Evidence map›Paper›PMID 39822757›Full record

ReviewMedComm2025

Disseminated intravascular coagulation: cause, molecular mechanism, diagnosis, and therapy.

Fangchen Gong, Xiangtao Zheng, Shanzhi Zhao, Huan Liu, Erzhen Chen, Rongli Xie, Ranran Li, Ying Chen

Abstract readReview
In one paragraph

Review in MedComm, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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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.

Fangchen GongDepartment of Emergency Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China.
Xiangtao ZhengDepartment of Emergency Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China.
Shanzhi ZhaoDepartment of Emergency Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China.
Huan LiuDepartment of Emergency Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China.
Erzhen ChenDepartment of Emergency Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China.
Rongli XieDepartment of General Surgery Ruijin Hospital Lu Wan Branch, Shanghai Jiaotong University School of Medicine Shanghai China.ORCID https://orcid.org/0000-0002-5266-383X
Ranran LiDepartment of Critical Care Medicine Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China.
Ying ChenDepartment of Emergency Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disseminated intravascular coagulation (DIC) is a complex and serious condition characterized by widespread activation of the coagulation cascade, resulting in both thrombosis and bleeding. This review aims to provide a comprehensive overview of DIC, emphasizing its clinical significance and the need for improved management strategies. We explore the primary causes of DIC, including sepsis, trauma, malignancies, and obstetric complications, which trigger an overactive coagulation response. At the molecular level, DIC is marked by excessive thrombin generation, leading to platelet and fibrinogen activation while simultaneously depleting clotting factors, creating a paradoxical bleeding tendency. Diagnosing DIC is challenging and relies on a combination of existing diagnostic criteria and laboratory tests. Treatment strategies focus on addressing the underlying causes and may involve supportive care, anticoagulation therapy, and other supportive measures. Recent advances in understanding the pathophysiology of DIC are paving the way for more targeted therapeutic approaches. This review highlights the critical need for ongoing research to enhance diagnostic accuracy and treatment efficacy, ultimately improving patient outcomes in those affected by DIC.

Indexed as

coagulationdisseminated intravascular coagulationfibrinolysissepsistrauma

Identifiers

PMID39822757
PMCPMC11733103

What OpenQuestion holds

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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.