Evidence map›Paper›PMID 31969168›Full record

ArticleTrials2020

French lyophilized plasma versus normal saline for post-traumatic coagulopathy prevention and correction: PREHO-PLYO protocol for a multicenter randomized controlled clinical trial.

Daniel Jost, Sabine Lemoine, Frederic Lemoine, Vincent Lanoe, Olga Maurin, Clément Derkenne, Marilyn Franchin Frattini, Maëlle Delacote, Edouard Seguineau, Anne Godefroy and 22 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02736812 (Interest of Pre-hospital Administration of Lyophilized Plasma to Prevent or Treat Coagulopathy Associated With Post-traumatic Hemorrhagic Shock), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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.

NCT02736812 phase3completednot on this map

Interest of Pre-hospital Administration of Lyophilized Plasma to Prevent or Treat Coagulopathy Associated With Post-traumatic Hemorrhagic Shock (PREHO-PLYO Study )

TypeinterventionalSponsorFrench Defence Health ServiceRan2016 to 2019Enrolled140ConditionsShock HemorrhagicArmsFrench Lyophilized Plasma, Normale Saline Solution
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Blood transfusion strategies for major bleeding in trauma.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Plasma Transfusion Practice in Adult Surgical Patients: Systematic Review of the Literature.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2020
    Pooled it
  3. Trial
  4. Surgical and anesthetic activity in a french emergency field hospital responding to devastating floods.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  5. 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

32 authors at 2 institutions in 1 country.

Daniel JostParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France. daniel.jost@pompiersparis.fr.ORCID http://orcid.org/0000-0002-6046-1234
Sabine LemoineParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Frederic LemoineParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Vincent LanoeParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Olga MaurinParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Clément DerkenneParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Marilyn Franchin FrattiniParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Maëlle DelacoteParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Edouard SeguineauParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Anne GodefroyParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Nicolas HervaultParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Ludovic DelhayeParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Nicolas PouliquenParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Emilie Louis-DelauriereDepartment of Education, Research and Innovation, Service de Santé des Armées, 1 Place Alphonse Laveran, 75230, Paris, France.
Julie TrichereauParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Florian RoquetParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Marina SaloméParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Catherine VerretDepartment of Education, Research and Innovation, Service de Santé des Armées, 1 Place Alphonse Laveran, 75230, Paris, France.
René BihannicParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Romain JouffroyParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Benoit FrattiniParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Vivien Hong Tuan HaParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Pascal Dang-MinhParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Stéphane TraversParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Michel BignandParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Christophe MartinaudFrench Military Health Service, Val de Grâce military hospital, 1, Place Alphonse Laveran, 75230, Paris, France.
Eliane GarrabeFrench Military Health Service, Val de Grâce military hospital, 1, Place Alphonse Laveran, 75230, Paris, France.
Sylvain AussetFrench Military Health Service, Val de Grâce military hospital, 1, Place Alphonse Laveran, 75230, Paris, France.
Bertrand PrunetParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
Anne SailliolFrench Military Health Service, Val de Grâce military hospital, 1, Place Alphonse Laveran, 75230, Paris, France.
Jean Pierre TourtierParis Fire Brigade Medical Emergency Department, 1 place Jules Renard, 75017, Paris, France.
PREHO-PLYO Study Group
Brigade des Sapeurs Pompiers de Paris · FRService de Santé des Armées · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-trauma bleeding induces an acute deficiency in clotting factors, which promotes bleeding and hemorrhagic shock. However, early plasma administration may reduce the severity of trauma-induced coagulopathy (TIC). Unlike fresh frozen plasma, which requires specific hospital logistics, French lyophilized plasma (FLYP) is storable at room temperature and compatible with all blood types, supporting its use in prehospital emergency care. We aim to test the hypothesis that by attenuating TIC, FLYP administered by prehospital emergency physicians would benefit the severely injured civilian patient at risk for hemorrhagic shock. METHODS/

designThis multicenter randomized clinical trial will include adults severely injured and at risk for hemorrhagic shock, with a systolic blood pressure < 70 mmHg or a Shock Index > 1.1. Two parallel groups of 70 patients will receive either FLYP or normal saline in addition to usual treatment. The primary endpoint is the International Normalized Ratio (INR) at hospital admission. Secondary endpoints are transfusion requirement, length of stay in the intensive care unit, survival rate at day 30, usability and safety related to FLYP use, and other biological coagulation parameters.

conclusionWith this trial, we aim to confirm the efficacy of FLYP in TIC and its safety in civilian prehospital care. The study results will contribute to optimizing guidelines for treating hemorrhagic shock in civilian settings.

trial registrationClinicalTrials.gov, NCT02736812. Registered on 13 April 2016. The trial protocol has been approved by the French ethics committee (CPP 3342) and the French Agency for the Safety of Medicines and Health Products (IDRCB 2015-A00866-43).

Indexed as

Blood Coagulation DisordersBlood Component TransfusionEmergency Medical ServicesPlasmaShock, HemorrhagicWounds and InjuriesFreeze DryingHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicAdvanced trauma life supportHemorrhagic shockLyophilized plasma transfusionPost-trauma coagulopathyPrehospital emergency careShock index

Identifiers

PMID31969168
PMCPMC6977230
OpenAlexW3003532181

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.