Evidence map›Paper›PMID 30456686›Full record

ArticlePediatric surgery international2019

Venous thromboembolism risk factors in a pediatric trauma population.

Louis A Carrillo, Akshita Kumar, Matthew T Harting, Claudia Pedroza, Charles S Cox

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Venous thromboembolism prophylaxis after pediatric trauma.Pediatric surgery international · 2021
    Review
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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

5 authors at 1 institution in 1 country.

Louis A CarrilloDepartment of Pediatric Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 5230, Houston, TX, 77030, USA. Louis.a.carrillo@uth.tmc.edu.ORCID http://orcid.org/0000-0001-8844-8325
Akshita KumarDepartment of Pediatric Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 5230, Houston, TX, 77030, USA.
Matthew T HartingDepartment of Pediatric Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 5230, Houston, TX, 77030, USA.
Claudia PedrozaDepartment of Pediatrics, McGovern Medical School at University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 5230, Houston, TX, 77030, USA.
Charles S CoxDepartment of Pediatric Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 5230, Houston, TX, 77030, USA.
The University of Texas Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNew guidelines have been proposed for venous thromboembolism (VTE) prophylaxis in pediatric trauma patients. This paper seeks to evaluate risk factors associated with VTE that might further guide patient selection for prophylaxis.

methodsReview of a tertiary children's academic hospital's trauma database for VTE events and associated risk factors from 2005 to 2016.

results15,306 pediatric trauma patients were identified and reviewed. During this time period there were 6191 admissions (40.4%), of which 20 developed a VTE (0.3%) including two pulmonary emboli. Primary outcome was comparison of risk factors for developing a VTE that were identified in the literature. Age stratification revealed the highest incidence of VTE in children under the age of 2 (0.7%), which increased with CVC placement when compared to children aged 2-12 and 13-15 (0.036 Fisher's exact test).

conclusionsVTE after pediatric trauma is rare, and may be more uncommon than previously reported. CVC placement was the strongest predictor of VTE, particularly in infant and toddler patients which can explain their higher overall incidence compared to other pediatric age groups. Identifying high-risk patients is important to optimize screening and prophylaxis of VTE in pediatric trauma patients while minimizing risks of anticoagulation.

Indexed as

Tertiary Care CentersAdolescentChildChild, PreschoolFemaleHospitalizationHumansIncidenceInfantMaleMass ScreeningRisk AssessmentRisk FactorsUnited StatesVenous ThromboembolismWounds and InjuriesAnticoagulation prophylaxisCentral venous catheterCVCPediatric traumaPeripherally inserted central catheterPICCThrombusTraumaVenous thromboembolismVTE

Identifiers

PMID30456686
OpenAlexW2901206914

What OpenQuestion holds

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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.