Evidence map›Paper›PMID 38616968›Full record

SynthesisAmerican journal of surgery2024

Defining Ultra-Massive Transfusion through a Systematic Review.

Courtney H Meyer, Neal Mody Bailey, Sharon L Leslie, Kenya Thrasher, Zach Grady, M Sanders, Erica Moore, K W Nicely, Randi N Smith

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in American journal of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
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

9 authors at 4 institutions in 1 country.

Courtney H MeyerGrady Health System, Atlanta, GA.ORCID 0000-0002-1594-4157
Neal Mody BaileyBaylor College of Medicine, Houston, TX.
Sharon L LeslieEmory University Woodruff Health Sciences Center Library, Atlanta, GA.
Kenya ThrasherGrady Health System, Atlanta, GA.
Zach GradyGrady Health System, Atlanta, GA.
M SandersEmory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA.
Erica MooreEmory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA.
K W NicelyEmory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA.
Randi N SmithGrady Health System, Atlanta, GA.ORCID 0000-0002-2720-5917
Emory University · USBaylor College of Medicine · USGrady Health System · USGrady Memorial Hospital · US

Funding

Critical Care Training ProgramT32GM095442 · NIGMS · EMORY UNIVERSITY · PI Craig M Coopersmith · 2011 to 2026
$4.7M
The Impact of Cancer on the Pathophysiology of SepsisR01GM104323 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2013 to 2021
$2.4M
NIGMS NIH HHS R01 GM104323NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

Background: Despite the widespread use of Methods: A search was performed from 1979-2022. The authors screened studies defining UMT and associated outcomes as defined by our prespecified PICO questions. The PRISMA guidelines were used. Results: 1662 articles met criteria for eligibility assessment, 17 for full-text review and eight for data extraction. Only two studies demonstrated a consensus definition of UMT, which used ≥20 units of red blood cell product within 24hrs. Parameters associated with increased mortality included lower blood pressure, lower pulse and lower Glasgow Coma Score at the time of presentation and a higher injury severity score and undergoing a resuscitative thoracotomy. Conclusions: The absence of a consensus definition for UMT raises challenges from clinical, research and ethical perspectives. Based on our findings, the authors advocate for the feasibility of standardizing the definition of UMT as ≥20 units of red blood cell product within 24hrs.

Indexed as

Blood TransfusionShock, HemorrhagicHumansInjury Severity ScoreWounds and InjuriesBlood transfusionconsensus definitionsystematic reviewtrauma patientultra-massive

Identifiers

PMID38616968
PMCPMC11008908
OpenAlexW4387008411

What OpenQuestion holds

Textmetadata
LicenceTDM
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.