Evidence map›Paper›PMID 34746797›Full record

ArticleCritical care explorations2021

Epidemiology of Bleeding in Critically Ill Children With an Underlying Oncologic Diagnosis.

Juliana Romano, Mario Martinez, Julie Levasseur, James S Killinger, Oliver Karam, Marianne E Nellis

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

0 citing papers in PubMed, 5 citations in OpenAlex.

No citing paper in PubMed yet.

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.

Juliana RomanoDepartment of Pediatrics, New York-Presbyterian/Weill Cornell Medicine, New York, NY.
Mario MartinezDepartment of Pediatrics, New York-Presbyterian/Weill Cornell Medicine, New York, NY.
Julie LevasseurDepartment of Pediatrics, New York-Presbyterian/Weill Cornell Medicine, New York, NY.
James S KillingerDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.
Oliver KaramDivision of Pediatric Critical Care Medicine, Children's Hospital of Richmond at VCU, Richmond, VA.
Marianne E NellisDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.
Memorial Sloan Kettering Cancer Center · USChildren's Hospital of Richmond at VCU · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesCritically ill children with malignancy have significant risk of bleeding but the exact epidemiology is unknown. We sought to describe severe bleeding events and associated risk factors in critically ill pediatric patients with an underlying oncologic diagnosis using the newly developed Bleeding Assessment Scale in Critically Ill Children definition.

designRetrospective cohort study.

settingPICU in comprehensive cancer center. PATIENTS: Children ages 28 days to 18 years with an underlying oncologic diagnosis admitted to the PICU during 2018.

interventionsNone. MEASUREMENTS AND MAIN

resultsTwo-hundred sixty-seven admissions met inclusion criteria. Sixty-four percent (171/267) were male, with a median (interquartile range) age of 6.3 years (3.1-12.1 yr). Nine percent (23/267) had at least one severe bleeding event during their PICU admission. There were no significant differences between those with severe bleeding and those without, with respect to gender (

conclusionsSevere bleeding occurred in nearly one-tenth of critically ill children with an underlying oncologic diagnosis without severe thrombocytopenia or coagulopathy. The vast majority received blood component therapy, but few received hemostatic medication. Studies are needed to guide the treatment of severe bleeding in this vulnerable patient population.

Indexed as

bleedingblood transfusioncancerchildrencoagulopathycritical illnessthrombocytopenia

Identifiers

PMID34746797
PMCPMC8565795
OpenAlexW3210674953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.