Article
Medicine, General & Internal
Ikhwan Rinaldi, Mondastri Korib Sudaryo, Nurhayati Adnan Prihartono
Summary: This study found that the prevalence of DIC in septic patients was 20.2%. Low albumin, respiratory infection, and antibiotic treatment >= 1 h were identified as risk factors for the development of DIC in septic patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Hematology
Kasper Adelborg, Julie B. Larsen, Anne-Mette Hvas
Summary: Disseminated intravascular coagulation (DIC) is a systemic activation of the coagulation system, leading to microvascular thrombosis and hemorrhage. Underlying conditions like infection, cancer, or obstetrical complications initiate and propagate the DIC process. Timely and accurate diagnosis and treatment of DIC and its underlying causes are essential for prognosis.
BRITISH JOURNAL OF HAEMATOLOGY
(2021)
Article
Biochemistry & Molecular Biology
Ramona D'Amico, Francesco Monaco, Rosalba Siracusa, Marika Cordaro, Roberta Fusco, Alessio Filippo Peritore, Enrico Gugliandolo, Rosalia Crupi, Salvatore Cuzzocrea, Rosanna Di Paola, Daniela Impellizzeri, Tiziana Genovese
Summary: The study found that um-PEA can reduce changes in coagulation markers and proinflammatory cytokine release caused by LPS, as well as prevent the formation of fibrin deposition and lung damage. Furthermore, um-PEA can also reduce the number of mast cells and the release of serine proteases, which are necessary for SARS-CoV-2 infection. These results suggest that um-PEA could be a potential therapeutic approach in managing DIC and associated clinical implications of coagulopathy and lung dysfunction, such as COVID-19.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2021)
Article
Biology
Ivanka Jimenez-Dinamarca, Yolanda Prado, Pablo Tapia, Sebastian Gatica, Clemens Alt, Charles P. Lin, Cristian Reyes-Martinez, Carmen G. Feijoo, Cristobal Aravena, Alejandra Gonzalez-Canacer, Simon Correa, Diego Varela, Claudio Cabello-Verrugio, Felipe Simon
Summary: This study found that TRPM7 in endothelial cells regulates coagulation during sepsis, contributing to inflammation and increased mortality. Additionally, TRPM7 expression in circulating endothelial cells accurately predicts mortality in septic shock patients, making it a potential prognostic biomarker and target for treating sepsis-related coagulation disorders.
BIOLOGICAL RESEARCH
(2023)
Review
Medicine, General & Internal
Junjun Wu, Huaming Li, Yufang Wang, Rong Xu
Summary: This case report highlights the importance of early diagnosis of disseminated intravascular coagulation (DIC) and reviews the clinical indicators of E coli infection and DIC. The patient, a 48-year-old man with symptoms of diarrhea, nausea, vomiting, fever, and loss of consciousness, was diagnosed with acute gastroenteritis complicated by DIC. Timely assessment of platelet count, procalcitonin level, coagulation function, and rational use of antibiotics can improve the prognosis of patients.
Review
Biochemistry & Molecular Biology
Irene Canovas-Cervera, Elena Nacher-Sendra, Rebeca Osca-Verdegal, Enric Dolz-Andres, Jesus Beltran-Garcia, Maria Rodriguez-Gimillo, Carolina Ferrando-Sanchez, Nieves Carbonell, Jose Luis Garcia-Gimenez
Summary: Disseminated Intravascular Coagulation (DIC) is a type of tissue and organ dysregulation in sepsis, with underlying molecular mechanisms that are not fully understood. Current biomarkers for DIC provide poor diagnosis and prognosis, thus non-coding RNAs are studied as potential biomarkers. This review focuses on the relationship between non-coding RNAs and DIC, particularly the PI3K/AKT/mTOR axis, and identifies several ncRNAs involved in its regulation.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Critical Care Medicine
Masaharu Imaura, Fumihiko Katagiri, Satoshi Nagase, Saori Hatoyama-Tanaka, Hiroyuki Takahashi, Risa Takayanagi, Hiroshi Kanno, Yasuhiko Yamada
Summary: The optimal therapeutic plasma concentration of TM alfa for treating DIC associated with sepsis has been determined to be 1,010 ng/mL, based on the cutoff value calculated in this study. Patients with a plasma trough concentration above this cutoff value showed a significantly higher 90-day survival rate compared to those below the cutoff value.
Article
Hematology
Tadashi Matsuoka, Kazuma Yamakawa, Toshiaki Iba, Koichiro Homma, Junichi Sasaki
Summary: In septic DIC, individuals with a high risk of death, persistent DIC, and late-onset DIC are poor-prognostic subgroups. However, high-risk DIC is also a subgroup that can obtain more benefits from anticoagulant therapy.
