Evidence map›Paper›PMID 38959956›Full record

ArticleThrombosis and haemostasis2025

Development and Validation of a Nomogram for Predicting Sepsis-Induced Coagulopathy in Septic Patients: Mixed Retrospective and Prospective Cohort Study.

Yuting Li, Liying Zhang, Youquan Wang, Meng Gao, Chaoyang Zhang, Yuhan Zhang, Dong Zhang

Abstract readValidation Study
In one paragraph

Article in Thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
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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.

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Yuting LiDepartment of Critical Care Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Liying ZhangDepartment of Critical Care Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Youquan WangDepartment of Critical Care Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Meng GaoDepartment of Critical Care Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Chaoyang ZhangDepartment of Critical Care Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Yuhan ZhangDepartment of Critical Care Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Dong ZhangDepartment of Critical Care Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.

Funding

China Primary Health Care Foundation so20220722jlNational Key R&D Program of China, Ministry of Science and Technology of the People's Republic of China 2022YFC2304604National Key R&D Program of China, Ministry of Science and Technology of the People's Republic of China 2022YFC2304605
6 · The paper itself

Abstract

backgroundSepsis-induced coagulopathy (SIC) is a common cause of poor prognosis in critically ill patients in the intensive care unit (ICU). However, currently there are no tools specifically designed for predicting the occurrence of SIC in septic patients earlier. This study aimed to develop a predictive nomogram incorporating clinical markers and scoring systems to individually predict the probability of SIC in septic patients.

methodsPatients consecutively recruited in the stage between January 2022 and April 2023 constituted the development cohort for retrospective analysis to internally test the nomogram, and patients in the stage between May 2023 to November 2023 constituted the validation cohort for prospective analysis to externally validate the nomogram. Univariate logistic regression analysis of the development cohort was performed firstly, and then multivariate logistic regression analysis was performed using backward stepwise method to determine the best-fitting model and obtain the nomogram from it. The nomogram was validated in an independent external validation cohort, involving discrimination and calibration. A decision curve analysis was also performed to evaluate the net benefit of the insertion decision with this nomogram.

resultsA total of 548 and 245 patients, 55.1 and 49.4% with SIC occurrence, were included in the development and validation cohorts, respectively. Predictors contained in the prediction nomogram included shock, platelets, and international normalized ratio (INR). Patients with shock (odds ratio [OR]: 4.499; 95% confidence interval [CI]: 2.730-7.414;

conclusionBy incorporating shock, platelets, and INR in the model, this useful nomogram could be accessibly utilized to predict SIC occurrence in septic patients. However, external validation is still required for further generalizability improvement of this nomogram.

Indexed as

Blood Coagulation DisordersNomogramsSepsisAgedFemaleHumansIntensive Care UnitsInternational Normalized RatioMaleMiddle AgedPredictive Value of TestsPrognosisProspective StudiesReproducibility of ResultsRetrospective StudiesRisk Assessment

Identifiers

PMID38959956
PMCPMC11785428

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