{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:56:53Z","timestamp":1777859813910,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T00:00:00Z","timestamp":1691971200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Practice"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>\n                    Background\/Purpose: Venous thromboembolism (VTE) is a common cardiovascular complication in middle-aged adults. There is a likelihood a patient may experience VTE when admitted to a hospital. Prophylactic medications such as low-dose unfractionated heparin and enoxaparin are started to prevent VTE. A pharmacist-led health system-wide Grand Rounds promoted prophylactic enoxaparin 40\u00a0mg twice daily instead of once daily in patients with a body mass index (BMI) 40\u00a0kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    or greater. Methodology: This case-control study was conducted at a Essentia Health \u2013 Fargo, in the Upper Midwest. Data of acute care patients were extracted from electronic health records 2\u00a0years before and after the pharmacist-led education. Patients in the study were 18\u00a0years old or older, hospitalized with a need for prophylactic anticoagulation receiving enoxaparin, and had a BMI 40\u00a0kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    or greater. Patients with a diagnosis of COVID-19 and recent bleeding were excluded. Groups were compared to determine the effect of pharmacist-led education. The outcome was the number of patients who received enoxaparin 40\u00a0mg twice daily compared to once daily. Results: In the control group, 9 out of 15 hospitalizations received enoxaparin 40\u00a0mg subcutaneous twice daily and in the case group 34 out of 70 hospitalizations received the twice daily dosing. The odds ratio of receiving enoxaparin 40\u00a0mg twice daily after the pharmacist-led education compared to before the education was OR = .99, 95% CI = .96, 1.02. Conclusions: There was no difference in enoxaparin 40\u00a0mg once daily and twice daily dosing after the pharmacist-led education.\n                  <\/jats:p>","DOI":"10.1177\/08971900231193548","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T05:58:50Z","timestamp":1691992730000},"page":"885-888","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Pharmacist-Led Education on Proper Prophylactic Enoxaparin Dosing in Obese Patients"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4894-0002","authenticated-orcid":false,"given":"Brianna R.","family":"Kempema Nelson","sequence":"first","affiliation":[{"name":"Department of Inpatient Pharmacy, Essentia Health, Fargo, ND, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carly L.","family":"Wehner","sequence":"additional","affiliation":[{"name":"Department of Inpatient Pharmacy, Essentia Health, Fargo, ND, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irina V.","family":"Haller","sequence":"additional","affiliation":[{"name":"Department of Research, Essentia Institute of Rural Health, Duluth, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen M.","family":"Renier","sequence":"additional","affiliation":[{"name":"Department of Research, Essentia Institute of Rural Health, Duluth, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"issue":"9","key":"bibr1-08971900231193548","first-page":"190","volume":"63","author":"Streiff M","year":"2014","journal-title":"MMWR (Morb Mortal Wkly Rep)"},{"key":"bibr2-08971900231193548","doi-asserted-by":"publisher","DOI":"10.1182\/bloodadvances.2018022954"},{"key":"bibr3-08971900231193548","doi-asserted-by":"publisher","DOI":"10.1177\/1060028018768449"},{"key":"bibr4-08971900231193548","doi-asserted-by":"publisher","DOI":"10.1160\/TH13-01-0042"},{"key":"bibr5-08971900231193548","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2017.04.011"}],"container-title":["Journal of Pharmacy Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08971900231193548","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08971900231193548","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08971900231193548","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:38:15Z","timestamp":1777509495000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08971900231193548"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,14]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1177\/08971900231193548"],"URL":"https:\/\/doi.org\/10.1177\/08971900231193548","relation":{},"ISSN":["0897-1900","1531-1937"],"issn-type":[{"value":"0897-1900","type":"print"},{"value":"1531-1937","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,14]]}}}