Evidence map›Paper›PMID 32067052›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

A meta-analysis on anticoagulation after vascular trauma.

Shujhat Khan, Hussein Elghazaly, Areeb Mian, Mansoor Khan

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. 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
1.0field-weighted citation impact, top 19% 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, 18 citations in OpenAlex.

  1. Observational
  2. Article
  3. Timing and choice of systemic anticoagulation in the setting of extremity arterial injury repair.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  4. Article
  5. Selecting the right limb, at the right time, for the right reason: response to "A meta-analysis on anticoagulation after vascular trauma".European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Shujhat KhanDepartment of Surgery, Imperial College London, London, UK. sk7015@ic.ac.uk.ORCID http://orcid.org/0000-0001-7125-4815
Hussein ElghazalyDepartment of Surgery, Imperial College London, London, UK.
Areeb MianDepartment of Surgery, Imperial College London, London, UK.
Mansoor KhanSt Mary's Hospital, Praed Street, London, UK.
Imperial College London · GBSt Mary's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is much debate regarding the use of anticoagulation following vascular trauma. The aim of this meta-analysis was to compare the outcome of trauma following administration of anticoagulation medication.

methodsThe literature search was carried out using Ovid MEDLINE and PubMed databases to search for keywords and MeSH terms including "Anticoagulation", "Vascular Surgery", "Vascular Trauma", "Vascular Repair", "Repair" and "Wounds and Injuries".

resultsUse of anticoagulation was associated with a better prognosis for overall vascular trauma outcomes (weighted OR 0.46; 95% CI 0.34-0.64; P < 0.00001), as well as reduced risk of amputation for both lower and upper limb vascular trauma (weighted OR 0.42; 95% CI 0.22-0.78; P = 0.007), and reduced occurrence of reoperation events and amputations in isolated lower limb vascular trauma (weighted OR 0.27; 95% CI 0.14-0.52; P < 0.0001).

conclusionThere was a statistically significant correlation between the use of anticoagulation and vascular trauma outcome. A major limitation with many of the studies includes a lack of prospective analysis and therefore we recommend prospective studies to properly elucidate prognostic outcomes following use of these anticoagulants. Further studies need to be conducted to assess the effects of timing of anticoagulant delivery, dosages and severity of traumatic injury. Thus, this would prove to be very useful in the formation of guidelines.

Indexed as

Vascular Surgical ProceduresAnticoagulantsHumansLimb SalvagePostoperative ComplicationsPrognosisReoperationRisk FactorsVascular System InjuriesAnticoagulantsAnticoagulantsTraumaVascular surgery

Identifiers

PMID32067052
PMCPMC7691301
OpenAlexW3006030560

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.