Evidence map›Paper›PMID 24016733›Full record

ArticleCardiology in the young2014

Thrombotic events in critically ill children with myocarditis.

Kimberly Y Lin, Basavaraj Kerur, Char M Witmer, Lauren A Beslow, Daniel J Licht, Rebecca N Ichord, Beth D Kaufman

Open access · greenAbstract read
In one paragraph

Article in Cardiology in the young, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. Review
  3. Coagulation, protease-activated receptors, and viral myocarditis.Journal of cardiovascular translational research · 2014
    Review
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

7 authors at 4 institutions in 1 country.

Kimberly Y Lin1Division of Cardiology,Department of Pediatrics,Children's Hospital of Philadelphia, Perelman School of Medicine at theUniversity Pennsylvania,Philadelphia,Pennsylvania,United States of America.
Basavaraj Kerur2Department of Pediatrics,Albert Einstein Medical Center,Philadelphia,Pennsylvania,United States of America.
Char M Witmer3Division of Hematology,Department of Pediatrics,Children's Hospital of Philadelphia, Perelman School of Medicine at theUniversity Pennsylvania,Philadelphia,Pennsylvania,United States of America.
Lauren A Beslow4Departments of Pediatrics and Neurology,Yale University School of Medicine,New Haven,Connecticut,United States of America.
Daniel J Licht5Departments of Neurology and Pediatrics,Children's Hospital of Philadelphia, Perelman School of Medicine at theUniversity Pennsylvania,Philadelphia,Pennsylvania,United States of America.
Rebecca N Ichord5Departments of Neurology and Pediatrics,Children's Hospital of Philadelphia, Perelman School of Medicine at theUniversity Pennsylvania,Philadelphia,Pennsylvania,United States of America.
Beth D Kaufman6Division of Cardiology,Department of Pediatrics,Lucille Packard Children's Hospital,Stanford University School of Medicine,Palo Alto,California,United States of America.
Children's Hospital of Philadelphia · USEinstein Medical Center Philadelphia · USLucile Packard Children's Hospital · USYale University · US

Funding

Training Program in Neurodevelopmental DisabilitiesT32NS007413 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI AMELIA J EISCH, ERIC D MARSH · 1998 to 2026
$8.9M
NSADA Training Grant for Child NeurologistsK12NS049453 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI TENNEKOON, GIHAN I · 2006 to 2015
$4.4M
Augmented Physiologic Monitoring to Predict Brain Injury in Infants with CHDR01NS072338 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI LICHT, DANIEL JACQUES · 2011 to 2015
$1.7M
Validation of the NIH Stroke Scale in ChildrenR01NS050488 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI ICHORD, REBECCA N · 2006 to 2008
$1.1M
Predictors of recovery from intracerebral hemorrhage in childrenK23NS062110 · NINDS · VANDERBILT UNIVERSITY · PI JORDAN, LORI CHAFFIN · 2008 to 2012
$884k
VWF Multimer Distribution a Phenotypic Modifier of Hemophilia AK23HL107455 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI WITMER, CHAR MARIE · 2011 to 2014
$504k
NHLBI NIH HHS K23 HL107455NHLBI NIH HHS K23-HL107455NINDS NIH HHS K12 NS049453NINDS NIH HHS K12-NS049453NINDS NIH HHS K23 NS062110NINDS NIH HHS K23-NS062110NINDS NIH HHS R01 NS050488NINDS NIH HHS R01-NS050488NINDS NIH HHS R01 NS072338NINDS NIH HHS R01-NS072338NINDS NIH HHS T32 NS007413NINDS NIH HHS T32-NS007413
6 · The paper itself

Abstract

backgroundChildren with myocarditis have multiple risk factors for thrombotic events, yet the role of antithrombotic therapy is unclear in this population. We hypothesised that thrombotic events in critically ill children with myocarditis are common and that children with myocarditis are at higher risk for thrombotic events than children with non-inflammatory dilated cardiomyopathy.

methodsThis is a retrospective chart review of all children presenting to a single centre cardiac intensive care unit with myocarditis from 1995 to 2008. A comparison group of children with dilated cardiomyopathy was also examined. Antithrombotic regimens were recorded. The primary outcome of thrombotic events included intracardiac clots and any thromboembolic events.

resultsOut of 45 cases with myocarditis, 40% were biopsy-proven, 24% viral polymerase chain reaction-supported, and 36% diagnosed based on high clinical suspicion. There were two (4.4%) thrombotic events in the myocarditis group and three (6.7%) in the dilated cardiomyopathy group (p = 1.0). Neither the use of any antiplatelet or anticoagulation therapy, use of intravenous immune globulin, presence of any arrhythmia, nor need for mechanical circulatory support were predictive of thrombotic events in the myocarditis, dilated cardiomyopathy, or combined groups.

conclusionsThrombotic events in critically ill children with myocarditis and dilated cardiomyopathy occurred in 6% of the combined cohort. There was no difference in thrombotic events between inflammatory and non-inflammatory cardiomyopathy groups, suggesting that the decision to use antithrombotic prophylaxis should be based on factors other than the underlying aetiology of a child's acute decompensated heart failure.

Indexed as

Critical IllnessAdolescentBiopsyCardiomyopathy, DilatedChildChild, PreschoolEchocardiographyFemaleFollow-Up StudiesHumansIncidenceInfantIntensive Care Units, PediatricMaleMyocarditisRetrospective Studies

Identifiers

PMID24016733
PMCPMC3950243
OpenAlexW2086949653

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.