Evidence map›Paper›PMID 38107536›Full record

ArticleCritical care explorations2023

Extracorporeal Membrane Oxygenation Patient Outcomes Following Restrictive Blood Transfusion Protocol.

Jacob A Braaten, Bridget S Dillon, Jillian K Wothe, Conner P Olson, Elizabeth R Lusczek, Kristiana J Sather, Gregory J Beilman, Melissa E Brunsvold

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

8 authors at 2 institutions in 1 country.

Jacob A BraatenUniversity of Minnesota Medical School, Minneapolis, MN.
Bridget S DillonUniversity of Minnesota Medical School, Minneapolis, MN.
Jillian K WotheUniversity of Minnesota Medical School, Minneapolis, MN.
Conner P OlsonUniversity of Minnesota Medical School, Minneapolis, MN.
Elizabeth R LusczekDepartment of Surgery, University of Minnesota, Minneapolis, MN.
Kristiana J SatherDepartment of Surgery, University of Minnesota, Minneapolis, MN.
Gregory J BeilmanDepartment of Surgery, University of Minnesota, Minneapolis, MN.
Melissa E BrunsvoldDepartment of Surgery, University of Minnesota, Minneapolis, MN.
University of Minnesota · USUniversity of Minnesota Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the effect of a restrictive blood product utilization protocol on blood product utilization and clinical outcomes.

designWe retrospectively reviewed all adult extracorporeal membrane oxygenation (ECMO) patients from January 2019 to December 2021. The restrictive protocol, implemented in March 2020, was defined as transfusion of blood products for a hemoglobin level less than 7, platelet levels less than 50, and/or fibrinogen levels less than 100. Subgroup analysis was performed based on the mode of ECMO received: venoarterial ECMO, venovenous ECMO, and ECMO support following extracorporeal cardiopulmonary resuscitation (ECPR).

settingM Health Fairview University of Minnesota Medical Center. PATIENTS: The study included 507 patients.

interventionsOne hundred fifty-one patients (29.9%) were placed on venoarterial ECMO, 70 (13.8%) on venovenous ECMO, and 286 (56.4%) on ECPR. MEASUREMENTS AND MAIN

resultsFor patients on venoarterial ECMO (48 [71.6%] vs. 52 [63.4%];

conclusionsThese data suggest that a restrictive transfusion protocol is noninferior to ECMO patient survival. Additional, prospective randomized trials are required for further investigation of the safety of a restrictive transfusion protocol.

Indexed as

blood product utilizationclinical outcomesextracorporeal membrane oxygenation patientshemoglobin levelplatelet levels

Identifiers

PMID38107536
PMCPMC10723844
OpenAlexW4389727243

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.