Evidence map›Paper›PMID 32920105›Full record

ArticleThe Journal of pediatrics2021

Development of a Risk Model for Pediatric Hospital-Acquired Thrombosis: A Report from the Children's Hospital-Acquired Thrombosis Consortium.

Julie Jaffray, Brian Branchford, Neil Goldenberg, Jemily Malvar, Stacy E Croteau, Michael Silvey, John H Fargo, James D Cooper, Nihal Bakeer, Richard Sposto and 7 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  11. Optimization of Thromboprophylaxis Use in Hospitalized Pediatric Patients Through Implementation of a Venous Thromboembolism Risk Assessment Tool.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023
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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

17 authors.

Julie JaffrayChildren's Hospital Los Angeles, Los Angeles, CA; University of Southern California Keck School of Medicine, Los Angeles, CA. Electronic address: jjaffray@chla.usc.edu.
Brian BranchfordChildren's Hospital Colorado, Aurora, CO; University of Colorado School of Medicine, Aurora, CO.
Neil GoldenbergJohns Hopkins All Children's Hospital, Baltimore, MD; Department of Pediatrics and Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Jemily MalvarChildren's Hospital Los Angeles, Los Angeles, CA.
Stacy E CroteauBoston Children's Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Michael SilveyChildren's Mercy Kansas City, Kansas City, MO.
John H FargoAkron Children's Hospital, Akron, OH.
James D CooperChildren's Hospital of Pittsburgh, Pittsburgh, PA.
Nihal BakeerIndiana Hemophilia and Thrombosis Center, Indianapolis, IN.
Richard SpostoUniversity of Southern California Keck School of Medicine, Los Angeles, CA.
Lingyun JiUniversity of Southern California Keck School of Medicine, Los Angeles, CA.
Neil A ZakaiDepartment of Medicine, Department of Pathology & Laboratory Medicine, Larner College of Medicine at the University of Vermont Burlington, Burlington, VT.
E Vincent S FaustinoDepartment of Pediatrics, Yale School of Medicine, New Haven, CT.
Amy StillingsChildren's Hospital Los Angeles, Los Angeles, CA.
Emily KravaChildren's Hospital Los Angeles, Los Angeles, CA.
Guy YoungChildren's Hospital Los Angeles, Los Angeles, CA; University of Southern California Keck School of Medicine, Los Angeles, CA.
Arash MahajerinCHOC Children's Hospital, Mission Viejo, CA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
NCATS NIH HHS UL1 TR001855NCATS NIH HHS UL1 TR001863NHLBI NIH HHS L40 HL138910
6 · The paper itself

Abstract

objectiveTo identify pertinent clinical variables discernible on the day of hospital admission that can be used to assess risk for hospital-acquired venous thromboembolism (HA-VTE) in children. STUDY

designThe Children's Hospital-Acquired Thrombosis Registry is a multi-institutional registry for all hospitalized participants aged 0-21 years diagnosed with a HA-VTE and non-VTE controls. A risk assessment model (RAM) for the development of HA-VTE using demographic and clinical VTE risk factors present at hospital admission was derived using weighted logistic regression and the least absolute shrinkage and selection (Lasso) procedure. The models were internally validated using 5-fold cross-validation. Discrimination and calibration were assessed using area under the receiver operating characteristic curve and Hosmer-Lemeshow goodness of fit, respectively.

resultsClinical data from 728 cases with HA-VTE and 839 non-VTE controls, admitted between January 2012 and December 2016, were abstracted. Statistically significant RAM elements included age <1 year and 10-22 years, cancer, congenital heart disease, other high-risk conditions (inflammatory/autoimmune disease, blood-related disorder, protein-losing state, total parental nutrition dependence, thrombophilia/personal history of VTE), recent hospitalization, immobility, platelet count >350 K/μL, central venous catheter, recent surgery, steroids, and mechanical ventilation. The area under the receiver operating characteristic curve was 0.78 (95% CI 0.76-0.80).

conclusionsOnce externally validated, this RAM will identify those who are at low-risk as well as the greatest-risk groups of hospitalized children for investigation of prophylactic strategies in future clinical trials.

Indexed as

RegistriesAdolescentCase-Control StudiesChildChild, PreschoolFemaleFollow-Up StudiesHospitalizationHospitals, PediatricHumansIncidenceInfantInfant, NewbornMaleRetrospective StudiesRisk Assessmentchildrenrisk assessment modelrisk factorrisk predictionvenous thromboembolism

Identifiers

PMID32920105
PMCPMC7752847

What OpenQuestion holds

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LicenceTDM
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.