Evidence map›Paper›PMID 41466017›Full record

Observational studyMedicine2025

Differential analysis of coagulation indices (PT, APTT, d-dimer) in different types of thrombophilia.

Yan Zeng, Fusheng Zhang, Qiushuang Zhou, Tingting Fu

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 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

4 authors.

Yan ZengDepartment of Laboratory Medicine, Dujiangyan Shoujia Hospital, Chengdu, China.ORCID 0009-0007-6051-0757
Fusheng ZhangDepartment of Laboratory Medicine, Dujiangyan Shoujia Hospital, Chengdu, China.
Qiushuang ZhouDepartment of Laboratory Medicine, Dujiangyan Shoujia Hospital, Chengdu, China.
Tingting FuClinical Laboratory, The People's Hospital of Wenchuan, Wenchuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombotic disorders, including venous thrombosis, arterial thrombosis, and disseminated intravascular coagulation (DIC), are major contributors to global morbidity and mortality. Venous thromboembolism event occurs in 1 to 2 per 1000 individuals annually, while DIC carries a mortality rate exceeding 20%. Coagulation indices such as prothrombin time (PT), activated partial thromboplastin time (APTT), and d-dimer are widely used for diagnosis, risk assessment, and treatment planning, but comparative studies across different thrombus types remain limited. In this single-center retrospective study, 220 patients with thrombophilia (100 venous thrombosis, 80 arterial thrombosis, and 40 DIC) admitted between January 2023 and December 2024 were analyzed. Clinical and laboratory data were collected to evaluate differences in PT, APTT, and d-dimer. Subgroup analyses compared deep vein thrombosis with pulmonary embolism and cerebral infarction with myocardial infarction. Multivariate logistic regression was performed to assess independent risk factors for arterial thrombosis. Significant intergroup differences were observed in PT, APTT, and d-dimer (all P < .001), with the most pronounced abnormalities in DIC. Subgroup analysis showed more severe coagulation abnormalities in pulmonary embolism compared with deep vein thrombosis, and higher d-dimer levels in myocardial infarction than in cerebral infarction. Logistic regression identified PT (odds ratio = 1.521, 95% confidence interval: 1.190-1.944, P = .001) and d-dimer (odds ratio = 6.294, 95% confidence interval: 3.293-12.030, P < .001) as independent risk factors for arterial thrombosis, whereas APTT, age, and sex were not significant. These findings demonstrate distinct coagulation profiles among thrombus types and support the utility of PT and d-dimer in differential diagnosis, risk stratification, and individualized management of thrombophilia.

Indexed as

Fibrin Fibrinogen Degradation ProductsThrombophiliaAdultAgedDisseminated Intravascular CoagulationFemaleHumansMaleMiddle AgedPartial Thromboplastin TimeProthrombin TimePulmonary EmbolismRetrospective StudiesRisk FactorsVenous ThrombosisFibrin Fibrinogen Degradation Productsfibrin fragment Dactivated partial thromboplastin timecoagulation assayprothrombin timethrombus

Identifiers

PMID41466017
PMCPMC12746984

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.