Evidence map›Paper›PMID 24992639›Full record

SynthesisThe Journal of head trauma rehabilitation

A Systematic Review of the Benefits and Risks of Anticoagulation Following Traumatic Brain Injury.

Xian Shen, Sarah K Dutcher, Jacqueline Palmer, Xinggang Liu, Zippora Kiptanui, Bilal Khokhar, Mohammad H Al-Jawadi, Yue Zhu, Ilene H Zuckerman

Abstract readSystematic Review
In one paragraph

Synthesis in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Hemorrhage Associated Mechanisms of Neuroinflammation in Experimental Traumatic Brain Injury.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2020
    Article
  7. Bloodletting Puncture at Hand TwelveFrontiers in neuroscience · 2020
    Article
  8. Article
  9. Article
  10. Response of the cerebral vasculature following traumatic brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2017
    Review
  11. Article
  12. Article
  13. 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

9 authors at 1 institution in 1 country.

Xian ShenDepartment of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore (Mss Shen and Kiptanui, Drs Dutcher, Palmer, Liu, Al-Jawadi, and Zuckerman, and Mr Khokhar); Department of Surgery, University of Maryland, Baltimore (Mr Zhu); and IMPAQ International, Columbia, MD (Dr Zuckerman).
Sarah K Dutcher
Jacqueline Palmer
Xinggang Liu
Zippora Kiptanui
Bilal Khokhar
Mohammad H Al-Jawadi
Yue Zhu
Ilene H Zuckerman
University of Maryland, Baltimore · US

Funding

RESEARCH TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000262 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ANN L GRUBER-BALDINI, DENISE L ORWIG · 1998 to 2026
$8.2M
Long-Term Anticoagulation Therapy After Traumatic Brain Injury in Older AdultsR21AG042768 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI SIMONI-WASTILA, LINDA J · 2012 to 2013
$412k
Atrial Fibrillation Management and Care Transitions among Nursing Home ResidentsF31AG044091 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI DUTCHER, SARAH KATHRYN · 2013 to 2013
$28k
NIA NIH HHS 1 R21AG042768-01NIA NIH HHS 2T32AG000262-16NIA NIH HHS F31 AG044091NIA NIH HHS R21 AG042768NIA NIH HHS T32 AG000262
6 · The paper itself

Abstract

objectiveTo synthesize the existing literature on benefits and risks of anticoagulant use after traumatic brain injury (TBI).

designSystematic review. A literature search was performed in MEDLINE, International Pharmaceutical Abstracts, Health Star, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) on October 11, 2012, and updated on September 2, 2013, using terms related to TBI and anticoagulants. MAIN MEASURES: Human studies evaluating the effects of post-TBI anticoagulation on venous thromboembolism, hemorrhage, mortality, or coagulation parameters with original analyses were eligible for the review. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guideline was followed throughout the conduct of the review.

resultsThirty-nine eligible studies were identified from the literature, of which 23 studies with complete information on post-TBI anticoagulant use and patient outcomes were summarized in this review. Meta-analysis was unwarranted because of varying methodological design and quality of the studies. Twenty-one studies focused on the effects of pharmacological thromboprophylaxis (PTP) post-TBI on venous thromboembolism and/or progression of intracranial hemorrhage, whereas 2 randomized controlled trials analyzed coagulation parameters as the result of anticoagulation.

conclusionPharmacological thromboprophylaxis appears to be safe among TBI patients with stabilized hemorrhagic patterns. More evidence is needed regarding effectiveness of PTP in preventing venous thromboembolism as well as preferred agent, dose, and timing for PTP.

Indexed as

AnticoagulantsBrain InjuriesHumansRisk AssessmentAnticoagulants

Identifiers

PMID24992639
PMCPMC4282634
OpenAlexW2335238884

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.