Evidence map›Paper›PMID 42578052›Full record

ArticleThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG2026

Evaluation of Enoxaparin Dosing in Infants Greater Than 2 to 6 Months of Age, a Pre and Post Quasi Experiment.

Colleen Jamie Djordjevich, Colleen Cloyd, Emma Wysocki, Vedat O Yildiz, Vilmarie Rodriguez

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Article in The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Colleen Jamie DjordjevichDepartment of Pharmacy (CJD, CC), Nationwide Children's Hospital, Columbus, OH.
Colleen CloydDepartment of Pharmacy (CJD, CC), Nationwide Children's Hospital, Columbus, OH.
Emma WysockiDepartment of Pharmacy (EW), Geisinger Medical Center, Danville, PA.
Vedat O YildizCenter for Biostatistics, Department of Biomedical Informatics (VOY), College of Medicine, The Ohio State University.
Vilmarie RodriguezDivision of Hematology/Oncology/Blood and Marrow Transplantation (VR), Nationwide Children's Hospital, Columbus, OH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEnoxaparin is regularly used to treat thromboembolism in children. Numerous retrospective studies suggest that infants and young children require higher enoxaparin doses to achieve therapeutic anti-factor Xa (AXA) concentration of 0.5 to 1.0 units/mL compared with adults.

methodsThis is a retrospective analysis of pre- and post-implementation of an increased initial dose of enoxaparin (1.2 mg/kg every 12 hours) for infants between 2 and 6 months of age. The objective is to compare the number of dose adjustments needed to achieve therapeutic AXA.

resultsA total of 64 patients were included 30 pre- and 34 post-guideline groups. In both the pre- and post-guideline dosing groups the number of dose adjustments required to achieve therapeutic AXA when adjusted per the ACCP guidelines was a median of 1 (p = 0.35). However, the first initial AXA was 0.3 units/mL in the pre-guideline group and 0.48 units/mL in the post-guideline group (p = 0.07). There were no documented instances of major bleeding events in either group.

conclusionThe results support the recommendation of an increased enoxaparin starting dose for therapeutic anticoagulation in the described patient population at the study site. A large prospective study is needed to determine specific dose recommendations that will achieve therapeutic AXA concentrations for the majority of infants and children of all ages.

Indexed as

enoxaparininfantlow molecular weight heparinpediatricthromboembolism

Identifiers

PMID42578052
PMCPMC13456158

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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.