Evidence map›Paper›PMID 37108280›Full record

ReviewInternational journal of molecular sciences2023

Severe Trauma-Induced Coagulopathy: Molecular Mechanisms Underlying Critical Illness.

Christian Zanza, Tatsiana Romenskaya, Fabrizio Racca, Eduardo Rocca, Fabio Piccolella, Andrea Piccioni, Angela Saviano, George Formenti-Ujlaki, Gabriele Savioli, Francesco Franceschi and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  3. Artificial intelligence for early diagnosis in emergency department.Journal of anesthesia, analgesia and critical care · 2026
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  17. Blood Transfusion for Major Trauma in Emergency Department.Diagnostics (Basel, Switzerland) · 2024
    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

11 authors at 6 institutions in 2 countries.

Christian ZanzaDepartment of Anesthesia and Critical Care, AON SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.
Tatsiana RomenskayaDepartment of Physiology and Pharmacology, Sapienza University of Rome, P. le A. Moro 5, 00185 Rome, Italy.
Fabrizio RaccaDepartment of Anesthesia and Critical Care, AON SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.
Eduardo RoccaDepartment of Anesthesia and Critical Care, AON SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.ORCID 0000-0002-9297-5897
Fabio PiccolellaDepartment of Anesthesia and Critical Care, AON SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.
Andrea PiccioniDepartment of Emergency Medicine, Polyclinic Agostino Gemelli/IRCCS, Catholic University of the Sacred Heart, 00168 Rome, Italy.ORCID 0000-0001-5703-8737
Angela SavianoDepartment of Emergency Medicine, Polyclinic Agostino Gemelli/IRCCS, Catholic University of the Sacred Heart, 00168 Rome, Italy.ORCID 0000-0002-2820-7180
George Formenti-UjlakiDepartment of Surgery, San Carlo Hospital, ASST Santi Paolo and Carlo, 20142 Milan, Italy.
Gabriele SavioliEmergency Medicine and Surgery, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435
Francesco FranceschiDepartment of Emergency Medicine, Polyclinic Agostino Gemelli/IRCCS, Catholic University of the Sacred Heart, 00168 Rome, Italy.
Yaroslava LonghitanoDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA 15260, USA.ORCID 0000-0001-8831-1361
Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Pittsburgh · USOspedale San Carlo · ITPoliclinico San Matteo Fondazione · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma remains one of the leading causes of death in adults despite the implementation of preventive measures and innovations in trauma systems. The etiology of coagulopathy in trauma patients is multifactorial and related to the kind of injury and nature of resuscitation. Trauma-induced coagulopathy (TIC) is a biochemical response involving dysregulated coagulation, altered fibrinolysis, systemic endothelial dysfunction, platelet dysfunction, and inflammatory responses due to trauma. The aim of this review is to report the pathophysiology, early diagnosis and treatment of TIC. A literature search was performed using different databases to identify relevant studies in indexed scientific journals. We reviewed the main pathophysiological mechanisms involved in the early development of TIC. Diagnostic methods have also been reported which allow early targeted therapy with pharmaceutical hemostatic agents such as TEG-based goal-directed resuscitation and fibrinolysis management. TIC is a result of a complex interaction between different pathophysiological processes. New evidence in the field of trauma immunology can, in part, help explain the intricacy of the processes that occur after trauma. However, although our knowledge of TIC has grown, improving outcomes for trauma patients, many questions still need to be answered by ongoing studies.

Indexed as

Blood Coagulation DisordersHemostaticsWounds and InjuriesAdultBlood CoagulationCritical IllnessFibrinolysisHumansHemostaticsblood coagulation disordersexsanguinationhemorrhagic shockhemostasispolytrauma physiologytrauma

Identifiers

PMID37108280
PMCPMC10138568
OpenAlexW4365146760

What OpenQuestion holds

Textmetadata
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.