Evidence map›Paper›PMID 34011634›Full record

ArticlePediatrics2021

A Real-time Risk-Prediction Model for Pediatric Venous Thromboembolic Events.

Shannon C Walker, C Buddy Creech, Henry J Domenico, Benjamin French, Daniel W Byrne, Allison P Wheeler

Registry-linked trialOpen access · greenAbstract readValidation Study
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04574895 (Using a Real-Time Risk Prediction Model to Predict Pediatric Venous Thromboembolism Events), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.6field-weighted citation impact, top 6% 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.

NCT04574895 nacompletednot on this map

Using a Real-Time Risk Prediction Model to Predict Pediatric Venous Thromboembolism Events

TypeinterventionalSponsorVanderbilt University Medical CenterRan2020 to 2023Enrolled17,427ConditionsVenous Thromboembolism, Pediatrics, Deep Vein Thrombosis, Pulmonary EmbolismArmsHematology Review
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Hemostatic System in Newborns and the Risk of Neonatal Thrombosis.International journal of molecular sciences · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Article
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

6 authors at 2 institutions in 1 country.

Shannon C WalkerDivisions of Pediatric Hematology and Oncology, shannon.walker@vumc.org.
C Buddy CreechPediatric Infectious Diseases, and.
Henry J DomenicoDepartment of Biostatistics, and.
Benjamin FrenchDepartment of Biostatistics, and.
Daniel W ByrneDepartment of Biostatistics, and.
Allison P WheelerDivisions of Pediatric Hematology and Oncology.
Cancer Research And Biostatistics · USVanderbilt University Medical Center · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000445
6 · The paper itself

Abstract

backgroundHospital-associated venous thromboembolism (HA-VTE) is an increasing cause of morbidity in pediatric populations, yet identification of high-risk patients remains challenging. General pediatric models have been derived from case-control studies, but few have been validated. We developed and validated a predictive model for pediatric HA-VTE using a large, retrospective cohort.

methodsThe derivation cohort included 111 352 admissions to Monroe Carell Jr. Children's Hospital at Vanderbilt. Potential variables were identified a priori, and corresponding data were extracted. Logistic regression was used to estimate the association of potential risk factors with development of HA-VTE. Variable inclusion in the model was based on univariate analysis, availability in routine medical records, and clinician expertise. The model was validated by using a separate cohort with 44 138 admissions.

resultsA total of 815 encounters were identified with HA-VTE in the derivation cohort. Variables strongly associated with HA-VTE include history of thrombosis (odds ratio [OR] 8.7; 95% confidence interval [CI] 6.6-11.3;

conclusionsWe created and validated a risk-prediction model that identifies pediatric patients at risk for HA-VTE development. We anticipate early identification of high-risk patients will increase prophylactic interventions and decrease the incidence of pediatric HA-VTE.

Indexed as

Models, StatisticalRisk AssessmentChildChild, PreschoolComputer SystemsFemaleHumansInfantMaleRetrospective StudiesVenous Thromboembolism

Identifiers

PMID34011634
PMCPMC8168609
OpenAlexW3162551268

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.