Evidence map›Paper›PMID 34797177›Full record

Observational studyAnnals of medicine2021

Prevention, treatment, and risk factors of deep vein thrombosis in critically ill patients in Zhejiang province, China: a multicenter, prospective, observational study.

Li Li, Jia Zhou, Liquan Huang, Junhai Zhen, Lina Yao, Lingen Xu, Weimin Zhang, Gensheng Zhang, Qijiang Chen, Bihuan Cheng and 5 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  12. The Standardized Prophylaxis and Risk Factors for Venous Thromboembolism in Patients of Respiratory Intensive Care Unit: A Retrospective Observational Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
  13. Development of a Risk Assessment Tool for Venous Thromboembolism among Hospitalized Patients in the ICU.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

15 authors at 7 institutions in 1 country.

Li LiDepartment of Critical Care Medicine, Zhejiang Hospital, Hangzhou, Zhejiang, China.ORCID 0000-0001-6491-5339
Jia ZhouDepartment of Critical Care Medicine, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Liquan HuangDepartment of Critical Care Medicine, Zhejiang Provincial Hospital of Chinese Medicine, Hangzhou, Zhejiang, China.
Junhai ZhenDepartment of Critical Care Medicine, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Lina YaoDepartment of Critical Care Medicine, Ningbo Yinzhou People's Hospital, Yinzhou, Zhejiang, China.
Lingen XuDepartment of Critical Care Medicine, Xinchang Hospital of Traditional Chinese Medicine, Xinchang, Zhejiang, China.
Weimin ZhangDepartment of Critical Care Medicine, Dongyang People's Hospital, Dongyang, Zhejiang, China.
Gensheng ZhangDepartment of Critical Care Medicine, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Qijiang ChenDepartment of Critical Care Medicine, Ninghai First Hospital, Ninghai, Zhejiang, China.
Bihuan ChengDepartment of Critical Care Medicine, The 2nd School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Shijin GongDepartment of Critical Care Medicine, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Guolong CaiDepartment of Critical Care Medicine, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Ronglin JiangDepartment of Critical Care Medicine, Zhejiang Provincial Hospital of Chinese Medicine, Hangzhou, Zhejiang, China.
Jing YanDepartment of Critical Care Medicine, Zhejiang Hospital, Hangzhou, Zhejiang, China.
(Zhejiang Provincial Critical Care Clinical Research Group)
Zhejiang Hospital · CNWenzhou Medical University · CNZhejiang Provincial Hospital of TCM · CNAnyang Hospital of Traditional Chinese Medicine · CNNingbo No. 2 Hospital · CNNinghai County First Hospital · CNSecond Affiliated Hospital of Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to investigate the prevention and treatment patterns of deep vein thrombosis (DVT) in critically ill patients and to explore the risk factors for DVT in people from Zhejiang Province, China. MATERIALS AND

methodsThis study prospectively enrolled patients admitted in intensive care units (ICUs) of 54 hospitals from 09/16/2019 to 01/16/2020. The risk of developing DVT and subsequent prophylaxis was evaluated. The primary outcome was DVT occurrence during ICU hospitalisation. Univariate and multivariate logistic regression were performed to determine the risk factors for DVT.

resultsA total of 940 patients were included in the study. Among 847 patients who received prophylaxis, 635 (75.0%) patients received physical prophylaxis and 199 (23.5%) patients received drug prophylaxis. Fifty-eight (6.2%) patients were diagnosed with DVT after admission to the ICU, and 36 patients were treated with anticoagulants (all patients received low molecular weight heparin [LMWH]). D-dimer levels (OR = 1.256, 95% CI: 1.132-1.990), basic prophylaxis (OR = 0.092, 95% CI: 0.016-0.536), and physical prophylaxis (OR = 0.159, 95% CI: 0.038-0.674) were independently associated with DVT in ICU patients. The short-term survival was similar between DVT and non-DVT patients.

conclusionsDVT prophylaxis is widely performed in ICU patients. Prophylaxis is an independent protective factor for DVT occurrence. The most common treatment of DVT patients is LMWH, although it might increase the rate of bleeding.Key messagesThis is the only multicenter and prospective study of DVT in ICUs in China.d-dimer levels were independently associated with DVT in ICU patients.Prophylaxis was an independent protective factor for DVT occurrence in ICU.

Indexed as

Critical IllnessAdolescentAdultAgedAged, 80 and overAnticoagulantsChinaFemaleHeparin, Low-Molecular-WeightHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesRisk FactorsVenous ThrombosisAnticoagulantsHeparin, Low-Molecular-WeightChinaDeep vein thrombosisintensive care unitpreventionrisk factorstreatment

Identifiers

PMID34797177
PMCPMC8805816
OpenAlexW3214261659

What OpenQuestion holds

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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.