Evidence map›Paper›PMID 28480552›Full record

ArticleJournal of veterinary internal medicine2017

Hyperfibrinolysis and Hypofibrinogenemia Diagnosed With Rotational Thromboelastometry in Dogs Naturally Infected With Angiostrongylus vasorum.

N E Sigrist, N Hofer-Inteeworn, R Jud Schefer, C Kuemmerle-Fraune, M Schnyder, A P N Kutter

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.9field-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

36 citing papers in PubMed, 66 citations in OpenAlex.

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  2. Proteomic Analysis of Endothelial Activation Induced by AdultAnimals : an open access journal from MDPI · 2026
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  3. Retrospective evaluation of dogs presenting with hemothorax.Journal of veterinary internal medicine · 2026
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  6. Host-specific vascular endothelial cell responses toFrontiers in cellular and infection microbiology · 2025
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  7. Article
  8. Article
  9. Is theFrontiers in veterinary science · 2023
    Article
  10. Article
  11. Article
  12. Fibrinolysis in Dogs with Intracavitary Effusion: A Review.Animals : an open access journal from MDPI · 2022
    Review
  13. Evaluation of the Effect of Storage Time on ROTEM SAnimals : an open access journal from MDPI · 2022
    Article
  14. Hemostatic Dysfunction in Dogs Naturally Infected withPathogens (Basel, Switzerland) · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Coagulation Status in Dogs Naturally Infected withPathogens (Basel, Switzerland) · 2021
    Article
  19. Investigation of the occurrence ofJournal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2021
    Article
  20. 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

6 authors at 1 institution in 1 country.

N E SigristDepartment for Small Animals, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-9540-3288
N Hofer-InteewornDepartment for Small Animals, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
R Jud ScheferDepartment for Small Animals, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
C Kuemmerle-FrauneDepartment for Small Animals, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
M SchnyderInstitute of Parasitology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
A P N KutterSection of Anaesthesiology, Equine Department, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
University of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe pathomechanism of Angiostrongylus vasorum infection-associated bleeding diathesis in dogs is not fully understood.

objectiveTo describe rotational thromboelastometry (ROTEM) parameters in dogs naturally infected with A. vasorum and to compare ROTEM parameters between infected dogs with and without clinical signs of bleeding. ANIMALS: A total of 21 dogs presented between 2013 and 2016.

methodsDogs with A. vasorum infection and ROTEM evaluation were retrospectively identified. Thrombocyte counts, ROTEM parameters, clinical signs of bleeding, therapy, and survival to discharge were retrospectively retrieved from patient records and compared between dogs with and without clinical signs of bleeding.

resultsEvaluation by ROTEM showed hyperfibrinolysis in 8 of 12 (67%; 95% CI, 40-86%) dogs with and 1 of 9 (11%; 95% CI, 2-44%) dogs without clinical signs of bleeding (P = .016). Hyperfibrinolysis was associated with severe hypofibrinogenemia in 6 of 10 (60%; 95% CI, 31-83%) of the cases. Hyperfibrinolysis decreased or resolved after treatment with 10-80 mg/kg tranexamic acid. Fresh frozen plasma (range, 14-60 mL/kg) normalized follow-up fibrinogen function ROTEM (FIBTEM) maximal clot firmness in 6 of 8 dogs (75%; 95% CI, 41-93%). Survival to discharge was 67% (14/21 dogs; 95% CI, 46-83%) and was not different between dogs with and without clinical signs of bleeding (P = .379). CONCLUSION AND CLINICAL IMPORTANCE: Hyperfibrinolysis and hypofibrinogenemia were identified as an important pathomechanism in angiostrongylosis-associated bleeding in dogs. Hyperfibrinolysis and hypofibrinogenemia were normalized by treatment with tranexamic acid and plasma transfusions, respectively.

Indexed as

AngiostrongylusAfibrinogenemiaAnimalsDog DiseasesDogsFemaleFibrinogenFibrinolysisMaleStrongylida InfectionsThrombelastographyFibrinogenAngiostrongylosisBleeding diathesisCanineFibrinogen

Identifiers

PMID28480552
PMCPMC5508311
OpenAlexW2610880231

What OpenQuestion holds

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LicenceCC BY-NC
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.