Evidence map›Paper›PMID 38232077›Full record

ArticlePloS one2024

Platelet versus fresh frozen plasma transfusion for coagulopathy in cardiac surgery patients.

Jake V Hinton, Calvin M Fletcher, Luke A Perry, Noah Greifer, Jessica N Hinton, Jenni Williams-Spence, Reny Segal, Julian A Smith, Christopher M Reid, Laurence Weinberg and 1 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

11 authors.

Jake V HintonDepartment of Anaesthesia, Austin Health, Heidelberg, Australia.ORCID 0000-0001-7764-0741
Calvin M FletcherDepartment of Anaesthesiology and Perioperative Medicine, The Alfred Hospital, Melbourne, Australia.ORCID 0000-0001-7582-9145
Luke A PerryDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.
Noah GreiferHarvard University Institute for Quantitative Social Science, Cambridge, MA, United States of America.ORCID 0000-0003-3067-7154
Jessica N HintonDepartment of Orthopaedics, Northern Health, Epping, Australia.
Jenni Williams-SpenceDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Reny SegalDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0001-5805-5491
Julian A SmithDepartment of Surgery (School of Clinical Sciences at Monash Health), Monash University, Melbourne, Australia.
Christopher M ReidDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-9173-3944
Laurence WeinbergDepartment of Anaesthesia, Austin Health, Heidelberg, Australia.ORCID 0000-0001-7403-7680
Rinaldo BellomoDepartment of Critical Care, University of Melbourne, Parkville, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlatelets (PLTS) and fresh frozen plasma (FFP) are often transfused in cardiac surgery patients for perioperative bleeding. Their relative effectiveness is unknown.

methodsWe conducted an entropy-weighted retrospective cohort study using the Australian and New Zealand Society of Cardiac and Thoracic Surgeons National Cardiac Surgery Database. All adults undergoing cardiac surgery between 2005-2021 across 58 sites were included. The primary outcome was operative mortality.

resultsOf 174,796 eligible patients, 15,360 (8.79%) received PLTS in the absence of FFP and 6,189 (3.54%) patients received FFP in the absence of PLTS. The median cumulative dose was 1 unit of pooled platelets (IQR 1 to 3) and 2 units of FFP (IQR 0 to 4) respectively. After entropy weighting to achieve balanced cohorts, FFP was associated with increased perioperative (Risk Ratio [RR], 1.63; 95% Confidence Interval [CI], 1.40 to 1.91; P<0.001) and 1-year (RR, 1.50; 95% CI, 1.32 to 1.71; P<0.001) mortality. FFP was associated with increased rates of 4-hour chest drain tube output (Adjusted mean difference in ml, 28.37; 95% CI, 19.35 to 37.38; P<0.001), AKI (RR, 1.13; 95% CI, 1.01 to 1.27; P = 0.033) and readmission to ICU (RR, 1.24; 95% CI, 1.09 to 1.42; P = 0.001).

conclusionIn perioperative bleeding in cardiac surgery patient, platelets are associated with a relative mortality benefit over FFP. This information can be used by clinicians in their choice of procoagulant therapy in this setting.

Indexed as

Blood Coagulation DisordersCardiac Surgical ProceduresAdultAustraliaBlood Component TransfusionHemorrhageHumansPlasmaPlatelet TransfusionRetrospective Studies

Identifiers

PMID38232077
PMCPMC10793891

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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.