Evidence map›Paper›PMID 23984395›Full record

ArticleBioMed research international2013

The influence of hemocoagulation disorders on the development of posttraumatic cerebral infarction and outcome in patients with moderate or severe head trauma.

Hao Chen, Li-Xia Xue, Yan Guo, Shi-Wen Chen, Gan Wang, He-Li Cao, Jiong Chen, Heng-Li Tian

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04322721 (Coagulopathy on the First Postoperative Day Predicts the Long-term Survival of Traumatic Brain Injury Patients), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 23% 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.

NCT04322721 completednot on this mapstarted 2019, after this paper: background citation

Coagulopathy on the First Postoperative Day Predicts the Long-term Survival of Traumatic Brain Injury Patients: A Retrospective Cohort Study

TypeobservationalSponsorTang-Du HospitalRan2019 to 2020Enrolled447ConditionsTraumatic Brain Injury, Coagulation Disorder
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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.

Hao ChenDepartment of Neurosurgery, Shanghai 6th People Hospital, Shanghai Jiaotong University, 600 Yishan Road, Shanghai 200233, China.
Li-Xia Xue
Yan Guo
Shi-Wen Chen
Gan Wang
He-Li Cao
Jiong Chen
Heng-Li Tian

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Posttraumatic cerebral infarction (PTCI) is a severe secondary insult of head injury and often leads to a poor prognosis. Hemocoagulation disorder is recognized to have important effects on hemorrhagic or ischemic damages. We sought to assess if posttraumatic hemocoagulation disorders were associated with cerebral infarction, and evaluate their influence on outcome among patients with moderate or severe head trauma. In this study, PTCI was observed in 28 (10.57%) of the 265 patients within the first week after injury. In multivariate analysis, the thrombocytopenia (odds ratio (OR) 2.210, 95% confidence interval (CI) 1.065-4.674), abnormal prothrombin time (PT) (OR 3.241, 95% CI 1.090-7.648), D-dimer (>2 mg/L) (OR 7.260, 95% CI 1.822-28.076), or disseminated intravascular coagulation (DIC) scores (≥ 5) (OR 4.717, 95% CI 1.778-12.517) were each independently associated with an increased risk of PTCI. Admission Glasgow Coma Scale (GCS) score, abnormal activated partial thromboplastin time (APTT) and fibrinogen, and D-dimer (>2 mg/L) and DIC scores (≥ 5) showed an independent predictive effect on poor outcome. In conclusion, recognition of this important treatable cause of PTCI and the associated risk factors may help identify the group at risk and tailor management of patients with TBI.

Indexed as

AdolescentAdultBlood Coagulation DisordersCerebral InfarctionCraniocerebral TraumaDemographyFemaleGlasgow Coma ScaleHospitalizationHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioTomography, X-Ray Computed

Identifiers

PMID23984395
PMCPMC3747364
OpenAlexW1998507361

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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.