Evidence map›Paper›PMID 39920186›Full record

ArticleScientific reports2025

An injectable, expandable polyacrylamide cryogel decreases blood loss and improves survival in a porcine model of junctional hemorrhage.

Al-Murtadha Al-Gahmi, Syed Muntazir Andrabi, S M Shatil Shahriar, Carlos P Jara, Jingwei Xie, Mark A Carlson

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

6 authors.

Al-Murtadha Al-Gahmi *Departmentsof Surgery-General Surgery, University of Nebraska Medical Center, Omaha, NE, 68198-3280, USA.ORCID 0009-0000-5484-467X
Syed Muntazir Andrabi *Departmentof Surgery-Transplant and Mary & Dick Holland Regenerative Medicine Program, University of Nebraska Medical Center, Omaha, NE, 68198-5965, USA.ORCID 0000-0002-2998-2971
S M Shatil Shahriar *Departmentof Surgery-Transplant and Mary & Dick Holland Regenerative Medicine Program, University of Nebraska Medical Center, Omaha, NE, 68198-5965, USA.ORCID 0000-0002-8632-2355
Carlos P JaraDepartmentsof Surgery-General Surgery, University of Nebraska Medical Center, Omaha, NE, 68198-3280, USA.ORCID 0000-0001-5444-721X
Jingwei XieDepartmentof Surgery-Transplant and Mary & Dick Holland Regenerative Medicine Program, University of Nebraska Medical Center, Omaha, NE, 68198-5965, USA. jingwei.xie@unmc.edu.ORCID 0000-0002-8126-1397
Mark A CarlsonDepartmentsof Surgery-General Surgery, University of Nebraska Medical Center, Omaha, NE, 68198-3280, USA. macarlso@unmc.edu.ORCID 0000-0002-8113-9199

Funding

Department of Defense Peer Reviewed Medical Research Program Investigator-Initiated Research Award PR191264
6 · The paper itself

Abstract

Uncontrolled hemorrhage, including junctional hemorrhage, is a leading cause of preventable death in military trauma. Effective therapies are urgently needed to stabilize patients and prevent further blood loss. We developed an injectable, Expandable Polyacrylamide Cryogel (EPC) that rapidly expands to tamponade bleeding. The hemostatic efficacy of EPC was compared to other hemostatic products in a porcine junctional hemorrhage model. Splenectomized domestic swine (~ 40 kg; N = 37) were randomized to no treatment (N = 8), EPC (N = 7), EPC + thrombin (N = 6), XStat (N = 7), and Combat Gauze (CG, N = 9). They underwent transection of the right femoral artery/vein, followed by 30 s of free bleed, 3 min of manual compression, and observation for up to 3 h. EPC application achieved hemostasis and 100% survival for both formulations, compared to XStat (85%), CG (67%), and no treatment (37%) (p 0.0228, Fisher exact). Mean total blood loss was lowest in EPC groups (~ 590 mL) versus no treatment (1,683 ± 570 mL), XStat (784 ± 407 mL), and CG (1,181 ± 721 mL; p < 0.001 ANOVA). All other endpoints tended to favor the EPC formulations. EPC application for junctional-type injury produced wound tamponade with better survival, reduced blood loss, and better hemodynamic and laboratory parameters compared to no treatment, with trending improvements over XStat and CG.

Indexed as

Acrylic ResinsCryogelsHemorrhageHemostaticsAnimalsDisease Models, AnimalPolyacrylamidesSwineAcrylic ResinsCryogelsHemostaticsPolyacrylamides

Identifiers

PMID39920186
PMCPMC11805960

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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.