Evidence map›Paper›PMID 34040091›Full record

ArticleScientific reports2021

Disseminated intravascular coagulation immediately after trauma predicts a poor prognosis in severely injured patients.

Takeshi Wada, Atsushi Shiraishi, Satoshi Gando, Kazuma Yamakawa, Seitaro Fujishima, Daizoh Saitoh, Shigeki Kushimoto, Hiroshi Ogura, Toshikazu Abe, Toshihiko Mayumi and 20 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Blood Transfusion for Major Trauma in Emergency Department.Diagnostics (Basel, Switzerland) · 2024
    Review
  8. Article
  9. Article
  10. A 3-Frontiers in immunology · 2023
    Article
  11. Article
  12. Article
  13. Article
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  15. 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

30 authors at 20 institutions in 1 country.

Takeshi WadaDivision of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Japan. twada1@med.hokudai.ac.jp.
Atsushi ShiraishiEmergency and Trauma Center, Kameda Medical Center, Kamogawa, Japan.
Satoshi GandoDivision of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Japan.
Kazuma YamakawaDepartment of Emergency Medicine, Osaka Medical College, Osaka, Japan.
Seitaro FujishimaCenter for General Medicine Education, Keio University School of Medicine, Tokyo, Japan.
Daizoh SaitohDivision of Traumatology, Research Institute, National Defense Medical College, Saitama, Japan.
Shigeki KushimotoDivision of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hiroshi OguraDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Toshikazu AbeDepartment of Emergency and Critical Care Medicine, Tsukuba Memorial Hospital, Tsukuba, Japan.
Toshihiko MayumiDepartment of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Junichi SasakiDepartment of Emergency and Critical Care Medicine, Keio University School of Medicine, Tokyo, Japan.
Joji KotaniDivision of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of Medicine, Kobe, Japan.
Naoshi TakeyamaAdvanced Critical Care Center, Aichi Medical University Hospital, Nagakute, Japan.
Ryosuke TsurutaAdvanced Medical Emergency and Critical Care Center, Yamaguchi University Hospital, Ube, Japan.
Kiyotsugu TakumaEmergency and Critical Care Center, Kawasaki Municipal Hospital, Kawasaki, Japan.
Norio YamashitaDepartment of Emergency and Critical Care Medicine, School of Medicine, Kurume University, Kurume, Japan.
Shin-Ichiro ShiraishiDepartment of Emergency and Critical Care Medicine, Aizu Chuo Hospital, Aizuwakamatsu, Japan.
Hiroto IkedaDepartment of Emergency Medicine, Trauma and Resuscitation Center, Teikyo University School of Medicine, Tokyo, Japan.
Yasukazu ShiinoDepartment of Acute Medicine, Kawasaki Medical School, Kurashiki, Japan.
Takehiko TaruiDepartment of Trauma and Critical Care Medicine, Kyorin University School of Medicine, Tokyo, Japan.
Taka-Aki NakadaDepartment of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
Toru HifumiDepartment of Emergency and Critical Care Medicine, St. Luke's International Hospital, Tokyo, Japan.
Kohji OkamotoDepartment of Surgery, Center for Gastroenterology and Liver Disease, Kitakyushu City Yahata Hospital, Kitakyushu, Japan.
Yuichiro SakamotoEmergency and Critical Care Medicine, Saga University Hospital, Saga, Japan.
Akiyoshi HagiwaraCenter Hospital of the National Center for Global Health and Medicine, Tokyo, Japan.
Tomohiko MasunoDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan.
Masashi UeyamaDepartment of Trauma, Critical Care Medicine, and Burn Center, Japan; Community Healthcare Organization, Chukyo Hospital, Nagoya, Japan.
Satoshi FujimiDivision of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka, Japan.
Yutaka UmemuraDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasuhiro OtomoTrauma and Acute Critical Care Center, Medical Hospital, Tokyo Medical and Dental University, Tokyo, Japan.
Keio University · JPOsaka University · JPAichi Medical University Hospital · JPChiba University · JPChukyo Hospital · JPGunma Chuo Hospital · JPHokkaido University · JPKameda Medical Center · JPKawasaki Medical School · JPKawasaki Municipal Hospital · JPKitakyushu City Yahata Hospital · JPKobe University · JPKurume University · JPKyorin University · JPNational Center for Global Health and Medicine · JPNational Defense Medical College · JPNippon Medical School · JPOsaka Medical and Pharmaceutical University · JPOsaka Prefectural Medical Center · JPSaga University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma patients die from massive bleeding due to disseminated intravascular coagulation (DIC) with a fibrinolytic phenotype in the early phase, which transforms to DIC with a thrombotic phenotype in the late phase of trauma, contributing to the development of multiple organ dysfunction syndrome (MODS) and a consequently poor outcome. This is a sub-analysis of a multicenter prospective descriptive cross-sectional study on DIC to evaluate the effect of a DIC diagnosis on the survival probability and predictive performance of DIC scores for massive transfusion, MODS, and hospital death in severely injured trauma patients. A DIC diagnosis on admission was associated with a lower survival probability (Log Rank P < 0.001), higher frequency of massive transfusion and MODS and a higher mortality rate than no such diagnosis. The DIC scores at 0 and 3 h significantly predicted massive transfusion, MODS, and hospital death. Markers of thrombin and plasmin generation and fibrinolysis inhibition also showed a good predictive ability for these three items. In conclusion, a DIC diagnosis on admission was associated with a low survival probability. DIC scores obtained immediately after trauma predicted a poor prognosis of severely injured trauma patients.

Indexed as

Disseminated Intravascular CoagulationWounds and InjuriesAdultAgedBlood TransfusionCross-Sectional StudiesFemaleHospital MortalityHumansMaleMiddle AgedMultiple Organ FailurePrognosisProspective Studies

Identifiers

PMID34040091
PMCPMC8154895
OpenAlexW3129420567

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.