Evidence map›Paper›PMID 37614800›Full record

ArticleCritical care explorations2023

Plasma Transfusion and Procoagulant Product Administration in Extracorporeal Membrane Oxygenation: A Secondary Analysis of an International Observational Study on Current Practices.

Maite M T van Haeren, Senta Jorinde Raasveld, Mina Karami, Dinis Dos Reis Miranda, Loes Mandigers, Dieter F Dauwe, Erwin De Troy, Federico Pappalardo, Evgeny Fominskiy, Walter M van den Bergh and 25 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 35% 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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Between a rock and a hard place: anticoagulation management for ECMO.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Review
  4. 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

35 authors at 15 institutions in 5 countries.

Maite M T van HaerenDepartment of Critical Care, Amsterdam University Medical Centers, location Academic Medical Centers, Amsterdam, the Netherlands.
Senta Jorinde RaasveldDepartment of Critical Care, Amsterdam University Medical Centers, location Academic Medical Centers, Amsterdam, the Netherlands.
Mina KaramiDepartment of Cardiology, Amsterdam University Medical Centers, location Academic Medical Centers, Amsterdam, the Netherlands.
Dinis Dos Reis MirandaAdult Intensive Care Unit, Erasmus University Medical Center, Rotterdam, the Netherlands.
Loes MandigersAdult Intensive Care Unit, Erasmus University Medical Center, Rotterdam, the Netherlands.
Dieter F DauweDepartment of Intensive Care Medicine, Surgical Intensive Care Unit, University Hospitals Leuven, Leuven, Belgium.
Erwin De TroyDepartment of Intensive Care Medicine, Surgical Intensive Care Unit, University Hospitals Leuven, Leuven, Belgium.
Federico PappalardoCardiothoracic and Vascular Anesthesia and Intensive Care, AO SS Antonio e Biagio e Cesare Arrigo, Allesandria, Italy.
Evgeny FominskiyDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Walter M van den BerghDepartment of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Annemieke Oude Lansink-HartgringDepartment of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Franciska van der VeldeAdult Intensive Care Unit, Leiden University Medical Center, Leiden, the Netherlands.
Jacinta J MaasAdult Intensive Care Unit, Leiden University Medical Center, Leiden, the Netherlands.
Pablo van de BergAdult Intensive Care Unit, Catharina Hospital Eindhoven, Eindhoven, the Netherlands.
Maarten de HaanDepartment of Extracorporeal Circulation, Catharina hospital Eindhoven, the Netherlands.
Dirk W DonkerIntensive Care Center, University Medical Center Utrecht (UMCU), Utrecht, the Netherlands.
Christiaan L MeuweseAdult Intensive Care Unit, Erasmus University Medical Center, Rotterdam, the Netherlands.
Fabio Silvio TacconeDepartment of Intensive Care, Université Libre de Bruxelles, Hôpital Erasme Bruxelles, Brussels, Belgium.
Lorenzo PelusoDepartment of Intensive Care, Université Libre de Bruxelles, Hôpital Erasme Bruxelles, Brussels, Belgium.
Roberto LorussoCardiothoracic Surgery, Heart and Vascular Center, Maastricht University Medical Center, Maastricht, the Netherlands.
Thijs S R DelnoijDepartment of Intensive Care, Maastricht University Medical Center, Maastricht, the Netherlands.
Erik ScholtenDepartment of Intensive Care, St. Antonius Hospital, Nieuwegein, the Netherlands.
Martijn OvermarsDepartment of Intensive Care, St. Antonius Hospital, Nieuwegein, the Netherlands.
Višnja IvancanDepartment of Anesthesia and Intensive care, University Hospital Centre Zagreb, Zagreb, Croatia.
Robert BojčićDepartment of Anesthesia and Intensive care, University Hospital Centre Zagreb, Zagreb, Croatia.
Jesse de MetzDepartment of Intensive Care, OLVG, Amsterdam, the Netherlands.
Bas van den BogaardDepartment of Intensive Care, OLVG, Amsterdam, the Netherlands.
Martin de BakkerDepartment of Critical Care, Royal Adelaide Hospital, Adelaide, Australia.
Benjamin ReddiDepartment of Critical Care, Royal Adelaide Hospital, Adelaide, Australia.
Greet HermansMedical Intensive Care Unit, Department of General Internal Medicine, University Hospitals Leuven, Leuven, Belgium.
Lars Mikael BromanDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
José P S HenriquesDepartment of Cardiology, Amsterdam University Medical Centers, location Academic Medical Centers, Amsterdam, the Netherlands.
Jimmy SchenkDepartment of Critical Care, Amsterdam University Medical Centers, location Academic Medical Centers, Amsterdam, the Netherlands.
Alexander P J VlaarDepartment of Critical Care, Amsterdam University Medical Centers, location Academic Medical Centers, Amsterdam, the Netherlands.
Marcella C A MüllerDepartment of Critical Care, Amsterdam University Medical Centers, location Academic Medical Centers, Amsterdam, the Netherlands.
KU Leuven · BEUniversity Medical Center Groningen · NLErasmus MC · NLLeiden University Medical Center · NLOLVG · NLRadboud University Nijmegen · NLRoyal Adelaide Hospital · AUAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITCatharina Ziekenhuis · NLErasmus Hospital · BEIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleUniversity Medical Center Utrecht · NLUniversity of Amsterdam · NLUniversity of Groningen · NLVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo achieve optimal hemostatic balance in patients on extracorporeal membrane oxygenation (ECMO), a liberal transfusion practice is currently applied despite clear evidence. We aimed to give an overview of the current use of plasma, fibrinogen concentrate, tranexamic acid (TXA), and prothrombin complex concentrate (PCC) in patients on ECMO.

designA prespecified subanalysis of a multicenter retrospective study. Venovenous (VV)-ECMO and venoarterial (VA)-ECMO are analyzed as separate populations, comparing patients with and without bleeding and with and without thrombotic complications.

settingSixteen international ICUs. PATIENTS: Adult patients on VA-ECMO or VV-ECMO.

interventionsNone. MEASUREMENTS AND MAIN

resultsOf 420 VA-ECMO patients, 59% (

conclusionsThe majority of patients on ECMO receive transfusions of plasma, procoagulant products, or antifibrinolytics. In a significant part of the plasma transfused patients, this was in the absence of bleeding or prolonged international normalized ratio. This poses the question if these plasma transfusions were administered for another indication or could have been avoided.

Indexed as

blood coagulation factorscoagulantsextracorporeal membrane oxygenationfibrinogenplasmatransfusion

Identifiers

PMID37614800
PMCPMC10443757
OpenAlexW4386023945

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.