Evidence map›Paper›PMID 17568492›Full record

ReviewCanadian journal of surgery. Journal canadien de chirurgie2007

An approach to transfusion and hemorrhage in trauma: current perspectives on restrictive transfusion strategies.

Homer Tien, Bartolomeu Nascimento, Jeannie Callum, Sandro Rizoli

Open access · greenAbstract readReview
In one paragraph

Review in Canadian journal of surgery. Journal canadien de chirurgie, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Prolonged storage of packed red blood cells for blood transfusion.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Article
  4. The epidemiology of overtransfusion of red cells in trauma resuscitation patients in the context of a mature massive transfusion protocol.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Homer TienCanadian Forces Health Service, Department of National Defense, Toronto, Ont, Canada.
Bartolomeu Nascimento
Jeannie Callum
Sandro Rizoli
Department of National Defence · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemorrhagic shock is a leading cause of death in trauma patients. Surgical control of bleeding and fluid resuscitation with both crystalloid and blood products remain the mainstay of therapy for injured patients with bleeding. However, there has been a recent re-evaluation of transfusion practice. Both the fear of transmissible disease and the costs of transfusing blood products have led to increasingly restrictive transfusion practices. A small percentage of trauma patients require massive transfusion. These patients are complex and difficult to manage, and clinicians must act quickly to save them. There is little evidence to help guide clinical transfusion decisions in these patients. A rational approach to using blood products requires an understanding of the end points of resuscitation. Resuscitation with fluids and red cells is necessary to improve perfusion and oxygen delivery to tissues. Avoiding overtransfusion is key, however, because transfusion is also associated with significant risks. This trend toward reducing allogenic blood exposure will likely continue. New technologies that have the potential of reducing blood loss and transfusion requirements in trauma patients with massive bleeding are being developed, and similar old technologies are being reapplied.

Indexed as

Factor VIIFactor VIIaFibrin Tissue AdhesiveHemorrhageHemostaticsHumansIsotonic SolutionsPlasma SubstitutesRecombinant ProteinsResuscitationThrombelastographyTransfusion ReactionWounds and InjuriesFactor VIIFactor VIIaFibrin Tissue AdhesiveHemostaticsIsotonic SolutionsPlasma Substitutesrecombinant FVIIaRecombinant Proteins

Identifiers

PMID17568492
PMCPMC2384284
OpenAlexW1493527754

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.