Evidence map›Paper›PMID 35660774›Full record

ArticleScientific reports2022

Age-related differences in the survival benefit of the administration of antithrombin, recombinant human thrombomodulin, or their combination in sepsis.

Takeshi Wada, Kazuma Yamakawa, Daijiro Kabata, Toshikazu Abe, Hiroshi Ogura, Atsushi Shiraishi, Daizoh Saitoh, Shigeki Kushimoto, Seitaro Fujishima, Toshihiko Mayumi and 21 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Effect of Anticoagulant Versus Non-Anticoagulant Therapy on Mortality of Sepsis-Induced Disseminated Intravascular Coagulation: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  2. Article
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  6. Review
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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

31 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, Kita-ku, Sapporo, N15, W7, Japan. twada1@med.hokudai.ac.jp.
Kazuma YamakawaDepartment of Emergency Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Daijiro KabataDepartment of Medical Statistics, Osaka City University Graduate School of Medicine, Osaka, Japan.
Toshikazu AbeDepartment of Emergency and Critical Care Medicine, Tsukuba Memorial Hospital, Tsukuba, Japan.
Hiroshi OguraDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Atsushi ShiraishiEmergency and Trauma Center, Kameda Medical Center, Kamogawa, Japan.
Daizoh SaitohDivision of Traumatology, Research Institute, National Defense Medical College, Tokorozawa, Japan.
Shigeki KushimotoDivision of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Seitaro FujishimaCenter for General Medicine Education, Keio University School of Medicine, Tokyo, Japan.
Toshihiko MayumiDepartment of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Toru HifumiDepartment of Emergency and Critical Care Medicine, St. Luke's International Hospital, Tokyo, Japan.
Yasukazu ShiinoDepartment of Acute Medicine, Kawasaki Medical School, Kurashiki, Japan.
Taka-Aki NakadaDepartment of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
Takehiko TaruiDepartment of Emergency Medical Care, Kyorin University Faculty of Health Sciences, Mitaka, Japan.
Yasuhiro OtomoTrauma and Acute Critical Care Center, Medical Hospital, Tokyo Medical and Dental University, Tokyo, Japan.
Kohji OkamotoDepartment of Surgery, Center for Gastroenterology and Liver Disease, Kitakyushu City Yahata Hospital, Kitakyushu, Japan.
Yutaka UmemuraDivision of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka, Japan.
Joji KotaniDivision of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of Medicine, Kobe, Japan.
Yuichiro SakamotoEmergency and Critical Care Medicine, Saga University Hospital, Saga, Japan.
Junichi SasakiDepartment of Emergency and Critical Care Medicine, Keio University School of Medicine, Tokyo, Japan.
Shin-Ichiro ShiraishiDepartment of Emergency and Critical Care Medicine, Aizu Chuo Hospital, Aizu, Japan.
Kiyotsugu TakumaEmergency & Critical Care Center, Kawasaki Municipal Hospital, Kawasaki, Japan.
Ryosuke TsurutaAdvanced Medical Emergency & Critical Care Center, Yamaguchi University Hospital, Ube, 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.
Naoshi TakeyamaAdvanced Critical Care Center, Aichi Medical University Hospital, Nagakute, Japan.
Norio YamashitaDepartment of Emergency and Critical Care Medicine, School of Medicine, Kurume University, Kurume, Japan.
Hiroto IkedaDepartment of Emergency Medicine, Trauma and Resuscitation Center, Teikyo University School of Medicine, 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.
Satoshi GandoDivision of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Kita-ku, Sapporo, N15, W7, Japan.
Keio University · JPOsaka Prefectural Medical Center · JPAichi Medical University Hospital · JPChiba University · JPGunma Chuo Hospital · JPHokkaido University · JPJapan Community Healthcare Organization · 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 City University · JPOsaka University · JPOsaka University of Pharmaceutical Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disseminated intravascular coagulation (DIC) is one of the major organ dysfunctions associated with sepsis. This retrospective secondary analysis comprised data from a prospective multicenter study to investigate the age-related differences in the survival benefit of anticoagulant therapy in sepsis according to the DIC diagnostic criteria. Adult patients with severe sepsis based on the Sepsis-2 criteria were enrolled and divided into the following groups: (1) anticoagulant group (patients who received anticoagulant therapy) and (2) non-anticoagulant group (patients who did not receive anticoagulant therapy). Patients in the former group were administered antithrombin, recombinant human thrombomodulin, or their combination. The increases in the risk of hospital mortality were suppressed in the high-DIC-score patients aged 60-70 years receiving anticoagulant therapy. No favorable association of anti-coagulant therapy with hospital mortality was observed in patients aged 50 years and 80 years. Furthermore, anticoagulant therapy in the lower-DIC-score range increased the risk of hospital mortality in patients aged 50-60 years. In conclusion, anticoagulant therapy was associated with decreased hospital mortality according to a higher DIC score in septic patients aged 60-70 years. Anticoagulant therapy, however, was not associated with a better outcome in relatively younger and older patients with sepsis.

Indexed as

Disseminated Intravascular CoagulationSepsisAdultAnticoagulantsAntithrombin IIIAntithrombinsHumansProspective StudiesRetrospective StudiesThrombomodulinTreatment OutcomeAnticoagulantsAntithrombin IIIAntithrombinsThrombomodulin

Identifiers

PMID35660774
PMCPMC9166729
OpenAlexW4281621721

What OpenQuestion holds

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LicenceCC BY
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.