Evidence map›Paper›PMID 22316678›Full record

ArticleThe Journal of surgical research2012

Damage control resuscitation decreases systemic inflammation after hemorrhage.

Amy T Makley, Michael D Goodman, Ritha M Belizaire, Lou Ann W Friend, Jay A Johannigman, Warren C Dorlac, Alex B Lentsch, Timothy A Pritts

Open access · greenAbstract readComparative Study
In one paragraph

Article in The Journal of surgical research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Article
  3. How Delayed Cord Clamping Saves Newborn Lives.Children (Basel, Switzerland) · 2025
    Review
  4. Rethinking Balanced Resuscitation in Trauma.Journal of clinical medicine · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Placental transfusion: may the "force" be with the baby.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Review
  10. IFNγ and TNFα mediate CCL22/MDC production in alveolar macrophages after hemorrhage and resuscitation.American journal of physiology. Lung cellular and molecular physiology · 2020
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Damage control strategies in the management of acute injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014
    Article
  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

8 authors at 1 institution in 1 country.

Amy T MakleyDepartment of Surgery, Institute of Military Medicine, University of Cincinnati, Cincinnati, Ohio 45267-0558, USA.
Michael D Goodman
Ritha M Belizaire
Lou Ann W Friend
Jay A Johannigman
Warren C Dorlac
Alex B Lentsch
Timothy A Pritts
University of Cincinnati · US

Funding

HOST RESPONSE TO TRAUMA RESEARCH TRAINING PROGRAMT32GM008478 · NIGMS · UNIVERSITY OF CINCINNATI · PI TIMOTHY A PRITTS, BASILIA ZINGARELLI · 1993 to 2026
$6.7M
Effects of Damage Control Resuscitation on the Inflammatory Response to HemorrhagK08GM088589 · NIGMS · UNIVERSITY OF CINCINNATI · PI PRITTS, TIMOTHY A · 2010 to 2012
$397k
NIGMS NIH HHS GM008478NIGMS NIH HHS GM088589NIGMS NIH HHS K08 GM088589NIGMS NIH HHS T32 GM008478
6 · The paper itself

Abstract

backgroundSevere hemorrhagic shock and resuscitation initiates a dysfunctional systemic inflammatory response leading to end-organ injury. Clinical evidence supports the transfusion of high ratios of plasma and packed red blood cells (pRBCs) in the treatment of hemorrhagic shock. The effects of resuscitation with different ratios of fresh blood products on inflammation and organ injury have not yet been characterized. MATERIALS AND

methodsMice underwent femoral artery cannulation and pressure-controlled hemorrhage for 60 min, then resuscitation with fresh plasma and pRBCs collected from donor mice. Plasma alone, pRBCs alone, and ratios of 2:1, 1:1, and 1:2 plasma:pRBCs were used for resuscitation strategies. Mice were sacrificed to determine biochemical and hematologic parameters, serum cytokine concentrations, tissue myeloperoxidase levels, and vascular permeability.

resultsCompared with other resuscitation strategies, mice resuscitated with pRBCs alone exhibited increased hemoglobin levels, while other hematologic and biochemical parameters were not significantly different among groups. Compared with 1:1, mice resuscitated with varying ratios of plasma:pRBCs exhibited increased cytokine concentrations of KC, MIP-1α, and MIP-2, and increased intestinal and lung myeloperoxidase levels. Mice resuscitated with 1:1 had decreased vascular permeability in the intestine and lung as compared with other groups.

conclusionsResuscitation with a 1:1 ratio of fresh plasma:pRBCs results in decreased systemic inflammation and attenuated organ injury. These findings support the potential advantage of transfusing blood products in physiologic ratios to improve the treatment of severe hemorrhagic shock.

Indexed as

ErythrocytesPlasmaAnimalsChemokine CCL3Chemokine CXCL2ChemokinesHemorrhageMaleMiceMice, Inbred C57BLModels, AnimalPeroxidaseResuscitationShock, HemorrhagicSystemic Inflammatory Response SyndromeTreatment OutcomeChemokine CCL3Chemokine CXCL2Chemokineskeratinocyte-derived chemokinesPeroxidase

Identifiers

PMID22316678
PMCPMC3349767
OpenAlexW2024295695

What OpenQuestion holds

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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.