Evidence map›Paper›PMID 33586478›Full record

Trial reportJournal of the American Heart Association2021

Association Between Asymptomatic Proximal Deep Vein Thrombosis and Mortality in Acutely Ill Medical Patients.

Gary E Raskob, Alex C Spyropoulos, Alexander T Cohen, Jeffrey I Weitz, Walter Ageno, Yoriko De Sanctis, Wentao Lu, Jianfeng Xu, John Albanese, Chiara Sugarmann and 4 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
6.6field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Deep Vein Thrombosis in Critically Ill Patients With COVID-19 Pneumonia: Incidence, Wells Score Diagnostic Performance, and Hospital Prognosis.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Observational
  8. Article
  9. Review
  10. Article
  11. Review
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  14. Review
  15. Review
  16. Meningioma resection and venous thromboembolism incidence, management, and outcomes.Research and practice in thrombosis and haemostasis · 2023
    Article
  17. Article
  18. Article
  19. Article
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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

14 authors at 7 institutions in 5 countries.

Gary E RaskobHudson College of Public HealthUniversity of Oklahoma Health Sciences Center Oklahoma City OK.
Alex C SpyropoulosThe Feinstein Institutes for Medical Research and Zucker School of Medicine at Hofstra/Northwell Anticoagulation and Clinical Thrombosis Services Department of Medicine Northwell Health at Lenox Hill Hospital New York NY.
Alexander T CohenDepartment of Hematological Medicine Guys and St Thomas/NHS Foundation Trust, King's College London London United Kingdom.
Jeffrey I WeitzMcMaster University, and the Thrombosis and Atherosclerosis Research Institute Hamilton Ontario Canada.
Walter AgenoDepartment of Medicine and Surgery University of Insubria Varese Italy.
Yoriko De SanctisStatistics and Data Insights Bayer US LLC Whippany NJ.
Wentao LuBiostatistics Department Janssen Research and Development LLC Raritan NJ.
Jianfeng XuBiostatistics Department Janssen Research and Development LLC Raritan NJ.
John AlbaneseCardiovascular Clinical Development Janssen Research and Development, LLC Raritan NJ.
Chiara SugarmannCardiovascular Clinical Development Janssen Research and Development, LLC Raritan NJ.
Traci WeberCardiovascular Clinical Development Janssen Research and Development, LLC Raritan NJ.
Concetta LipardiCardiovascular Clinical Development Janssen Research and Development, LLC Raritan NJ.
Theodore E SpiroBayer US, LLC Whippany NJ.
Elliot S BarnathanCardiovascular Clinical Development Janssen Research and Development, LLC Raritan NJ.
Janssen (United States) · USBayer (United States) · USKing's College London · GBNorthwell Health · USThrombosis and Atherosclerosis Research Institute · CAUniversity of Insubria · ITUniversity of Oklahoma Health Sciences Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Asymptomatic proximal deep vein thrombosis (DVT) is an end point frequently used to evaluate the efficacy of anticoagulant thromboprophylaxis in medical patients. Recently, the clinical relevance of asymptomatic DVT has been challenged. Methods and Results The objective of this study was to evaluate the relationship between asymptomatic proximal DVT and all-cause mortality (ACM) using a cohort analysis of a randomized trial for the prevention of venous thromboembolism (VTE) in acutely ill medical patients. Patients who received at least 1 dose of study drug and had an adequate compression ultrasound examination of the legs on either day 10 or day 35 were categorized into 1 of 3 cohorts: no VTE, asymptomatic proximal DVT, or symptomatic DVT. Cox proportional hazards model, with adjustment for significant independent predictors of mortality, were used to compare the incidences of ACM. Of the 7036 patients, 6776 had no VTE, 236 had asymptomatic DVT, and 24 had symptomatic VTE. The incidence of ACM was 4.8% in patients without VTE. Both asymptomatic proximal DVT (mortality, 11.4%; hazard ratio [HR], 2.31; 95% CI, 1.52-3.51;

Indexed as

Asymptomatic DiseasesAgedAnticoagulantsCritical IllnessFemaleFollow-Up StudiesHumansMaleSurvival RateUltrasonographyUnited KingdomVenous ThrombosisAnticoagulantsmedically illmortalityproximal DVT

Identifiers

PMID33586478
PMCPMC8174250
OpenAlexW3129308662

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.