Evidence map›Paper›PMID 38077818›Full record

ArticleResearch and practice in thrombosis and haemostasis2023

Heparin-induced thrombocytopenia in newborns: experience at a pediatric hospital and a literature review.

Juliette Gay, Christine Le Beller, Roya Asgari, Richard Chocron, Fanny Bajolle, Ludivine Auger, Angelina Mimoun, Delphine Borgel, Agnès Lillo-Le-Louet, Dominique Lasne

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Guideline
  2. Article
  3. 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

10 authors at 3 institutions in 1 country.

Juliette GayLaboratoire d'Hématologie, Hôpital Universitaire Necker-Enfants Malades, AP-HP, F-75015 Paris, France.
Christine Le BellerCentre Régional de Pharmacovigilance, Hôpital Européen Georges Pompidou, AP-HP, F-75015 Paris, France; Innovative Therapies in Haemostasis, INSERM, Paris, France.
Roya AsgariCentre Régional de Pharmacovigilance, Hôpital Européen Georges Pompidou, AP-HP, F-75015 Paris, France; Innovative Therapies in Haemostasis, INSERM, Paris, France.
Richard ChocronService d'Accueil des Urgences, Hôpital Européen Georges Pompidou, AP-HP, F-75015 Paris, France.
Fanny BajolleUnité Médico-Chirurgicale de Cardiologie Congénitale et Pédiatrique, Centre de Référence M3C-Necker, Hôpital Universitaire Necker-Enfants Malades, AP-HP, F-75015 Paris, France.
Ludivine AugerLaboratoire d'Hématologie, Hôpital Universitaire Necker-Enfants Malades, AP-HP, F-75015 Paris, France.
Angelina MimounCentre de Recherche des Cordeliers, INSERM, Sorbonne Université, Université De Paris - F-75015 Paris, France.
Delphine BorgelLaboratoire d'Hématologie, Hôpital Universitaire Necker-Enfants Malades, AP-HP, F-75015 Paris, France.
Agnès Lillo-Le-LouetCentre Régional de Pharmacovigilance, Hôpital Européen Georges Pompidou, AP-HP, F-75015 Paris, France; Innovative Therapies in Haemostasis, INSERM, Paris, France.
Dominique LasneLaboratoire d'Hématologie, Hôpital Universitaire Necker-Enfants Malades, AP-HP, F-75015 Paris, France.
Hôpital Necker-Enfants Malades · FRInserm · FRAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Heparin-induced thrombocytopenia (HIT) is a rare, difficult-to-diagnose, and potentially serious adverse drug reaction with thrombotic complications. Even though the immune system is still immature during the neonatal period, HIT has been described in newborns with reporting rates ranging from 0% to 2.3%. Therefore, it is important to clarify the risk of HIT in newborns because it can affect the management and monitoring of heparin treatment. Objectives: The objectives of the present study were to review the literature and determine the incidence of HIT after cardiac surgery in newborns in our pediatric hospital. Methods: We searched the literature from 1992 to 2021 for reports of HIT in newborns. Four raters then analyzed all the literature reports on HIT and classified them as "likely," "uncertain," or "unlikely." We also determined the incidence of HIT among newborns having undergone cardiac surgery in our pediatric hospital. Results: Eleven population-based studies and 12 case reports on suspected HIT in 17 newborns were reviewed. One study reported HIT in 14 out of 930 (1.5%) heparin-treated newborns, but the other studies ( Conclusion: We conclude that the incidence of HIT in newborns has been overestimated in the literature.

Indexed as

childheparinheparin-induced thrombocytopeniaincidencenewbornsthrombocytopeniathrombosis

Identifiers

PMID38077818
PMCPMC10704508
OpenAlexW4387189892

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.