THROMBOSIS AND HAEMOSTASIS
(2023)
Article
Critical Care Medicine
Julie Helms, Hamid Merdji, Sebastien Loewert, Francois Severac, Alexandra Monnier, Julian Kaurin, Anais Curtiaud, Ferhat Meziani, Julien Demiselle
Summary: This study analyzed the association between the occurrence, severity, and evolution of AKI in patients with septic shock-induced DIC. The results showed that DIC is strongly associated with the risk of developing the more severe form of AKI (stage 3 of the KDIGO classification, RRT requirement), even after adjusting for other factors.
ANNALS OF INTENSIVE CARE
(2023)
Review
Cell Biology
Ahsanullah Unar, Lorenzo Bertolino, Fabian Patauner, Raffaella Gallo, Emanuele Durante-Mangoni
Summary: Sepsis is a global health problem caused by an uncontrolled host response to infection, leading to organ failure. Disseminated intravascular coagulation (DIC) is a complication of sepsis that significantly increases mortality. Currently, there is no definitive treatment for sepsis, but early detection and treatment of sepsis-related DIC are important for improving prognosis. This article provides a comprehensive overview of sepsis-related DIC, including its causes and diagnoses, to guide healthcare providers in the care of septic patients.
Review
Critical Care Medicine
Toshiaki Iba, Julie Helms, Jean Marie Connors, Jerrold H. Levy
Summary: The International Society on Thrombosis and Haemostasis (ISTH) released overt DIC diagnostic criteria in 2001. However, DIC includes early stages with systemic activation in coagulation, and thus the ISTH recently released SIC criteria that can diagnose the compensated-phase of coagulopathy.
JOURNAL OF INTENSIVE CARE
(2023)
Review
Hematology
Takeshi Wada, Satoshi Gando
Summary: The two phenotypes of disseminated intravascular coagulation (DIC) are thrombotic and fibrinolytic, characterized by thrombosis and hemorrhage respectively. Thrombotic DIC is caused by coagulation activation, insufficient anticoagulation, and inhibition of fibrinolysis, leading to microvascular fibrin thrombosis and organ dysfunction. Fibrinolytic DIC is characterized by extensive thrombin generation and systemic pathologic hyperfibrinolysis, resulting in severe bleeding.
THROMBOSIS AND HAEMOSTASIS
(2023)
Review
Medicine, General & Internal
Ahsanullah Unar, Lorenzo Bertolino, Fabian Patauner, Raffaella Gallo, Emanuele Durante-Mangoni
Summary: Disseminated intravascular coagulation (DIC) is a significant complication of sepsis. Early diagnosis and effective treatment of sepsis-induced DIC are important for prognosis. However, healthcare providers worldwide still face challenges in treating this condition and further research is needed.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Infectious Diseases
Wakana Takahashi, Taro Yoneda, Hayato Koba, Tsukasa Ueda, Noriaki Tsuji, Haruhiko Ogawa, Hidesaku Asakura
Summary: Nafamostat, a serine proteinase inhibitor used in the treatment of DIC and pancreatitis, has shown improvement in lung function in COVID-19 patients. However, attention should be paid to its adverse effects such as hyperkalemia.
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
(2021)
Article
Critical Care Medicine
Wataru Takayama, Akira Endo, Koji Morishita, Yasuhiro Otomo
Summary: The utility of dielectric blood coagulometry for early sepsis-induced disseminated intravascular coagulation diagnosis was evaluated in this study. The results showed that dielectric blood coagulometry was strongly correlated with thrombin levels and can be used to detect early-phase disseminated intravascular coagulation in patients with sepsis.
CRITICAL CARE MEDICINE
(2022)
Article
Emergency Medicine
Yusuke Okubo, Nobuaki Michihata, Naho Morisaki, Koichi Yoshida, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: The study found increasing trends of H-1 and H-2 receptor antagonist use in children hospitalized with anaphylaxis. However, there was no significant change in glucocorticoid use. Results showed that in the steroid group, the length of hospital stay and total hospitalization cost were higher than in the nonsteroid group, while the risk of 10-day readmission was similar between the two groups.
PEDIATRIC EMERGENCY CARE
(2021)
Article
Obstetrics & Gynecology
Daisuke Shigemi, Shunsuke Isogai, Kazuaki Uda, Shotaro Aso, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: This nationwide retrospective cohort study suggests that rehabilitation for pregnant women with threatened preterm birth during long-term hospitalization may reduce the risk of preterm birth.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2021)
Article
Surgery
Takashi Sakamoto, Michimasa Fujiogi, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: By comparing the surgical outcomes of MIE and OE for esophageal cancer, it was found that MIE had lower incidences of in-hospital mortality, morbidities, such as surgical site infection and anastomotic leakage, and a shorter postoperative length of stay; however, it also had higher incidences of vocal cord dysfunction and prolonged intubation period after esophagectomy.
