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January 1, 1993Seminars in Thrombosis and Hemostasis

Standardization and Assay

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Why the study?

Do laboratory assays for heparin monitoring correlate with clinical outcomes in high-risk patients receiving low molecular weight versus unfractionated heparin prophylaxis?

Population

High-risk patients (likely surgical) receiving heparin prophylaxis

Comparison

Low molecular weight heparin prophylaxis vs Unfractionated heparin prophylaxis

Design

Cohort

Discussion

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Implication

Standard assays should not guide heparin prophylaxis dosing; hypothesis-generating for protein C, AT III, and PAI levels as DVT predictors.

Structured PICO

Do laboratory assays for heparin monitoring correlate with clinical outcomes in high-risk patients receiving low molecular weight versus unfractionated heparin prophylaxis?

P
Population
High-risk patients (likely surgical) receiving heparin prophylaxis
I
Intervention
Low molecular weight heparin prophylaxis
C
Comparator
Unfractionated heparin prophylaxis
O
Outcome
Correlation of laboratory assays for heparin monitoring with clinical outcome (deep vein thrombosis)surrogate

Standard laboratory assays for heparin monitoring do not reliably predict clinical outcomes or dosing needs in high-risk patients, though specific markers like protein C, AT III, and PAI levels correlate with DVT risk.

Cite This Study

A 1993 study studied this question.

synapsesocial.com/papers/6a8c533909d9b87366ab8eefhttps://doi.org/10.1055/s-2007-994008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1How Useful is the Monitoring of (Low Molecular Weight) Heparin Therapy by Anti-Xa Assay? A Laboratory Perspective2005 · 28 citations
  2. 2Low Molecular Weight Heparin Therapy: Is Monitoring Needed?1994 · 103 citations
  3. 3Markers of coagulation activation for evaluation of the antithrombotic efficacy of heparin1995 · 10 citations
  4. 4Optimization of Heparin Monitoring with Anti-FXa Assays and Impact of Dextran Sulfate for Measuring All In-Vivo Drug Activity2021 · 3 citations
  5. 5How and When to Monitor a Patient Treated with Low Molecular Weight Heparin2001 · 92 citations