Evidence map›Paper›PMID 41254616›Full record

ArticleRespiratory research2025

Alterations in clot microstructure in acute exacerbations of COPD.

Suresh Pillai, Matthew Lawrence, Jun-Cezar Zaldua, Karl Hawkins, Keith Morris, Janet Whitley, Phillip A Evans

Abstract read
In one paragraph

Article in Respiratory research, 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

7 authors.

Suresh PillaiWelsh Centre for Emergency Medicine Research, Emergency Department, Morriston Hospital, Swansea Bay University Health Board, Swansea, SA6 6NL, UK. sureshkumar.gopalapillai@wales.nhs.uk.
Matthew LawrenceWelsh Centre for Emergency Medicine Research, Emergency Department, Morriston Hospital, Swansea Bay University Health Board, Swansea, SA6 6NL, UK.
Jun-Cezar ZalduaWelsh Centre for Emergency Medicine Research, Emergency Department, Morriston Hospital, Swansea Bay University Health Board, Swansea, SA6 6NL, UK.
Karl HawkinsMedical School, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, SA2 8PP, UK.
Keith MorrisSchool of Applied Science, Cardiff Metropolitan University, Cardiff, CF5 2YB, UK.
Janet WhitleyWelsh Centre for Emergency Medicine Research, Emergency Department, Morriston Hospital, Swansea Bay University Health Board, Swansea, SA6 6NL, UK.
Phillip A EvansWelsh Centre for Emergency Medicine Research, Emergency Department, Morriston Hospital, Swansea Bay University Health Board, Swansea, SA6 6NL, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic Obstructive Pulmonary Disease (COPD) patients are prone to thrombogenic events, particularly during exacerbations. Fractal dimension (d

methodsThis prospective study recruited 30 patients with stable disease from the chest clinic and 85 patients with acute exacerbations from the Emergency Department. The stable group had blood samples taken at one time point, whilst the exacerbation group were sampled at four time points (0 hours, 4-6 hours, 24 hours and 3-7 days). Biomarkers of inflammation, haemostasis and rheology were determined.

resultsAt presentation, the acute exacerbation group had significantly elevated d

conclusionsClot microstructural analysis demonstrates that COPD patients during acute exacerbation are more thrombogenic when compared to those with stable disease. This thrombogenic state is not aggravated with appropriate treatment on admission. Patients who died during exacerbations were in a significantly enhanced thrombogenic state when compared to those who survived as demonstrated by significantly elevated d

Indexed as

Blood CoagulationDisease ProgressionPulmonary Disease, Chronic ObstructiveThrombosisAcute DiseaseAgedAged, 80 and overBiomarkersFemaleFractalsHumansMaleMiddle AgedProspective StudiesBiomarkersAcute exacerbationBiomarkersClot microstructureCOPDMortality

Identifiers

PMID41254616
PMCPMC12625250

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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.