Evidence map›Paper›PMID 40129565›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Fibrinogen levels and bleeding risk in adult extracorporeal cardiopulmonary resuscitation: multicenter observational study subanalysis.

Seiya Kanou, Eiji Nakatani, Tetsumei Urano, Hatoko Sasaki, Akihiko Inoue, Toru Hifumi, Tetsuya Sakamoto, Yasuhiro Kuroda, Yoshihiro Tanaka, Study of Advanced life support for Ventricular fibrillation with Extracorporeal circulation in Japan (SAVE-J II) Study Group

Abstract read
In one paragraph

Article in Research and practice 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Seiya KanouGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Eiji NakataniGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Tetsumei UranoGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Hatoko SasakiGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Akihiko InoueDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Chuo-ku, Kobe-shi, Japan.
Toru HifumiDepartment of Emergency and Critical Care Medicine, St. Luke's International Hospital, Chuo-ku, Tokyo, Japan.
Tetsuya SakamotoDepartment of Emergency Medicine, Teikyo University School of Medicine, Tokyo, Japan.
Yasuhiro KurodaDepartment of Emergency, Disaster and Critical Care Medicine, Kagawa University Hospital, Kagawa, Japan.
Yoshihiro TanakaGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Study of Advanced life support for Ventricular fibrillation with Extracorporeal circulation in Japan (SAVE-J II) Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

•Hypofibrinogenemia frequently occurs in extracorporeal cardiopulmonary resuscitation (ECPR) and may heighten bleeding risk. This subanalysis of a multicenter observational study (SAVE-J II) included 2,100 adult patients receiving ECPR after out-of-hospital cardiac arrest at 36 facilities in Japan.•Overall, 7.5% of patients experienced non-cannulation hemorrhagic complications, and those with fibrinogen levels below 140 mg/dL at ECPR initiation faced significantly higher bleeding risk. These findings underscore the importance of monitoring and managing fibrinogen levels in ECPR to mitigate hemorrhagic events and improve patient outcomes.

Indexed as

cardiopulmonary resuscitationextracorporeal membrane oxygenationfibrinogenheart arresthemorrhagerisk

Identifiers

PMID40129565
PMCPMC11930119

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Registered trials

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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.