PMID- 31530176 OWN - NLM STAT- MEDLINE DCOM- 20200310 LR - 20200310 IS - 1938-2723 (Electronic) IS - 1076-0296 (Print) IS - 1076-0296 (Linking) VI - 25 DP - 2019 Jan-Dec TI - Evaluation of Antifactor-Xa Heparin Assay and Activated Partial Thromboplastin Time Values in Patients on Therapeutic Continuous Infusion Unfractionated Heparin Therapy. PG - 1076029619876030 LID - 10.1177/1076029619876030 [doi] LID - 1076029619876030 AB - Clinical uncertainty exists regarding which assay should be designated as the standard monitoring coagulation test for intravenous unfractionated heparin (UFH). Several studies have compared the use of activated partial thromboplastin time (aPTT) and antifactor-Xa (anti-Xa) and have come out with varying results. The correlation between these 2 tests varied, markedly from strong to weak. Some have demonstrated that monitoring with anti-Xa heparin assay leads to fewer dose adjustments, resulting in fewer laboratory tests, while others have not. In the current study, we evaluated the correlation between aPTT and anti-Xa values to guide clinical management of UFH, with the intention to develop a new correlation nomogram. FAU - McLaughlin, Kevin AU - McLaughlin K AUID- ORCID: 0000-0002-3259-3547 AD - Department of Pharmacy, Brigham and Women's Hospital, Boston, MA, USA. FAU - Rimsans, Jessica AU - Rimsans J AD - Department of Pharmacy, Brigham and Women's Hospital, Boston, MA, USA. FAU - Sylvester, Katelyn W AU - Sylvester KW AD - Department of Pharmacy, Brigham and Women's Hospital, Boston, MA, USA. FAU - Fanikos, John AU - Fanikos J AD - Department of Pharmacy, Brigham and Women's Hospital, Boston, MA, USA. FAU - Dorfman, David M AU - Dorfman DM AD - Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA. FAU - Senna, Patricia AU - Senna P AD - Department of Clinical Laboratories, Brigham and Women's Hospital, Boston, MA, USA. FAU - Connors, Jean M AU - Connors JM AD - Hematology Division, Brigham and Women's Hospital, Boston, MA, USA. FAU - Goldhaber, Samuel Z AU - Goldhaber SZ AD - Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. LA - eng PT - Journal Article PL - United States TA - Clin Appl Thromb Hemost JT - Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis JID - 9508125 RN - 0 (Factor Xa Inhibitors) RN - 9005-49-6 (Heparin) SB - IM MH - Blood Coagulation Tests/*methods/standards MH - Factor Xa Inhibitors/analysis MH - Female MH - Heparin/administration & dosage/*therapeutic use MH - Humans MH - Infusion Pumps MH - Male MH - Middle Aged MH - Partial Thromboplastin Time PMC - PMC6829967 OTO - NOTNLM OT - anticoagulants OT - bleeding OT - heparins COIS- Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2019/09/19 06:00 MHDA- 2020/03/11 06:00 PMCR- 2019/09/18 CRDT- 2019/09/19 06:00 PHST- 2019/09/19 06:00 [entrez] PHST- 2019/09/19 06:00 [pubmed] PHST- 2020/03/11 06:00 [medline] PHST- 2019/09/18 00:00 [pmc-release] AID - 10.1177_1076029619876030 [pii] AID - 10.1177/1076029619876030 [doi] PST - ppublish SO - Clin Appl Thromb Hemost. 2019 Jan-Dec;25:1076029619876030. doi: 10.1177/1076029619876030.