Evidence map›Paper›PMID 33755680›Full record

ArticlePloS one2021

Effect of acute alcohol intoxication on mortality, coagulation, and fibrinolysis in trauma patients.

Il-Jae Wang, Byung-Kwan Bae, Young Mo Cho, Suck Ju Cho, Seok-Ran Yeom, Sang-Bong Lee, Mose Chun, Hyerim Kim, Hyung-Hoi Kim, Sun Min Lee and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Alcohol drinking leads to sex-dependent differentiation of T cells.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Il-Jae WangDepartment of Emergency Medicine, Pusan National University Hospital, Busan, Republic of Korea.ORCID 0000-0003-2479-2359
Byung-Kwan BaeDepartment of Emergency Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Young Mo ChoDepartment of Emergency Medicine, Pusan National University Hospital, Busan, Republic of Korea.ORCID 0000-0002-1840-3305
Suck Ju ChoDepartment of Emergency Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Seok-Ran YeomDepartment of Emergency Medicine, Pusan National University Hospital, Busan, Republic of Korea.ORCID 0000-0002-1000-9637
Sang-Bong LeeDepartment of Trauma Surgery, Pusan National University Hospital, Busan, Republic of Korea.
Mose ChunDepartment of Emergency Medicine, Pusan National University Yangsan Hospital, Gyeongsangnam-do, Yangsan, Republic of Korea.
Hyerim KimBiomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Hyung-Hoi KimBiomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Sun Min LeeDepartment of Laboratory Medicine, Pusan National University Yangsan Hospital, Gyeongsangnam-do, Yangsan, Republic of Korea.
Up HuhDepartment of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Busan, Republic of Korea.
Soo Young MoonBiomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.ORCID 0000-0003-2708-5035
Pusan National University Hospital · KRPusan National University Yangsan Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of alcohol on the outcome and fibrinolysis phenotype in trauma patients remains unclear. Hence, we performed this study to determine whether alcohol is a risk factor for mortality and fibrinolysis shutdown in trauma patients. MATERIALS AND

methodsA total of 686 patients who presented to our trauma center and underwent rotational thromboelastometry were included in the study. The primary outcome was in-hospital mortality. Logistic regression analysis was performed to determine whether alcohol was an independent risk factor for in-hospital mortality and fibrinolysis shutdown.

resultsThe rate of in-hospital mortality was 13.8% and blood alcohol was detected in 27.7% of the patients among our study population. The patients in the alcohol-positive group had higher mortality rate, higher clotting time, and lower maximum lysis, more fibrinolysis shutdown, and hyperfibrinolysis than those in the alcohol-negative group. In logistic regression analysis, blood alcohol was independently associated with in-hospital mortality (odds ratio [OR] 2.578; 95% confidence interval [CI], 1.550-4.288) and fibrinolysis shutdown (OR 1.883 [95% CI, 1.286-2.758]). Within the fibrinolysis shutdown group, blood alcohol was an independent predictor of mortality (OR 2.168 [95% CI, 1.030-4.562]).

conclusionsAlcohol is an independent risk factor for mortality and fibrinolysis shutdown in trauma patients. Further, alcohol is an independent risk factor for mortality among patients who experienced fibrinolysis shutdown.

Indexed as

Blood CoagulationFibrinolysisAdultAgedAlcoholic IntoxicationEthanolFemaleHospital MortalityHumansLogistic ModelsMaleMiddle AgedPhenotypeWounds and InjuriesEthanol

Identifiers

PMID33755680
PMCPMC7987171
OpenAlexW3137356919

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.