Evidence map›Paper›PMID 35220828›Full record

ArticlePerfusion2023

Anticoagulation practices associated with bleeding and thrombosis in pediatric extracorporeal membrane oxygenation; a multi-center secondary analysis.

David K Bailly, Ron W Reeder, Jennifer A Muszynski, Kathleen L Meert, Ashish A Ankola, Peta Ma Alexander, Murray M Pollack, Frank W Moler, Robert A Berg, Joseph Carcillo and 12 more

Abstract readMulticenter Study
In one paragraph

Article in Perfusion, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Anticoagulation Monitoring and Targets: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2024
    Pooled it
  2. Priorities for Clinical Research in Pediatric Extracorporeal Membrane Oxygenation Anticoagulation From the Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2024
    Pooled it
  3. Review
  4. 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

22 authors at 15 institutions in 3 countries.

David K BaillyDepartment of Pediatrics, Division of Pediatric Critical Care, 14434University of Utah, Salt Lake, UT, USA.ORCID 0000-0002-5090-7589
Ron W ReederDepartment of Pediatrics, 14434University of Utah, Salt Lake, UT, USA.
Jennifer A MuszynskiDivision of Critical Care, 2650Nationwide Children's Hospital, Columbus, OH, USA.
Kathleen L MeertDepartment of Pediatrics, 2969Children's Hospital of Michigan, Detroit, MI, USA.
Ashish A AnkolaDepartment of Anesthesiology, Critical Care, and Pain Medicine, 1862Boston Children's Hospital, Boston, MA, USA.
Peta Ma AlexanderDepartment of Pediatrics, 14434Harvard Medical School, Boston, MA, USA.
Murray M PollackDepartment of Pediatrics, 8404Children's National Hospital, Washington, DC, USA.
Frank W MolerDepartment of Pediatrics and Communicable Diseases, 1259University of Michigan, Ann Arbor, MI, USA.
Robert A BergDepartment of Anesthesia and Critical Care, 6567Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Joseph CarcilloDepartment of Critical Care Medicine, 6619Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Christopher NewthDepartment of Anesthesiology and Critical Care Medicine, 5150Children's Hospital Los Angeles, Los Angeles, CA, USA.
John BergerDepartment of Pediatrics, 8404Children's National Hospital, Washington, DC, USA.
Michael J BellDepartment of Pediatrics, 8404Children's National Hospital, Washington, DC, USA.
J M DeanDepartment of Pediatrics, Division of Pediatric Critical Care, 14434University of Utah, Salt Lake, UT, USA.
Carol NicholsonTrauma and Critical Illness Branch, 35040National Institute of Child Health and Human Development (NICHD), Bethesda, MD, USA.
Pamela Garcia-FilionDepartment of Biomedical Informatics, 14524Phoenix Children's Hospital, Phoenix, AZ, USA.
David WesselDepartment of Pediatrics, 8404Children's National Hospital, Washington, DC, USA.
Sabrina HeidemannDepartment of Pediatrics, 2969Children's Hospital of Michigan, Detroit, MI, USA.
Allan DoctorDepartment of Pediatrics and Center for Blood Oxygen Transport and Hemostasis, 12264University of Maryland, School of Medicine, Baltimore, MD, USA.
Rick HarrisonDepartment of Pediatrics, 21785Mattel Children's Hospital UCLA, Los Angeles, CA, USA.
Heidi DaltonDepartment of Pediatrics and Heart and Vascular Institute, 3313Inova Fairfax Hospital, Fall Church, VA, USA.
Athena F ZuppaDepartment of Anesthesia and Critical Care, 6567Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Children's National · USUniversity of Utah · USCentral Michigan University · USChildren's Hospital of Philadelphia · USBoston Children's Hospital · USChildren's Hospital of Los Angeles · USChildren's Hospital of Pittsburgh · USHarvard University · USInova Fairfax Hospital · USMattel Children's Hospital · USNational Institutes of Health · USNationwide Children's Hospital · USPhoenix Children's Hospital · USUniversity of Maryland, Baltimore · USUniversity of Michigan · US

Funding

Data Coordinating Center for the Collaborative Pediatric Critical Care Research NetworkU01HD049934 · NICHD · UNIVERSITY OF UTAH · PI DEAN, JONATHAN MICHAEL · 2005 to 2020
$35.2M
Collaborative Pediatric Critical Care Research NetworkU10HD050096 · NICHD · WAYNE STATE UNIVERSITY · PI MEERT, KATHLEEN L. · 2005 to 2014
$3.2M
Metoclopramide prevents PICU nosocomial infectionU10HD049983 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CARCILLO, JOSEPH A · 2005 to 2014
$3.1M
Physiologically-Based Pharmacokinetic Approach to Determine Dosing on Extracorporeal Life SupportR01HD097775 · NICHD · UNIVERSITY OF UTAH · PI WATT, KEVIN M · 2019 to 2023
$2.7M
Renewal Application for the Childrens Hospital of Pittsburgh Collaborative Pediatric Critical Care Research Network SiteUG1HD049983 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CARCILLO, JOSEPH A · 2015 to 2020
$1.6M
Pediatric Critical Care Research Network at Children's Hospital of PhiladelphiaU10HD063108 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI BERG, ROBERT ALLEN · 2010 to 2014
$1.4M
NICHD NIH HHS R01 HD097775NICHD NIH HHS U01 HD049934NICHD NIH HHS U10 HD049983NICHD NIH HHS U10 HD050096NICHD NIH HHS U10 HD063108NICHD NIH HHS UG1 HD049983
6 · The paper itself

Abstract

To determine associations between anticoagulation practices and bleeding and thrombosis during pediatric extracorporeal membrane oxygenation (ECMO), we performed a secondary analysis of prospectively collected data which included 481 children (<19 years), between January 2012 and September 2014. The primary outcome was bleeding or thrombotic events. Bleeding events included a blood product transfusion >80 ml/kg on any day, pulmonary hemorrhage, or intracranial bleeding, Thrombotic events included pulmonary emboli, intracranial clot, limb ischemia, cardiac clot, and arterial cannula or entire circuit change. Bleeding occurred in 42% of patients. Five percent of subjects thrombosed, of which 89% also bled. Daily bleeding odds were independently associated with day prior activated clotting time (ACT) (OR 1.03, 95% CI= 1.00, 1.05,

Indexed as

Extracorporeal Membrane OxygenationThrombosisAnticoagulantsChildFibrinogenHemorrhageHeparinHumansRetrospective StudiesAnticoagulantsFibrinogenHeparinanticoagulationbleedingextracorporeal membrane oxygenationpediatricthrombosis

Identifiers

PMID35220828
PMCPMC12186855
OpenAlexW4214751319

What OpenQuestion holds

Textmetadata
LicenceTDM
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.