Evidence map›Paper›PMID 28686155›Full record

Trial reportBlood transfusion = Trasfusione del sangue2018

Paediatric venous thromboembolism: a report from the Italian Registry of Thrombosis in Children (RITI).

Paola Giordano, Massimo Grassi, Paola Saracco, Angelo C Molinari, Chiara Gentilomo, Agnese Suppiej, Giuseppe Indolfi, Donatella Lasagni, Matteo Luciani, Fiammetta Piersigilli and 5 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood transfusion = Trasfusione del sangue, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Review
  13. Risk Assessment and Outcome of Venous Thromboembolism in Pediatric Population in an Academic Care Center of a Low-Middle Income Country.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

15 authors.

Paola GiordanoPaediatric Haematology and Oncology Unit, University Hospital of Bari, Bari, Italy.
Massimo GrassiPaediatric Haematology and Oncology Unit, University Hospital of Bari, Bari, Italy.
Paola SaraccoPaediatric Haematology, Department of Paediatric Sciences, University Hospital "Città della Salute e della Scienza", Turin, Italy.
Angelo C MolinariThrombosis and Haemostasis Unit, "Giannina Gaslini" Children's Hospital, Genoa, Italy.
Chiara GentilomoDepartment of Paediatrics, "Dell'Angelo" Hospital, Venice, Italy.
Agnese SuppiejPaediatric Neurology Unit, Paediatric University Hospital of Padua, Padua, Italy.
Giuseppe IndolfiDepartment of Paediatrics, "Anna Meyer" Children's Hospital, Florence, Italy.
Donatella LasagniDepartment of Paediatrics, "Anna Meyer" Children's Hospital, Florence, Italy.
Matteo LucianiDepartment of Haematology and Oncology and Transfusion Medicine, IRCCS Paediatric Hospital "Bambino Gesù", Rome, Italy.
Fiammetta PiersigilliNeonatology Unit, IRCCS Paediatric Hospital "Bambino Gesù", Rome, Italy.
Maria C PuttiDepartment of Oncology and Haematology, University Hospital of Padua, Padua, Italy.
Lidia L RotaCardiovascular Prevention Centre, Humanitas Research Hospital, Milan, Italy.
Stefano SartoriPaediatric Neurology Unit, Paediatric University Hospital of Padua, Padua, Italy.
Paolo SimioniDepartment of Medicine, Thrombotic and Haemorrhagic Diseases Unit, University of Padua Medical School, Padua, Italy.
Paediatric Thrombosis Working Group of the RITI (see Appendix I)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Italian Registry of Thrombosis in Children (RITI) was established by a multidisciplinary team with the aims of improving knowledge about neonatal and paediatric thrombotic events in Italy and providing a preliminary source of data for the future development of specific clinical trials and diagnostic-therapeutic protocols. MATERIALS AND

methodsWe analysed the subset of RITI data concerning paediatric systemic venous thromboembolic events that occurred between January 2007 and June 2013.

resultsEighty-five deep venous thromboses and seven pulmonary emboli were registered in the RITI. A prevalence peak was observed in children aged 10 to 18 years and, unexpectedly, in children aged 1 to 5 years. A central venous line was the main risk factor (55% of venous thromboembolic events); surgery (not cardiac) (25%), concomitant infections (23%) and malignancy (22%) were the clinical conditions most often associated with the onset of venous thromboembolism. There was a diagnostic delay of more than 24 hours in 37% of the venous thromboembolic events. Doppler ultrasound was the most widely used test for the objective diagnosis of deep venous thrombosis (87%). Antithrombotic therapy was administered in 96% of venous thromboembolic events, mainly low molecular weight heparin (60%). In 2% of cases recurrences occurred, while post-thrombotic syndrome developed in 8.5% of cases. DISCUSSION: Although the data from the RITI are largely in agreement with published data, peaks of prevalence of thrombosis, risk factors and objective tests used for the diagnosis showed some peculiarities which may deserve attention.

Indexed as

RegistriesUltrasonography, DopplerAdolescentAge FactorsChildChild, PreschoolFemaleHumansInfantItalyMalePrevalenceRetrospective StudiesRisk FactorsVenous ThromboembolismYoung Adult

Identifiers

PMID28686155
PMCPMC6034769

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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.