{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:03:36Z","timestamp":1787166216015,"version":"build-2736575974"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Appl Thromb Hemost"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>\n                    Plasma fibrinogen levels increase in response to infection, but they could also decrease due to degradation as in severe coagulopathy. We evaluated 60 septic patients with their CRP levels over 5.00\u2005mg\/dL. The patients were classified into three groups based on the ratio of the maximum or minimum fibrinogen concentration within day 3 to the initial concentration on day 0: down-, flat, and uptrend groups (n\u2009=\u200915, 30, and 15, respectively). Both down- and flat trend groups showed reduced inflammatory markers on day 3, and the degree of platelet loss (10\n                    <jats:sup>3<\/jats:sup>\n                    \/\u03bcL) and the mortality rate (%) were more remarkable in the downtrend group (\u2009\u2212\u2009108 vs \u2009\u2212\u200942 [ p\u2009=\u20090.026] and 46.7 vs 10.0 [ p\u2009=\u20090.027]). On day 0, in total 12 and 9 patients were diagnosed with non-overt DIC in the down- and uptrend groups, of which 5 (41.7%) and 1 (11.1%) died within 28 days after admission. In conclusion, decreasing fibrinogen levels in the ICU are associated with high mortality in patients with sepsis followed by decreasing platelet counts, even when they are diagnosed with non-overt DIC.\n                  <\/jats:p>","DOI":"10.1177\/10760296221101386","type":"journal-article","created":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T18:54:29Z","timestamp":1652900069000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Decreasing Plasma Fibrinogen Levels in the Intensive Care Unit Are Associated with High Mortality Rates In Patients With Sepsis-Induced Coagulopathy"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0072-5741","authenticated-orcid":false,"given":"Keisuke","family":"Mori","sequence":"first","affiliation":[{"name":"School of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuyuki","family":"Tsujita","sequence":"additional","affiliation":[{"name":"Emergency and Intensive Care Unit, Shiga University of Medical Science Hospital, Otsu, Shiga, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsunobu","family":"Yamane","sequence":"additional","affiliation":[{"name":"Emergency and Intensive Care Unit, Shiga University of Medical Science Hospital, Otsu, Shiga, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Eguchi","sequence":"additional","affiliation":[{"name":"Department of Critical and Intensive Care Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,5,12]]},"reference":[{"key":"bibr1-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1579635"},{"issue":"49","key":"bibr2-10760296221101386","first-page":"265","author":"Kobayashi N","year":"1983","journal-title":"Bibl Haematol"},{"key":"bibr3-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1616068"},{"key":"bibr4-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000202209.42491.38"},{"key":"bibr5-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1186\/s12959-016-0117-x"},{"key":"bibr6-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017046"},{"key":"bibr7-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0287"},{"key":"bibr8-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14134"},{"key":"bibr9-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1177\/1076029618786029"},{"key":"bibr10-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1186\/s12959-021-00264-z"},{"key":"bibr11-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1038\/nri3345"},{"key":"bibr12-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-017-0339-5"},{"key":"bibr13-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1172\/JCI114685"},{"key":"bibr14-10760296221101386","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14768"}],"container-title":["Clinical and Applied Thrombosis\/Hemostasis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10760296221101386","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10760296221101386","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10760296221101386","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:03:24Z","timestamp":1777385004000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10760296221101386"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":14,"alternative-id":["10.1177\/10760296221101386"],"URL":"https:\/\/doi.org\/10.1177\/10760296221101386","relation":{},"ISSN":["1076-0296","1938-2723"],"issn-type":[{"value":"1076-0296","type":"print"},{"value":"1938-2723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"10760296221101386"}}