Evidence map›Paper›PMID 41862840›Full record

SynthesisBMC pregnancy and childbirth2026

Parameters of the thrombin generation test in pregnant women with preeclampsia: a systematic review.

Leila Cristine do Nascimento Melo, Danyelle Romana Alves Rios, Livian Rabelo Lopes, Maria das Graças Carvalho, Luci Maria Sant'Ana Dusse, Patrícia Nessralla Alpoim, Melina Barros-Pinheiro

Abstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2026. 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. Review
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.

Leila Cristine do Nascimento MeloUniversidade Federal de São João del-Rei, Campus Centro-Oeste Dona Lindu (UFSJ/CCO), Divinópolis, Brazil.
Danyelle Romana Alves RiosUniversidade Federal de São João del-Rei, Campus Centro-Oeste Dona Lindu (UFSJ/CCO), Divinópolis, Brazil. danyelleromana@ufsj.edu.br.
Livian Rabelo LopesUniversidade Federal de São João del-Rei, Campus Centro-Oeste Dona Lindu (UFSJ/CCO), Divinópolis, Brazil.
Maria das Graças CarvalhoUniversidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Luci Maria Sant'Ana DusseUniversidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Patrícia Nessralla AlpoimUniversidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Melina Barros-PinheiroUniversidade Federal de São João del-Rei, Campus Centro-Oeste Dona Lindu (UFSJ/CCO), Rua Sebastiaão Gonçalves Coelho, 400. Bloco D, sala 308.1, Bairro Chanadour, Divinópolis, Minas Gerais, 35501-296, Brazil. melinapinheiro@ufsj.edu.br.

Funding

Coordination of Superior Level Staff Improvement 001
6 · The paper itself

Abstract

backgroundPreeclampsia (PE) is a major cause of maternal and fetal mortality andmorbidity. Its etiology is idiopathic, but it is known that the disease is associated with a prothrombotic state. In this context, the thrombin generation test (TGT) has been used to investigate hemostatic changes. This systematic review aimed to identify whether the pattern and magnitude of hemostatic changes observed by the TGT differ in PE pregnant women compared to those with normotensive blood pressure and healthy.

methodsThe databases used were PubMed, Lilacs, Web of Science and Embase. The observational studies included at least one TGT parameter. The risk of bias was evaluated using the Newcastle-Ottawa scale and Joanna Briggs Institute (JBI) Quality Appraisal Checklist.

resultsA total of 2,329 articles were retrieved, but only seven were included in the review totaling 850 participants: 290 with PE and 560 normotensive pregnant women. Most studies were considered to be of high quality. In the first trimesters, endogenous thrombin potential (ETP) and peak were significantly higher, while lagtime and time to peak were shorter in pregnant women with PE compared to normotensive women. However, pregnant women with severe PE presented lower ETP and peak, but longer lagtime compared to pregnant women with mild PE. Furthermore, in early onset PE, the activation of coagulation occurs earlier than in late-onset PE.

conclusionThe presence of a state of hypercoagulability in PE is noteworthy, although attenuated in severe cases. According to our data, activation of the coagulation cascade occurs in the early stages of pregnancy, before the clinical manifestation of the disease, which provides an interesting and relevant clinical perspective for TGT.

trial registrationProspero (CRD42023477883).

Indexed as

Pre-EclampsiaThrombinBlood Coagulation TestsFemaleHumansPregnancyThrombinCoagulation biomarkersHypercoagulabilityPreeclampsiaPregnancySystematic reviewThrombin generation test

Identifiers

PMID41862840
PMCPMC13126979

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.