Evidence map›Paper›PMID 36943647›Full record

ArticleForensic science, medicine, and pathology2023

Pulmonary thromboembolism and obesity in forensic pathologic case work.

Michael Klintschar, Kirsten Wöllner, Lars Hagemeier, Theresa A Engelmann, Jan Mahlmann, Alessia Lunow, Roman Wolff-Maras

Abstract read
In one paragraph

Article in Forensic science, medicine, and pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Cadaver clots: a systematic review of the literature.Forensic science, medicine, and pathology · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

7 authors.

Michael KlintscharInstitute of Forensic Medicine, Hanover Medical School, Department of Legal Medicine, Carl-Neuberg-Straße 1, 30625, Hannover, Germany. Klintschar.Michael@mh-hannover.de.ORCID 0000-0001-8036-571X
Kirsten WöllnerInstitute of Forensic Medicine, Hanover Medical School, Department of Legal Medicine, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Lars HagemeierInstitute of Forensic Medicine, Hanover Medical School, Department of Legal Medicine, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Theresa A EngelmannInstitute of Forensic Medicine, Hanover Medical School, Department of Legal Medicine, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Jan MahlmannInstitute of Forensic Medicine, Hanover Medical School, Department of Legal Medicine, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Alessia LunowInstitute of Forensic Medicine, Hanover Medical School, Department of Legal Medicine, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Roman Wolff-MarasInstitute of Forensic Medicine, Hanover Medical School, Department of Legal Medicine, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

328 autopsy cases of fatal pulmonary thromboembolism (PE) were compared to 984 age- and sex-matched controls to evaluate the association between obesity and PE in a forensic context. Both PE and control cases had a mean age of 67,8 years (male 62,9 years, females 71,7 years). The percentage of morbidly obese persons with a body mass index (BMI) of above 40 or abdominal subcutaneous adipose tissue of above 4 cm was higher in the PE group (8,39% vs. 4,67% and 29.45% vs. 23.40%, respectively). On the other side, that of very slim persons (BMI below 18.5 or adipose tissue below 3 cm) was significantly smaller (4,27% vs. 7,52% and 47.55% vs. 56,60%). We thus found a strong association between being overweight and death from PE, while slim persons seem to be at an advantage. As the group of underweight persons includes those suffering from chronic diseases with reduced mobility or hypercoagulability (e.g. tumor kachexia or sarkopenia due to immobilisation), this finding is to some extent unexpected.

Indexed as

Obesity, MorbidPulmonary EmbolismAdipose TissueFemaleForensic PathologyHumansMaleAssociationAutopsyBody mass indexPulmonary embolismSubcutaneous adipose thickness

Identifiers

PMID36943647
PMCPMC10329082

What OpenQuestion holds

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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.