Evidence map›Paper›PMID 29699063›Full record

ArticleGut and liver2018

Clinical Impact of Recombinant Soluble Thrombomodulin for Disseminated Intravascular Coagulation Associated with Severe Acute Cholangitis.

Atsushi Okuda, Takeshi Ogura, Miyuki Imanishi, Akira Miyano, Nobu Nishioka, Kazuhide Higuchi

Open access · diamondAbstract readEvaluation Study
In one paragraph

Article in Gut and liver, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Thrombomodulin Regulation of Mitogen-Activated Protein Kinases.International journal of molecular sciences · 2019
    Review
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.

Atsushi OkudaSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
Takeshi OguraSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
Miyuki ImanishiSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
Akira MiyanoSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
Nobu NishiokaSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
Kazuhide HiguchiSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
Osaka Medical and Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: Recently, recombinant human soluble thrombomodulin (rTM) has been developed as a new drug for disseminated intravascular coagulation (DIC). This study aims to evaluate the clinical benefit of rTM in patients with sepsis-induced DIC caused by acute cholangitis who underwent biliary drainage. Methods: Patients were divided into two groups: the rTM therapy group and the non-rTM therapy group. The primary outcome was the DIC resolution rate at 7 days, and the secondary outcome was 28-day mortality rate. Results: Thirty-five patients were treated by rTM, and 36 patients were treated without rTM for DIC. The rate of resolution of DIC at day 7 was significantly higher in the rTM group than in the non-rTM group (82.9% vs 55.6%, p=0.0012). Compared with the non-rTM group, the 28-day survival rate of the r-TM group was significantly higher (rTM vs non-rTM, 91.4% vs 69.4%, p=0.014). According to multivariate analysis, non-rTM (hazard ratio [HR], 2.681) and CRP (HR, 2.370) were factors related to decreased survival. Conclusions: rTM treatment may have a positive impact on improving DIC and survival rates in patients with severe acute cholangitis.

Indexed as

AdultAgedAged, 80 and overAnticoagulantsCholangitisDisseminated Intravascular CoagulationDrainageFemaleHumansMaleMiddle AgedMultivariate AnalysisProportional Hazards ModelsRecombinant ProteinsRetrospective StudiesSurvival RateAnticoagulantsRecombinant ProteinsThrombomodulinAcute cholangitisDisseminated intravascular coagulationRecombinant soluble thrombomodulinThrombosis

Identifiers

PMID29699063
PMCPMC6027841
OpenAlexW2801270501

What OpenQuestion holds

Textmetadata
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.