{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:32:04Z","timestamp":1787063524753,"version":"build-2736575974"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"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":["Clin Appl Thromb Hemost"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>Time in therapeutic range (TTR) with intravenous unfractionated heparin (UFH) and its association with outcomes is poorly explored. UFH can be monitored with anti-Xa or aPTT, however, evidence indicates anti-Xa monitoring of UFH improves time to therapeutic anticoagulation. The objective of this study was to determine if TTR correlates with thrombotic and safety outcomes for patients receiving UFH, and if differences exist between these methods of monitoring. This retrospective, single center, cohort study stratified patient admissions based on the laboratory monitoring technique used (aPTT vs anti-Xa). The primary outcome was the presence of a new thrombotic event (TE) during the index visit. The secondary outcome was major bleeding during the index visit. Clinical outcomes were each assessed for their association with TTR. TTR was defined as the percentage of time in therapeutic range for each patient, as determined via the linear interpolation method. Of 4773 patient admissions (aPTT, n\u2009=\u20092,939, anti-Xa, n\u2009=\u20091834), TE occurred in 6.5% and 4.6% of visits in the aPTT and the anti-Xa cohort, respectively (p\u2009=\u2009.006). Bleeding events occurred in 33.3% and 31.6% of visits in the aPTT and the anti-Xa cohort, respectively (p\u2009=\u2009.204). TTR was 41.6% [IQR 23.3-57.7%] in the aPTT cohort compared to 56.1% [IQR 33.5-75.2%] in the anti-Xa cohort (p\u2009&lt;\u2009.001). The monitoring of IV UFH with anti-Xa was associated with significantly fewer TEs and greater overall TTR when compared to those monitored with aPTT.<\/jats:p>","DOI":"10.1177\/10760296251371003","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T04:58:32Z","timestamp":1755493112000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes Associated with Time in Therapeutic Range for Patients Receiving Intravenous Unfractionated Heparin"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0839-6515","authenticated-orcid":false,"given":"Mujtaba","family":"Mahmud","sequence":"first","affiliation":[{"name":"Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville, TN, USA"},{"name":"Lipscomb University, College of Pharmacy, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maia","family":"Klimatcheva","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, University Health, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Tsang","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"La","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Miklus","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Becker","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Herrmann","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Cremeans","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neal J","family":"Benedict","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"},{"name":"Department of Pharmacy, UPMC Presbyterian-Shadyside Hospital, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo J","family":"Iasella","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"},{"name":"Department of Pharmacy, UPMC Presbyterian-Shadyside Hospital, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy E","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, UPMC Presbyterian-Shadyside Hospital, Pittsburgh, PA, USA"},{"name":"Division of Classical Hematology, UPMC Presbyterian-Shadyside Hospital, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7193-3751","authenticated-orcid":false,"given":"James C","family":"Coons","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"},{"name":"Department of Pharmacy, UPMC Presbyterian-Shadyside Hospital, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,17]]},"reference":[{"issue":"9","key":"e_1_3_3_2_2","first-page":"782","article-title":"College of American pathologists conference XXXI on laboratory monitoring of anticoagulant therapy: Laboratory monitoring of unfractionated heparin therapy","volume":"122","author":"Olson JD","year":"1998","unstructured":"Olson JD, Arkin CF, Brandt JT, et al. 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