Evidence map›Paper›PMID 37322473›Full record

SynthesisBMC pediatrics2023

Epidemiology and risk factors for thrombosis in children and newborns: systematic evaluation and meta-analysis.

Shuang Song, Zhuowei Li, Guozhen Zhao, Xintong Li, Runying Wang, Bo Li, Qingquan Liu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC pediatrics, 2023. 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
4.4field-weighted citation impact, top 5% 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, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. [Clinical characteristics and outcomes of 11 neonates with venous thrombosis].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  5. Article
  6. Article
  7. Managing Multifactorial Deep Vein Thrombosis in an Adolescent: A Complex Case Report.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024
    Article
  8. Article
  9. The Hemostatic System in Newborns and the Risk of Neonatal Thrombosis.International journal of molecular sciences · 2023
    Review
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 at 4 institutions in 1 country.

Shuang SongIntegrative Medicine Institute, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Zhuowei LiChinese Center for Disease Control and Prevention, Beijing, China.
Guozhen ZhaoIntegrative Medicine Institute, Beijing University of Traditional Chinese Medicine, Beijing, China.
Xintong LiIntegrative Medicine Institute, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Runying WangIntegrative Medicine Institute, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Bo LiICU, Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University, Beijing, China.
Qingquan LiuICU, Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University, Beijing, China. liuqingquan_2003@126.com.
Tianjin University of Traditional Chinese Medicine · CNBeijing Hospital of Traditional Chinese Medicine · CNCapital Medical University · CNChinese Center For Disease Control and Prevention · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThrombosis is a serious condition in children and neonates. However, the risk factors for thrombosis have not been conclusively determined. This study aimed to identify the risk factors for thrombosis in children and neonates in Intensive Care Unit (ICU) through a meta-analysis to better guide clinical treatment.

methodsA systematic search of electronic databases (PubMed, Embase, Cochrane Library, WOS, CNKI, Wanfang, VIP) was conducted to retrieve studies from creation on 23 May 2022. Data on the year of publication, study design, country of origin, number of patients/controls, ethnicity, and type of thrombus were extracted. The publication bias and heterogeneity between studies were assessed, and pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using fixed or random effects models.

resultsA total of 18 studies met the inclusion criteria. The incidence of thrombosis in children was 2% per year (95% CI 1%-2%, P < 0.01). Infection and sepsis (OR = 1.95, P < 0.01), CVC (OR = 3.66, [95%CL 1.78-7.51], P < 0.01), mechanical ventilation (OR = 2.1, [95%CL1.47-3.01], P < 0.01), surgery (OR = 2.25, [95%CL1.2-4.22], P < 0.01), respiratory distress (OR = 1.39, [95%CL0.42-4.63], P < 0.01), ethnicities (OR = 0.88, [95%CL 0.79-0.98], P = 0.78), gestational age (OR = 1.5, [95%CL1.34-1.68], P = 0.65)were identified as risk factors for thrombosis.

conclusionsThis meta-analysis suggests that CVC, Surgery, mechanical ventilation, Infection/sepsis, gestational age, Respiratory distress, and different ethnicities are risk factors for thrombosis in children and neonates in ICU. These findings may help clinicians to identify high-risk patients and develop appropriate prevention strategies.

trial registrationPROSPERO (CRD 42022333449).

Indexed as

Respiratory Distress SyndromeThrombosisChildHumansInfant, NewbornIntensive Care UnitsRespiration, ArtificialRisk FactorsEpidemiologyMeta-analysisNewbornsRisk factorsThrombosis

Identifiers

PMID37322473
PMCPMC10267552
OpenAlexW4380869546

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.