Evidence map›Paper›PMID 32349778›Full record

ArticleItalian journal of pediatrics2020

Risk factors and treatments for disseminated intravascular coagulation in neonates.

Hayato Go, Hitoshi Ohto, Kenneth E Nollet, Nozomi Kashiwabara, Kei Ogasawara, Mina Chishiki, Shun Hiruta, Ichiri Sakuma, Yukihiko Kawasaki, Mitsuaki Hosoya

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Italian journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06626880 (Predictive Value of Scoring System in Neonates with Disseminated Intravascular Coagulation), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% 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.

NCT06626880 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Predictive Value of Scoring System in Neonates with Disseminated Intravascular Coagulation

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled43ConditionsDisseminated Intravascular Coagulation, Neonates
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Plasma and Platelet Transfusion Strategies in Critically Ill Children With Malignancy, Acute Liver Failure and/or Liver Transplantation, or Sepsis: From the Transfusion and Anemia EXpertise Initiative-Control/Avoidance of Bleeding.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2022
    Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. The Endothelial Glycocalyx and Neonatal Sepsis.International journal of molecular sciences · 2022
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. 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

10 authors at 1 institution in 1 country.

Hayato GoDepartment of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan. gohayato2525@gmail.com.ORCID http://orcid.org/0000-0002-0138-6676
Hitoshi OhtoDepartment of Blood Transfusion and Transplantation Immunology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Kenneth E NolletDepartment of Blood Transfusion and Transplantation Immunology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Nozomi KashiwabaraDepartment of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Kei OgasawaraDepartment of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Mina ChishikiDepartment of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Shun HirutaDepartment of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Ichiri SakumaDepartment of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Yukihiko KawasakiDepartment of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Mitsuaki HosoyaDepartment of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Fukushima Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough disseminated intravascular coagulation (DIC) is a critical disease, there is few gold standard interventions in neonatal medicine. The aim of this study is to reveal factors affecting neonatal DIC at birth and to assess the effectiveness of rTM and FFP for DIC in neonates at birth.

methodsWe retrospectively evaluated DIC score on the first day of life in neonates with underlying conditions associated with DIC. DIC in neonates was diagnosed according to Japan Society of Obstetrical, Gynecological & Neonatal Hematology 2016 neonatal DIC criteria.

resultsComparing neonates with DIC scores of ≥3 (n = 103) to those < 3 (n = 263), SGA, birth asphyxia, low Apgar score, hemangioma, hydrops, PIH, and PA were statistically increased. Among 55 neonates underwent DIC treatment, 53 had birth asphyxia and 12 had intraventricular hemorrhage. Forty-one neonates received FFP or a combination of FFP and antithrombin (FFP group), while 14 neonates received rTM or a combination of rTM, FFP, and antithrombin (rTM group). DIC score before treatment in the rTM group was significantly higher than in the FFP group (4.7 vs 3.6, P < 0.05). After treatment, DIC scores in both groups were significantly reduced on Day 1 and Day 2 (P < 0.05).

conclusionsAmong various factors associated with DIC in neonates at birth, birth asphyxia is particularly significant. Furthermore, rTM in combination with FFP therapy was effective for neonatal DIC at birth.

Indexed as

PlasmaDisseminated Intravascular CoagulationFemaleHumansInfant, NewbornJapanMaleRetrospective StudiesRisk FactorsThrombomodulinThrombomodulinBirth asphyxiaDIC scoreFresh frozen plasmaNeonatesRecombinant thrombomodulinUnderlying conditions

Identifiers

PMID32349778
PMCPMC7191786
OpenAlexW3023116572

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.