Evidence map›Paper›PMID 27172912›Full record

ArticleJournal of the American Heart Association2016

Associations of Trauma Exposure and Posttraumatic Stress Symptoms With Venous Thromboembolism Over 22 Years in Women.

Jennifer A Sumner, Laura D Kubzansky, Christopher Kabrhel, Andrea L Roberts, Qixuan Chen, Ashley Winning, Paola Gilsanz, Eric B Rimm, Maria M Glymour, Karestan C Koenen

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  8. Prevalence of Inferior Vena Cava Compression in ADPKD.Kidney international reports · 2021
    Article
  9. Article
  10. Article
  11. Comparing anxiety and depression to obesity and smoking as predictors of major medical illnesses and somatic symptoms.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Incidence and Clinical Features of Venous Thromboembolism in Inpatients with Mental Illness.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

10 authors at 5 institutions in 1 country.

Jennifer A SumnerCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA js4456@cumc.columbia.edu.
Laura D KubzanskyDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Christopher KabrhelDepartment of Emergency Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Andrea L RobertsDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Qixuan ChenDepartment of Biostatistics, Columbia University Mailman School of Public Health, New York, NY.
Ashley WinningDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Paola GilsanzDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Eric B RimmDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Maria M GlymourDepartment of Epidemiology and Biostatistics, University of California San Francisco School of Medicine, San Francisco, CA.
Karestan C KoenenDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA Psychiatric and Neurodevelopmental Genetics Unit and Department of Psychiatry, Massachusetts General Hospital, Boston, MA Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA.
Harvard University · USBrigham and Women's Hospital · USColumbia University · USStanley Foundation · USUniversity of California, San Francisco · US

Funding

Training Program in Psychiatric Genetics and Translational ResearchT32MH017119 · NIMH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KARESTAN C KOENEN, Jukka-Pekka Onnela · 1985 to 2026
$8.9M
Post Traumatic Stress Disorder and Accelerated Aging in WomenR01MH101269 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI KOENEN, KARESTAN C, KUBZANSKY, LAURA D · 2014 to 2021
$6.5M
Genetic and Environmental Risk Factors for Venous ThromboembolismR01HL116854 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI KABRHEL, CHRISTOPHER · 2013 to 2017
$3.4M
Posttraumatic Stress and Cardiovascular Risk in Women: Tests of Biological MechanismsK01HL130650 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMNER, JENNIFER A · 2016 to 2020
$815k
NHLBI NIH HHS K01 HL130650NHLBI NIH HHS R01 HL116854NIMH NIH HHS R01 MH101269NIMH NIH HHS T32 MH017119
6 · The paper itself

Abstract

backgroundTrauma exposure and posttraumatic stress disorder (PTSD) have been linked to myocardial infarction and stroke in women, with biological and behavioral mechanisms implicated in underlying risk. The third most common cardiovascular illness, venous thromboembolism (VTE), is a specific health risk for women. Given previous associations with other cardiovascular diseases, we hypothesized that high levels of trauma and PTSD symptoms would be associated with higher risk of incident VTE in younger and middle-aged women. METHODS AND

resultsWe used proportional hazards models to estimate hazard ratios (HRs) and 95% CIs for new-onset VTE (960 events) over 22 years in 49 296 women in the Nurses' Health Study II. Compared to no trauma exposure, both trauma exposure and PTSD symptoms were significantly associated with increased risk of developing VTE, adjusting for demographics, family history, and childhood adiposity. Women with the most PTSD symptoms exhibited the greatest risk elevation: trauma/6 to 7 symptoms: HR=2.42 (95% CI, 1.83-3.20); trauma/4 to 5 symptoms: HR=2.00 (95% CI, 1.55-2.59); trauma/1 to 3 symptoms: HR=1.44 (95% CI, 1.12-1.84); trauma/no symptoms: HR=1.72 (95% CI, 1.43-2.08). Results were similar, although attenuated, when adjusting for VTE-relevant medications, medical conditions, and health behaviors.

conclusionsWomen with the highest PTSD symptom levels had nearly a 2-fold increased risk of VTE compared to women without trauma exposure in fully adjusted models. Trauma exposure alone was also associated with elevated VTE risk. Trauma and PTSD symptoms may be associated with a hypercoagulable state. Treatment providers should be aware that women with trauma exposure and PTSD symptoms may be vulnerable to VTE.

Indexed as

AdultFemaleHumansIncidenceMiddle AgedProportional Hazards ModelsPsychological TraumaPulmonary EmbolismStress Disorders, Post-TraumaticUnited StatesVenous ThromboembolismVenous Thrombosisdeep vein thrombosisposttraumatic stress disorderpulmonary embolismtraumavenous thromboembolism

Identifiers

PMID27172912
PMCPMC4889189
OpenAlexW2358084677

What OpenQuestion holds

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LicenceCC BY-NC
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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.