Evidence map›Paper›PMID 23601765›Full record

SynthesisCritical care (London, England)2013

Management of bleeding and coagulopathy following major trauma: an updated European guideline.

Donat R Spahn, Bertil Bouillon, Vladimir Cerny, Timothy J Coats, Jacques Duranteau, Enrique Fernández-Mondéjar, Daniela Filipescu, Beverley J Hunt, Radko Komadina, Giuseppe Nardi and 6 more

2 registry-linked trialsOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Critical care (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 261 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
261citing papers in PubMed, 5 pooled it
100.1field-weighted citation impact, top 1% 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.

NCT02619539 completednot on this mapstarted 2016, after this paper: background citation

Shock Index To DEtect Low Plasma Fibrinogen In Trauma (SIDE)

Typeobservational_patient_registrySponsorMasaryk Hospital Krajská zdravotní a.s.Ran2016 to 2017Enrolled280ConditionsTrauma, MultipleArmsplasma fibrinogen measurement
NCT03251547 completednot on this mapstarted 2017, after this paper: background citation

Recombinant Activated Factor VII (rFVIIa/ NovoSeven®) in the Management of Massive Bleeding in Hospital Universiti Sains Malaysia

TypeobservationalSponsorUniversiti Sains MalaysiaRan2017 to 2017Enrolled76ConditionsMassive Hemorrhage, Massive Blood Loss, Massive Blood Transfusion, ThrombocytopeniaArmsNovoSeven
3 · Its place in the literature

Who cites it

261 citing papers in PubMed, 5 syntheses or guidelines pooled it, 959 citations in OpenAlex.

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  11. Thromboelastometric Monitoring of the Hemostatic Effect of Platelet Concentrates Transfusion in Thrombocytopenic Children Undergoing Chemotherapy.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis · 2015
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201 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 14 institutions in 11 countries.

Donat R Spahn
Bertil Bouillon
Vladimir Cerny
Timothy J Coats
Jacques Duranteau
Enrique Fernández-Mondéjar
Daniela Filipescu
Beverley J Hunt
Radko Komadina
Giuseppe Nardi
Edmund Neugebauer
Yves Ozier
Louis Riddez
Arthur Schultz
Jean-Louis Vincent
Rolf Rossaint
Witten/Herdecke University · DECentre Hospitalier Régional Universitaire de Brest · FRCollege of Nursing in Celje · SIGuy's and St Thomas' NHS Foundation Trust · GBHospital Universitario Virgen de las Nieves · ESIRCCS San Camillo Hospital · ITKarolinska University Hospital · SELeicester Royal Infirmary · GBLudwig Boltzmann Institute for Experimental and Clinical Traumatology · ATRWTH Aachen University · DEUniversité Libre de Bruxelles · BEUniversité Paris-Sud · FRUniversity Hospital Hradec Králové · CZUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEvidence-based recommendations are needed to guide the acute management of the bleeding trauma patient. When these recommendations are implemented patient outcomes may be improved.

methodsThe multidisciplinary Task Force for Advanced Bleeding Care in Trauma was formed in 2005 with the aim of developing a guideline for the management of bleeding following severe injury. This document represents an updated version of the guideline published by the group in 2007 and updated in 2010. Recommendations were formulated using a nominal group process, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) hierarchy of evidence and based on a systematic review of published literature.

resultsKey changes encompassed in this version of the guideline include new recommendations on the appropriate use of vasopressors and inotropic agents, and reflect an awareness of the growing number of patients in the population at large treated with antiplatelet agents and/or oral anticoagulants. The current guideline also includes recommendations and a discussion of thromboprophylactic strategies for all patients following traumatic injury. The most significant addition is a new section that discusses the need for every institution to develop, implement and adhere to an evidence-based clinical protocol to manage traumatically injured patients. The remaining recommendations have been re-evaluated and graded based on literature published since the last edition of the guideline. Consideration was also given to changes in clinical practice that have taken place during this time period as a result of both new evidence and changes in the general availability of relevant agents and technologies.

conclusionsA comprehensive, multidisciplinary approach to trauma care and mechanisms with which to ensure that established protocols are consistently implemented will ensure a uniform and high standard of care across Europe and beyond.

Indexed as

Disease ManagementBlood Coagulation DisordersDrug MonitoringEuropeHemorrhageHumansMultiple TraumaPractice Guidelines as TopicRandomized Controlled Trials as Topic

Identifiers

PMID23601765
PMCPMC4056078
OpenAlexW2111374185

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.