Evidence map›Paper›PMID 33927200›Full record

ReviewNature reviews. Disease primers2021

Trauma-induced coagulopathy.

Ernest E Moore, Hunter B Moore, Lucy Z Kornblith, Matthew D Neal, Maureane Hoffman, Nicola J Mutch, Herbert Schöchl, Beverley J Hunt, Angela Sauaia

Erratum issued Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05004844 (Mitochondrial Dysfunction in Trauma-related Coagulopathy - Is There Causality? - Study Protocol for a Prospective Observational Study), which is not on this map. Cited by 370 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
370citing papers in PubMed, 5 pooled it
75.5field-weighted citation impact, top 1% 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.

NCT05004844 unknown statusnot on this map

Mitochondrial Dysfunction in Trauma-related Coagulopathy - Is There Causality? - Study Protocol for a Prospective Observational Study

TypeobservationalSponsorPetra Hartmann MD Ph.D.Ran2021 to 2023Enrolled40ConditionsTrauma Induced CoagulopathyArmsViscoelastic assays and aggregometry tests
3 · Its place in the literature

Who cites it

370 citing papers in PubMed, 5 syntheses or guidelines pooled it, 725 citations in OpenAlex.

  1. Pooled it
  2. Blood transfusion strategies for major bleeding in trauma.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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  16. Observational
  17. Article
  18. Review
  19. Association between time to transfusion and outcomes in patients with traumatic haemorrhagic shock: an analysis of a nationwide trauma registry in Japan.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  20. Observational

310 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 9 institutions in 3 countries.

Ernest E MooreErnest E Moore Shock Trauma Center at Denver Health, Denver, CO, USA. Ernest.Moore@dhha.org.ORCID http://orcid.org/0000-0002-0419-4848
Hunter B MooreDepartment of Surgery, University of Colorado Denver, Aurora, CO, USA.
Lucy Z KornblithTrauma and Surgical Critical Care, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-1861-9691
Matthew D NealPittsburgh Trauma Research Center, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Maureane HoffmanDuke University School of Medicine, Transfusion Service, Durham VA Medical Center, Durham, NC, USA.
Nicola J MutchAberdeen Cardiovascular & Diabetes Centre, School of Medicine, Medical Sciences and Nutrition, Institute of Medical Sciences, University of Aberdeen, Aberdeen, UK.
Herbert SchöchlDepartment of Anesthesiology and Intensive Care Medicine, AUVA Trauma Centre Salzburg, Academic Teaching Hospital of the Paracelsus Medical University, Salzburg and Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, AUVA Trauma Research Centre, Vienna, Austria.
Beverley J HuntKing's College, London, UK.ORCID http://orcid.org/0000-0002-4709-0774
Angela SauaiaDepartment of Surgery, University of Colorado Denver, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-8493-389X
Colorado School of Public Health · USDenver Health Medical Center · USDuke University · USKing's College London · GBParacelsus Medical University · ATSan Francisco General Hospital · USUniversity of Aberdeen · GBUniversity of Colorado Denver · USUniversity of Pittsburgh Medical Center · US

Funding

Inflammation and the Response to InjuryU54GM062119 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI TOMPKINS, RONALD GARY · 2001 to 2010
$78.6M
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
Mechanistic Elucidation and Targeted Therapy of Platelet Dysfunction After TraumaR35GM119526 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEAL, MATTHEW D · 2016 to 2025
$3.9M
Mechanisms of platelet exosome-mediated acute chest syndrome in sickle cell diseaseR01HL141080 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEAL, MATTHEW D, NOVELLI, ENRICO M · 2019 to 2022
$3.1M
Post-Injury Platelet Biology: Mechanisms and OutcomesK23GM130892 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KORNBLITH, LUCY ZUMWINKLE · 2018 to 2022
$995k
Persistent Microvasculature Thrombosis Caused by Fibrinolysis Shutdown Driving Delayed Graft Function in Liver Transplant RecipientsK99HL151887 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MOORE, HUNTER B · 2020 to 2021
$257k
British Heart Foundation FS/11/2/28579British Heart Foundation PG/07/122/24195British Heart Foundation PG/11/1/28461British Heart Foundation PG/15/82/31721British Heart Foundation PG/20/17/35050NHLBI NIH HHS K99 HL151887NHLBI NIH HHS R01 HL141080NHLBI NIH HHS UM1 HL120877NIGMS NIH HHS K23 GM130892NIGMS NIH HHS P50 GM049222NIGMS NIH HHS R35 GM119526NIGMS NIH HHS RM1 GM131968NIGMS NIH HHS T32 GM008315NIGMS NIH HHS U54 GM062119
6 · The paper itself

Abstract

Uncontrolled haemorrhage is a major preventable cause of death in patients with traumatic injury. Trauma-induced coagulopathy (TIC) describes abnormal coagulation processes that are attributable to trauma. In the early hours of TIC development, hypocoagulability is typically present, resulting in bleeding, whereas later TIC is characterized by a hypercoagulable state associated with venous thromboembolism and multiple organ failure. Several pathophysiological mechanisms underlie TIC; tissue injury and shock synergistically provoke endothelial, immune system, platelet and clotting activation, which are accentuated by the 'lethal triad' (coagulopathy, hypothermia and acidosis). Traumatic brain injury also has a distinct role in TIC. Haemostatic abnormalities include fibrinogen depletion, inadequate thrombin generation, impaired platelet function and dysregulated fibrinolysis. Laboratory diagnosis is based on coagulation abnormalities detected by conventional or viscoelastic haemostatic assays; however, it does not always match the clinical condition. Management priorities are stopping blood loss and reversing shock by restoring circulating blood volume, to prevent or reduce the risk of worsening TIC. Various blood products can be used in resuscitation; however, there is no international agreement on the optimal composition of transfusion components. Tranexamic acid is used in pre-hospital settings selectively in the USA and more widely in Europe and other locations. Survivors of TIC experience high rates of morbidity, which affects short-term and long-term quality of life and functional outcome.

Indexed as

Blood Coagulation DisordersQuality of LifeFibrinolysisHemorrhageHemostasisHumans

Identifiers

PMID33927200
PMCPMC9107773
OpenAlexW3152414427

What OpenQuestion holds

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Registered trials

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.