Evidence map›Paper›PMID 31304023›Full record

ReviewAcute medicine & surgery2019

Diagnosis of sepsis-induced disseminated intravascular coagulation and coagulopathy.

Toshiaki Iba, Yutaka Umemura, Eizo Watanabe, Takeshi Wada, Kei Hayashida, Shigeki Kushimoto, Japanese Surviving Sepsis Campaign Guideline Working Group for disseminated intravascular coagulation

Abstract readReview
In one paragraph

Review in Acute medicine & surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 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

56 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

7 authors.

Toshiaki IbaDepartment of Emergency and Disaster Medicine Juntendo University Graduate School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-0255-4088
Yutaka UmemuraDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Osaka Japan.
Eizo WatanabeDepartment of General Medical Science Graduate School of Medicine Chiba University Chiba City Japan.ORCID https://orcid.org/0000-0001-6731-909X
Takeshi WadaDepartment of Anesthesiology and Critical Care Medicine Division of Acute and Critical Care Medicine Hokkaido University Graduate School of Medicine Sapporo Japan.
Kei HayashidaDepartment of Emergency and Critical Care Medicine School of Medicine Keio University Tokyo Japan.ORCID https://orcid.org/0000-0002-2287-3318
Shigeki KushimotoDivision of Emergency and Critical Care Medicine Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0001-9232-5782
Japanese Surviving Sepsis Campaign Guideline Working Group for disseminated intravascular coagulation

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disseminated intravascular coagulation (DIC) is a frequent complication in sepsis. Once patients develop DIC, the mortality rate increases significantly. Moreover, recent studies have suggested that coagulation disorder plays a significant role in the development of organ dysfunction in sepsis. Thus, the early detection of DIC is vital in sepsis care, and the Japanese Association for Acute Medicine established a set of original diagnostic criteria in 2006 (JAAM DIC). Since then, the usefulness of the JAAM DIC has been repeatedly reported, and these criteria have been widely adopted in emergency and critical care settings in Japan. Different criteria have also been released by the International Society on Thrombosis and Haemostasis (ISTH overt-DIC), and the latter criteria are presently considered to be the international standard. Compared with the JAAM DIC, the ISTH overt-DIC criteria are stricter and the timing of diagnosis is later. This discrepancy is because of conceptual differences. As many physicians think sepsis-associated DIC is the target of anticoagulant therapies in Japan, the JAAM DIC criteria were designed to allow the early initiation of treatment. As other countries do not provide DIC-specific treatments, early diagnosis is not necessary, and this situation has led to a significant gap. However, as overt-DIC is a late-phase coagulation disorder, a need for early detection has been advocated, and members of the ISTH have recently proposed the category of sepsis-induced coagulopathy. In this review, we introduce the strengths and weaknesses of the major criteria including JAAM-DIC, ISTH overt-DIC, sepsis-induced coagulopathy, and Japanese Society on Thrombosis and Haemostasis-DIC.

Indexed as

Coagulopathydiagnostic criteriadisseminated intravascular coagulationsepsis/multiple organ failure

Identifiers

PMID31304023
PMCPMC6603393

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Registered trials

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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.