Article
Nutrition & Dietetics
Nana Shinozaki, Kojiro Morita, Hiroki Matsui, Taisuke Jo, Hideo Yasunaga
Summary: This study compared the 30-day readmission rates of gastrostomy tube-fed patients who had been prescribed semisolid vs liquid nutrients on discharge, and found no significant difference between the two groups. Randomized controlled trials are needed to further determine the effect of semisolid nutrients on clinical outcomes.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2021)
Article
Orthopedics
Manabu Kawata, Taisuke Jo, Shuji Taketomi, Hiroshi Inui, Ryota Yamagami, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Sakae Tanaka
Summary: This study identified novel risk factors for SSI after HTO, such as the use of artificial bone grafts and longer anesthesia duration, as well as novel protective factors including a primary diagnosis of osteonecrosis and younger age. These findings will aid surgeons in assessing the risk of SSI after HTO in individual patients.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Allergy
Yusuke Okubo, Kenta Horimukai, Nobuaki Michihata, Kojiro Morita, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: The study indicates that early antibiotic treatment for children with asthma exacerbation in the absence of bacterial infection may lead to prolonged hospital stay, increased hospitalization costs, and higher risk of probiotic use without improving treatment failure and readmission.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
(2021)
Article
Critical Care Medicine
Shotaro Aso, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: This study found that in septic patients requiring mechanical ventilation, the use of dexmedetomidine was associated with lower all-cause 28-day mortality compared to midazolam or propofol, and with a shorter duration of mechanical ventilation.
JOURNAL OF INTENSIVE CARE MEDICINE
(2021)
Article
Oncology
Takaaki Konishi, Michimasa Fujiogi, Nobuaki Michihata, Kojiro Morita, Hiroki Matsui, Kiyohide Fushimi, Masahiko Tanabe, Yasuyuki Seto, Hideo Yasunaga
Summary: This study found an association between BMI and the localization of breast cancer, with higher BMI potentially related to the occurrence of breast cancer in certain quadrants of the breast, and lower BMI related to a different quadrant. The side of breast cancer did not show significant differences among different BMI groups.
BREAST CANCER RESEARCH AND TREATMENT
(2021)
Article
Cardiac & Cardiovascular Systems
Hidetaka Itoh, Hidehiro Kaneko, Hiroyuki Kiriyama, Tatsuya Kamon, Katsuhito Fujiu, Kojiro Morita, Haruki Yotsumoto, Nobuaki Michihata, Taisuke Jo, Norifumi Takeda, Hiroyuki Morita, Hideo Yasunaga, Issei Komuro
Summary: This study explored the relationship between BMI and in-hospital mortality of patients hospitalized for heart failure in Japan, finding that underweight patients had higher mortality while pre-obese and obese patients had lower mortality. Furthermore, a restricted cubic spline analysis revealed a reverse J-shaped relationship between BMI and in-hospital mortality.
Article
Peripheral Vascular Disease
Katsuhiko Naruse, Daisuke Shigemi, Mikio Hashiguchi, Masatoshi Imamura, Hideo Yasunaga, Takanari Arai
Summary: This retrospective cohort study in Japan investigated the relationship between hypertensive disorders of pregnancy (HDP) and placental abruption, revealing that earlier gestational age on admission could be a risk factor for placental abruption. Hospitalization and careful management of such patients are recommended to improve prognosis.
HYPERTENSION RESEARCH
(2021)
Article
Public, Environmental & Occupational Health
Daisuke Sato, Tadahiro Goto, Kazuaki Uda, Ryosuke Kumazawa, Hiroki Matsui, Hideo Yasunaga
Summary: The study found that despite the issuance of national guidelines to promote appropriate antibiotic use, there were no significant changes in antibiotic use trends for outpatients with ARTI or gastroenteritis between the pre-issue and post-issue periods.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2021)
Article
Gastroenterology & Hepatology
Yuki Miyamoto, Hiroyuki Ohbe, Miho Ishimaru, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: Although tranexamic acid treatment was not significantly associated with in-hospital mortality, it may reduce severe bleeding, blood transfusions, length of stay, and hospitalization costs in patients with colonic diverticular bleeding.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Orthopedics
Ryoko Sawada, Hayato Yamana, Yusuke Shinoda, Yusuke Tsuda, Hiroki Matsui, Kiyohide Fushimi, Hiroshi Kobayashi, Yoshitaka Matsubayashi, Hideo Yasunaga, Sakae Tanaka, Nobuhiko Haga
Summary: Factors associated with higher 30-day mortality after surgery for spinal metastasis include male sex, emergency admission, rapid growth tumors, and non-skeletal metastasis. Risk scoring system can estimate the 30-day mortality for each patient.
JOURNAL OF ORTHOPAEDIC SCIENCE
(2021)
Article
Hematology
Kohei Taniguchi, Hiroyuki Ohbe, Kazuma Yamakawa, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: The study investigated the relationship between mortality and recombinant human soluble thrombomodulin (rTM) therapy for patients with DIC associated with stage IV solid tumors. Although a beneficial association was found in specific populations of patients with colorectal and gynecological cancer, no significant difference in mortality was observed when considering the entire cohort of patients with DIC associated with stage IV solid tumors.
THROMBOSIS AND HAEMOSTASIS
(2021)
Letter
Surgery
Takashi Sakamoto, Michimasa Fujiogi, Hideo Yasunaga