations between clinical variables and primary outcomes: achievement of target INR ranges (2.0-3.0 for most indications; 1.8-2.5 for mechanical valves) and development of hemorrhagic complications. Secondary analysis examined factors influencing bleeding severity. The study revealed several critical findings regarding INR control: the overall therapeutic achievement rate was 32.3% for the 2.0-3.0 range (n = 130) and 50.0% for the 1.8-2.5 range (n = 24). Notably, we observed universal therapeutic failure (0% achievement) in three high-risk subgroups: octogenarians (≥ 81 years), underweight patients (BMI < 18.5 kg/m

Indexed as

AnticoagulantsHemorrhageInternational Normalized RatioWarfarinAdultAgedAged, 80 and overChinaFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsAnticoagulantsWarfarinBleedingComplicationsInfluencing factorsINRWarfarin

Identifiers

PMID40415097
PMCPMC12104477

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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.