Evidence map›Paper›PMID 39285052›Full record

ArticleCurrent medical science2024

Risk Factors for Mortality in Critically Ill Patients with Coagulation Abnormalities: A Retrospective Cohort Study.

Qiu-Yu Guo, Jun Peng, Ti-Chao Shan, Miao Xu

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Article in Current medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Qiu-Yu GuoDepartment of Hematology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Jun PengDepartment of Hematology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Ti-Chao ShanDepartment of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, 250012, China. shantichao@sdu.edu.cn.
Miao XuDepartment of Hematology, Qilu Hospital of Shandong University, Jinan, 250012, China. miao.xu@sdu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCoagulation abnormalities are common and prognostically significant in intensive care units (ICUs) and are associated with increased mortality. This study aimed to explore the association between the levels of coagulation markers and the risk of mortality among ICU patients with coagulation abnormalities.

methodsThis retrospective study investigated patients with coagulation abnormalities in the ICU between January 2021 and December 2022. The initial point for detecting hemostatic biomarkers due to clinical assessment of coagulation abnormalities was designated day 0. Patients were followed up for 28 days, and multivariate logistic regression analysis was utilized to identify risk factors for mortality.

resultsOf the 451 patients analyzed, 115 died, and 336 were alive at the end of the 28-day period. Multivariate analysis revealed that elevated thrombin-antithrombin complex (TAT), tissue plasminogen activator inhibitor complex (tPAIC), prolonged prothrombin time, and thrombocytopenia were independent risk factors for mortality. For nonovert disseminated intravascular coagulation (DIC) patients, older age and thrombocytopenia were associated with increased risks of mortality, whereas elevated levels of plasmin α

conclusionCoagulation markers such as the TAT, tPAIC, PIC, and platelet count were significantly associated with mortality, underscoring the importance of maintaining a balance between coagulation and fibrinolysis. These findings highlight the potential for targeted therapeutic interventions based on specific coagulation markers to improve patient outcomes.

Indexed as

Blood Coagulation DisordersCritical IllnessIntensive Care UnitsAgedAntithrombin IIIBiomarkersDisseminated Intravascular CoagulationFemaleHumansMaleMiddle AgedPeptide HydrolasesRetrospective StudiesRisk FactorsThrombocytopeniaAntithrombin IIIantithrombin III-protease complexBiomarkersPeptide Hydrolasesblood coagulation markersdisseminated intravascular coagulationintensive care unitmortalityrisk factors

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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.