Evidence map›Paper›PMID 40491626›Full record

ReviewCureus2025

Evaluation of Trauma-Induced Coagulopathy by Systematic Insights Into Pathophysiology and Advances in Emergency Resuscitation.

Noor Ul Ain Rashid, Ahmad Abdullah Nasir, Bilal Fattani, Madeeha Minhas, Seemi Tanvir, Soobia Pathan, Fnu Barkha, Pirya Nangdev, Aneesa Khalid

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Noor Ul Ain RashidGeneral Surgery, Akhtar Saeed Trust Hospital, Lahore, PAK.
Ahmad Abdullah NasirGeneral Surgery, General Medicine, Anesthesiology and Psychiatry, Akhtar Saeed Medical and Dental College, Lahore, PAK.
Bilal FattaniMedicine, Jinnah Medical and Dental College, Karachi, PAK.
Madeeha MinhasHealth Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Seemi TanvirPathology, Margalla Institute of Health Sciences, Rawalpindi, PAK.
Soobia PathanPharmacology and Therapeutics, Liaquat Institute of Medical and Health Sciences, Thatta, PAK.
Fnu BarkhaMedicine and Surgery, Chandka Medical College, Larkana, PAK.
Pirya NangdevAnatomy, Bilawal Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Aneesa KhalidPathology, University of Health Sciences, Lahore, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma-induced coagulopathy (TIC) exists as a fatal complication that develops from severe injuries and substantially increases patient mortality. Effective knowledge of TIC pathophysiology, together with optimized resuscitation strategies, is fundamental for enhancing patient outcomes. This review system examined TIC mechanisms through an analysis of present-day intervention methods. This systematic research with meta-analysis covered PubMed, Scopus, and Web of Science, together with Google Scholar databases, to review TIC pathophysiology and resuscitation practices. The inclusion of observational and experimental designs occurred by using predetermined selection criteria. Two independent researchers collected data from studies that received quality assessments through the Newcastle-Ottawa Scale (version 2011), along with the Cochrane Risk of Bias Tool (version 2) evaluation. The GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach served as the method for evaluating evidence certainty. The analyzed studies amounted to 11 after meeting the established criteria. Three major mechanisms led to TIC development, including disrupted fibrinolysis function, impaired platelet functioning, and damaged vessel walls. Six studies submitted for meta-analysis demonstrated that coagulation abnormalities, including hypofibrinogenemia and elevated activated protein C, result in adverse outcomes with a pooled HR of 6.3 (95% CI: 3.04-13.05, p < 0.05). The compound variation (I² = 69%) across data points appeared from differences between measurements and experimental conditions used in the studies. This review presents fibrinogen together with thrombin and activated protein C as diagnostic markers for TIC while supporting the use of protocol-based resuscitation. Future research requires several hospitals to participate in trials to establish new treatment protocols and establish uniform biomarker testing procedures in clinical settings.

Indexed as

fibrinolysishemostasismeta-analysisresuscitationtrauma-induced coagulopathyviscoelastic testing

Identifiers

PMID40491626
PMCPMC12147678

What OpenQuestion holds

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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.