Evidence map›Paper›PMID 32092132›Full record

SynthesisBlood2020

Prognostic factors for VTE and bleeding in hospitalized medical patients: a systematic review and meta-analysis.

Andrea J Darzi, Samer G Karam, Rana Charide, Itziar Etxeandia-Ikobaltzeta, Mary Cushman, Michael K Gould, Lawrence Mbuagbaw, Frederick A Spencer, Alex C Spyropoulos, Michael B Streiff and 9 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 11 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

75 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  6. Risk factors for antiplatelet drug-associated intracranial hemorrhage: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  7. Systematic review of venous thromboembolism risk categories derived from Caprini score.Journal of vascular surgery. Venous and lymphatic disorders · 2022
    Pooled it
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  9. Risk Factors for Venous Thromboembolism in Severe COVID-19: A Study-Level Meta-Analysis of 21 Studies.International journal of environmental research and public health · 2021
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  10. Guideline
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Andrea J DarziMichael G. DeGroote Cochrane Canada and.
Samer G KaramMichael G. DeGroote Cochrane Canada and.
Rana CharideAmerican University of Beirut (AUB) GRADE Center, Clinical Research Institute, American University of Beirut, Beirut, Lebanon.
Itziar Etxeandia-IkobaltzetaMichael G. DeGroote Cochrane Canada and.
Mary CushmanDepartment of Medicine and.
Michael K GouldDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Lawrence MbuagbawMichael G. DeGroote Cochrane Canada and.
Frederick A SpencerDepartment of Medicine; McMaster University; Hamilton, ON, Canada.
Alex C SpyropoulosThe Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Medicine, Northwell Health at Lenox Hill Hospital, Manhasset, NY.
Michael B StreiffDivision of Hematology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD.
Scott WollerDepartment of Medicine, Intermountain Medical Center, University of Utah School of Medicine, Salt Lake City, UT.
Neil A ZakaiDepartment of Medicine and.
Federico GerminiMichael G. DeGroote Cochrane Canada and.
Marta RigoniHealthcare Research and Innovation Program, Heath Technology Assessment Unit, Fondazione Bruno Kessler, Trento, Italy.
Arnav AgarwalMichael G. DeGroote Cochrane Canada and.
Rami Z MorsiAmerican University of Beirut (AUB) GRADE Center, Clinical Research Institute, American University of Beirut, Beirut, Lebanon.
Alfonso IorioMichael G. DeGroote Cochrane Canada and.
Elie A AklMichael G. DeGroote Cochrane Canada and.
Holger J SchünemannMichael G. DeGroote Cochrane Canada and.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There may be many predictors of venous thromboembolism (VTE) and bleeding in hospitalized medical patients, but until now, systematic reviews and assessments of the certainty of the evidence have not been published. We conducted a systematic review to identify prognostic factors for VTE and bleeding in hospitalized medical patients and searched Medline and EMBASE from inception through May 2018. We considered studies that identified potential prognostic factors for VTE and bleeding in hospitalized adult medical patients. Reviewers extracted data in duplicate and independently and assessed the certainty of the evidence using the Grading of Recommendations Assessment, Development, and Evaluation approach. Of 69 410 citations, we included 17 studies in our analysis: 14 that reported on VTE, and 3 that reported on bleeding. For VTE, moderate-certainty evidence showed a probable association with older age; elevated C-reactive protein (CRP), D-dimer, and fibrinogen levels; tachycardia; thrombocytosis; leukocytosis; fever; leg edema; lower Barthel Index (BI) score; immobility; paresis; previous history of VTE; thrombophilia; malignancy; critical illness; and infections. For bleeding, moderate-certainty evidence showed a probable association with older age, sex, anemia, obesity, low hemoglobin, gastroduodenal ulcers, rehospitalization, critical illness, thrombocytopenia, blood dyscrasias, hepatic disease, renal failure, antithrombotic medication, and presence of a central venous catheter. Elevated CRP, a lower BI, a history of malignancy, and elevated heart rate are not included in most VTE risk assessment models. This study informs risk prediction in the management of hospitalized medical patients for VTE and bleeding; it also informs guidelines for VTE prevention and future research.

Indexed as

HospitalizationAdultAgedAged, 80 and overAge FactorsComorbidityFemaleHemorrhageHumansMaleMiddle AgedPrognosisRisk FactorsVenous Thromboembolism

Identifiers

PMID32092132
PMCPMC7242782

What OpenQuestion holds

Textmetadata
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.