Table 2.
Parameter | 2006 Standard Protocol (n = 50) | 2006 Lower-Target Protocol (n = 50) | 1996 Study1 (n = 50) |
---|---|---|---|
Primary outcomes | |||
Time to achieve PTT > lower limit of therapeutic range (h) | |||
Median (range) | 6.0 (4.0–40.8)* | 6.3 (4.5–53.0)* | |
Mean ± SD | 8.3 ± 6.8 | 9.7 ± 9.2 | 10.7 ± 11.1 |
Time to achieve PTT within therapeutic range (h) | |||
Median (range) | 14.4 (4.0–40.8)† | 14.3 (4.5–53.0)† | |
Mean ± SD | 17.2 ± 12.5 | 16.1 ± 10.5 | 22.3 ± 14.0 |
Other outcomes | |||
Time to first PTT measurement (h) | |||
Median (range) | 6.0 (3.0–14.3)‡ | 6.0 (1.8–8)‡ | |
Mean ± SD | 6.2 ± 1.6 | 6.0 ± 1.5 | 6.3 ± 1.1 |
Value of first PTT (s) | |||
Median (range) | 128 (53–200) 88 (43–200) |
||
Mean ± SD | 137 ± 56 106 ± 49 |
NA | |
First PTT therapeutic (no. and % of patients) | 18 (36) | 18 (36) | NA |
First PTT subtherapeutic (no. and % of patients) | 7 (14) | 10 (20) | NA |
First PTT supratherapeutic (no. and % of patients) | 25 (50) | 22 (44) | 31 (62) |
Value of first supratherapeutic PTT (s) | |||
Median (range)§ | 200 (132–200) | 150 (101–200) | |
Mean ± SD | 188 ± 23 | 152 ± 37 | 118.9 ± 28.9 |
PTT within 24 h (no. and % of patients) | |||
Patients with PTT > lower limit of therapeutic range | 48 (96) | 47 (94) | NA (80.9) |
Patients with PTT within therapeutic range | 40 (80) | 40 (80) | NA |
Patients with rate adjustments to therapeutic rang if initial PTT > 200 s | |||
1 adjustment | 3/16 | 3/6 | NA |
2 adjustments | 7/16 | 3/6 | NA |
> 2 adjustments | 6/16 | 0 | NA |
NA = not applicable or not available, PTT = partial thromboplastin time, SD = standard deviation.
p = 0.24, for comparison between standard and lower-target protocols.
p = 0.93, for comparison between standard and lower-target protocols.
p = 0.94, for comparison between standard and lower-target protocols.
Limit of detection for PTT was 200 s; therefore, upper limit of ranges is given as 200 s, even though PTT was above 200 s for some patients.