Evidence map›Paper›PMID 32979018›Full record

ArticleJournal of thrombosis and haemostasis : JTH2020

Extreme thrombocytosis is associated with critical illness and young age, but not increased thrombotic risk, in hospitalized pediatric patients.

Christopher S Thom, Emily Echevarria, Ashley D Osborne, Leah Carr, Kathryn M Rubey, Elizabeth Salazar, Danielle Callaway, Thomas Pawlowski, Matthew Devine, Stacey Kleinman and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Neonatal critical illness is associated with pancytopenia development in childhood.medRxiv : the preprint server for health sciences · 2026
    Article
  2. Inflammation, anemia, and vitamin D levels associate with infant thrombocytosis risk.Research and practice in thrombosis and haemostasis · 2026
    Article
  3. [Advances in the diagnosis and treatment of thrombocytosis in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  4. Article
  5. [Etiologies of extreme thrombocytosis in children: a retrospective study].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2023
    Article
  6. Article
  7. Article
  8. Review
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

13 authors at 1 institution in 1 country.

Christopher S ThomDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0003-1830-9922
Emily EchevarriaDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Ashley D OsborneDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Leah CarrDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kathryn M RubeyDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Elizabeth SalazarDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Danielle CallawayDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Thomas PawlowskiDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Matthew DevineDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Stacey KleinmanDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Char WitmerDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
John FlibotteDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Michele P LambertDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Children's Hospital of Philadelphia · US

Funding

T32 Institutional Pediatric ResearchT32HD043021 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Joseph W. St. Geme · 2002 to 2026
$6.4M
National Institute of Child Health and Human Development T32HD043021NICHD NIH HHS T32 HD043021
6 · The paper itself

Abstract

backgroundExtreme thrombocytosis (EXT, platelet count > 1000 × 10

objectivesOur objectives were to determine etiologies and sequelae of EXT in a hospitalized general pediatric patient population. PATIENTS AND

methodsWe retrospectively analyzed EXT cases from a single-center pediatric cohort of ~80 000 patients over 8 years.

resultsVirtually all cases (99.8%) were secondary in nature, and most were multifactorial. Many cases of EXT occurred in children under 2 years old (47%) and/or during critical illness (55%). No thrombotic or bleeding events directly resulted from EXT, confirming a paucity of clinical complications associated with EXT in pediatric patients. There were indications that neonatal hematopoiesis and individual genetic variation influenced some cases, in addition to certain diagnoses (eg, sickle cell anemia) and clinical contexts (eg, asplenia).

conclusionOur findings confirm that thrombotic events related to EXT are rare in pediatric patients, which can inform the use of empiric anti-platelet therapy.

Indexed as

Myeloproliferative DisordersThrombocytosisAdultChildCritical IllnessHumansInfantInfant, NewbornPlatelet CountRetrospective Studiesanemiacritical illnesspediatricsplatelet countthrombocytosis

Identifiers

PMID32979018
PMCPMC7855272
OpenAlexW3089067767

What OpenQuestion holds

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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.