# MAPPP

> Medical guide for managing anticoagulation during procedures. (iPhone/iPad app by Island Peer Review Organization, Inc.)

- Source: https://appshunter.io/ios/app/mappp/id986004720 (this page in markdown: same URL + `.md`)
- Developer: [Island Peer Review Organization, Inc](https://appshunter.io/developer/986004719)
- Category: Medical
- Price: Free
- Rating: 4.20/5 from 5 App Store ratings · 2 written reviews indexed
- Age rating: 17+
- Requires: iOS 13.0 · 54 MB
- Languages: American English
- Released: 2016-03-18
- Data updated: 2026-06-04
- Monetization: free
- User reviews in markdown: https://appshunter.io/ios/app/mappp/id986004720/reviews.md

## What is MAPPP?

Despite the considerable efficacy of antithrombotics and the increased number of oral anticoagulants now available, preventable bleeding and thrombotic events are still unacceptably common. While recently marketed agents require less laboratory monitoring, problems with the clinical management of anticoagulated patients persist, particularly in the peri-procedural period.

Surgery and invasive medical interventions increase the risk of bleeding, while withholding anticoagulants increases the risk of thrombosis due to the underlying condition(s) for which anticoagulation was originally prescribed. The clinical team must therefore balance these competing risks and make educated decisions regarding the decision to interrupt oral anticoagulation for a medical procedure and, if interrupted, whether to "bridge" anticoagulation with injectable anticoagulants, such as low molecular weight heparin (LMWH) in warfarin treated patients.

This guide is intended to:
-Assist clinicians in the simultaneous evaluation of procedure-related bleeding risk and underlying risk of thrombosis
-Guide decisions regarding the interruption of anticoagulation and the use of anticoagulant "bridging"
-Provide detailed guidance for drug dosing and laboratory monitoring in the peri-procedural period
-Encourage clear communication between clinicians involved in prescribing anticoagulants and performing invasive procedures

This material was created by the multidisciplinary members of the Peri-Procedural Task Force of the New York State Anticoagulation Coalition and IPRO, the Medicare Quality Improvement Organization for New York State, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy. 10SOW-NY-AIM-7.3-14-01

## Key features

- Evaluate bleeding and thrombosis risk
- Guide anticoagulation interruption
- Provide bridging therapy guidance
- Detail drug dosing
- Offer laboratory monitoring advice
- Encourage clinician communication

## Recent user reviews (2 of 2)

All indexed reviews: https://appshunter.io/ios/app/mappp/id986004720/reviews.md

### 5/5 — Useful guide

*2019-04-21, version 1.1.4*

Easy to understand and navigate menus for managing different anticoagulation medications in different clinical procedures.

### 1/5 — Agreement screen

*2016-05-21, version 1.1.0*

Couldn't get past initial screen to accept agreement. Used iPhone 6

## Frequently asked questions about MAPPP

### What is MAPPP?

MAPPP is a medical guide designed to assist clinicians in managing patients on anticoagulation therapy who are undergoing surgical or invasive procedures. It focuses on balancing bleeding and thrombosis risks.

### Who developed MAPPP?

MAPPP was created by the multidisciplinary members of the Peri-Procedural Task Force of the New York State Anticoagulation Coalition and IPRO, under contract with the Centers for Medicare & Medicaid Services (CMS).

### What devices does MAPPP support?

MAPPP is available for iPhone, iPad, and iPod devices.

### What is the age rating for MAPPP?

MAPPP has an age rating of 17+, indicating it is intended for mature audiences due to its medical content.

### How often is MAPPP updated?

The latest version of MAPPP is 1.3.12, and it was last updated on March 13, 2026. This suggests a relatively recent update cycle.

### Is MAPPP free to use?

Yes, MAPPP is available for free, with no in-app purchases or advertisements mentioned in the provided data.

### What is the user rating for MAPPP?

MAPPP has a rating of 4.2 stars, based on 5 user ratings. This indicates generally positive user reception.

### Does MAPPP require an internet connection?

The provided data does not specify whether MAPPP requires an internet connection for use. However, medical guides often function offline for accessibility.

## Version history (last 5 releases)

### 1.3.12 — 2026-03-13

Fixed an issue with the icon on iPads.

### 1.3.11 — 2025-10-30

Minor bug fixes

### 1.3.10 — 2025-09-20

This release updates the app to latest frameworks and plugins.

### 1.3.01 — 2025-05-06

Fixed some minor copy issues.

### 1.3.0 — 2025-04-01

Updated copy for all drugs and added references.

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-06-04.*
