Evidence map›Paper›PMID 24569507›Full record

ReviewShock (Augusta, Ga.)2014

Coagulopathy after severe pediatric trauma.

Sarah C Christiaans, Amy L Duhachek-Stapelman, Robert T Russell, Steven J Lisco, Jeffrey D Kerby, Jean-François Pittet

Abstract readReview
In one paragraph

Review in Shock (Augusta, Ga.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. Research Priorities for Plasma and Platelet Transfusion Strategies in Critically Ill Children: From the Transfusion and Anemia EXpertise Initiative-Control/Avoidance of Bleeding.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2022
    Pooled it
  2. Review
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  7. Observational
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  9. Can the BIG score reliably predict outcomes in pediatric traumatic brain ınjury?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
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  12. Review
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  16. Observational
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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

6 authors at 2 institutions in 1 country.

Sarah C Christiaans *Department of Anesthesiology, University of Alabama at Birmingham, AL.
Amy L Duhachek-Stapelman *Department of Anesthesiology, University of Nebraska Medical Center, NE.
Robert T RussellDepartment of Surgery, University of Alabama at Birmingham, AL.
Steven J LiscoDepartment of Anesthesiology, University of Nebraska Medical Center, NE.
Jeffrey D KerbyDepartment of Surgery, University of Alabama at Birmingham, AL.
Jean-François PittetDepartment of Anesthesiology, University of Alabama at Birmingham, AL.
University of Alabama at Birmingham · USUniversity of Nebraska Medical Center · US

Funding

Coagulation Abnormalities and Post-Traumatic Ventilator-Associated PneumoniaR01GM086416 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PITTET, JEAN-FRANCOIS · 2010 to 2013
$1.2M
NIGMS NIH HHS R01 GM086416
6 · The paper itself

Abstract

Trauma remains the leading cause of morbidity and mortality in the United States among children aged 1 to 21 years. The most common cause of lethality in pediatric trauma is traumatic brain injury. Early coagulopathy has been commonly observed after severe trauma and is usually associated with severe hemorrhage and/or traumatic brain injury. In contrast to adult patients, massive bleeding is less common after pediatric trauma. The classical drivers of trauma-induced coagulopathy include hypothermia, acidosis, hemodilution, and consumption of coagulation factors secondary to local activation of the coagulation system after severe traumatic injury. Furthermore, there is also recent evidence for a distinct mechanism of trauma-induced coagulopathy that involves the activation of the anticoagulant protein C pathway. Whether this new mechanism of posttraumatic coagulopathy plays a role in children is still unknown. The goal of this review is to summarize the current knowledge on the incidence and potential mechanisms of coagulopathy after pediatric trauma and the role of rapid diagnostic tests for early identification of coagulopathy. Finally, we discuss different options for treating coagulopathy after severe pediatric trauma.

Indexed as

AdolescentAdultBlood CoagulationBlood Coagulation DisordersChildChild, PreschoolHemorrhageHumansInfantInjury Severity ScorePediatricsWounds and InjuriesYoung Adult

Identifiers

PMID24569507
PMCPMC4024323
OpenAlexW2264772667

What OpenQuestion holds

Textmetadata
LicenceTDM
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.