Evidence map›Paper›PMID 32894784›Full record

ArticleVox sanguinis2021

28-day thawed plasma maintains α

Gregory R Stettler, Ernest E Moore, Benjamin R Huebner, Geoffrey R Nunns, Hunter B Moore, Julia R Coleman, Marguerite Kelher, Anirban Banerjee, Christopher C Silliman

Abstract read
In one paragraph

Article in Vox sanguinis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors.

Gregory R StettlerDepartment of Surgery, University of Colorado, Auora, CO, USA.ORCID https://orcid.org/0000-0002-0967-9035
Ernest E MooreDepartment of Surgery, University of Colorado, Auora, CO, USA.
Benjamin R HuebnerDepartment of Surgery, University of Cincinnati, Cincinnati, OH, USA.
Geoffrey R NunnsDepartment of Surgery, University of Colorado, Auora, CO, USA.
Hunter B MooreDepartment of Surgery, University of Colorado, Auora, CO, USA.
Julia R ColemanDepartment of Surgery, University of Colorado, Auora, CO, USA.
Marguerite KelherDepartment of Surgery, University of Colorado, Auora, CO, USA.
Anirban BanerjeeDepartment of Surgery, University of Colorado, Auora, CO, USA.
Christopher C SillimanDepartment of Surgery, University of Colorado, Auora, CO, USA.

Funding

Analysis and Characterization of Trauma-Induced CoagulopathyUM1HL120877 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MORRISSEY, JAMES H., WISNIEWSKI, STEPHEN R · 2013 to 2019
$26.6M
Trauma Reprograms CellsP50GM049222 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI BANERJEE, ANIRBAN · 1993 to 2017
$26.1M
Resuscitation Strategies for Achieving Thrombo-inflammatory HomeostasisRM1GM131968 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI COHEN, MITCHELL, D'ALESSANDRO, ANGELO · 2019 to 2023
$11.3M
Mechanisms of Trauma-Induced CoagulopathyT32GM008315 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI Mitchell Cohen, ELIZABETH J. KOVACS · 1991 to 2026
$7.1M
National Heart Lung and Blood Institute UM1-HL120877NIGMS NIH HHS P50 GM049222NIGMS NIH HHS P50-GM49222NIGMS NIH HHS RM1 GM131968NIGMS NIH HHS T32 GM008315NIGMS NIH HHS T32-GM008315U.S. Department of Defense USAMRAAU.S. Department of Defense W81XWH-12-2-0028
6 · The paper itself

Abstract

introductionEvidence supports the use of plasma-first resuscitation in the treatment of trauma-induced coagulopathy (TIC). While thawed plasma (TP) has logistical benefits, the ability of plasma proteins to attenuate fibrinolysis and correct TIC remain unknown. We hypothesize that TP retains the ability to inhibit tissue plasminogen activator(tPA)-induced fibrinolysis at 28-day storage.

methodsHealthy volunteers underwent blood draws followed by 50% dilution of whole blood (WB) with TP at 28-, 21-, 14-, 7-, 5-, and, 0-day storage, normal saline (NS), and WB control. Samples underwent citrated tPA-challenge (75 ng/ml) thromboelastography (TEG). Plasminogen activator inhibitor-1 (PAI-1) and α

resultsIn the presence of tPA, 28-day TP inhibited tPA-induced coagulopathy as effectively as WB. 28-day TP had a similar R-time, MA, and fibrinolysis (P > 0·05 for all) compared to WB, while angle was enhanced (P = 0·02) compared to WB. Significant correlations were present between storage time and clot strength (P = 0·04) and storage time and fibrinolysis (P = 0·0029). Active PAI-1 levels in thawed plasma were 1·10 ± 0·54 ng/mL while total PAI-1 levels were 4·79 ± 1·41 ng/mL. There was no difference of α DISCUSSION: Thawed plasma retained the ability to inhibit tPA-induced fibrinolysis over 28-day storage at 1-4°C. α

Indexed as

Blood Component TransfusionFibrinolysisAdultalpha-2-AntiplasminFemaleHumansMalePlasmaTissue Plasminogen Activatoralpha-2-AntiplasminSERPINF2 protein, humanTissue Plasminogen Activatorhemostasisplasmatransfusiontraum

Identifiers

PMID32894784
PMCPMC7962918

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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.