Evidence map›Paper›PMID 22800850›Full record

ArticleCirculation2012

Early predictors of survival to and after heart transplantation in children with dilated cardiomyopathy.

Biagio A Pietra, Paul F Kantor, Heather L Bartlett, Clifford Chin, Charles E Canter, Ranae L Larsen, R Erik Edens, Steven D Colan, Jeffrey A Towbin, Steven E Lipshultz and 3 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Circulation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Corticosteroids for viral myocarditis.The Cochrane database of systematic reviews · 2013
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Pediatric heart transplantation: long-term outcomes.Indian journal of thoracic and cardiovascular surgery · 2020
    Review
  13. Article
  14. Sca-1European journal of immunology · 2018
    Article
  15. Current state of pediatric cardiac transplantation.Annals of cardiothoracic surgery · 2018
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

13 authors at 6 institutions in 2 countries.

Biagio A PietraDivision of Cardiology, The Children's Hospital Denver, 13123 E 16th Ave, Aurora, CO 80045, USA. bill.pietra@UCdenver.edu
Paul F Kantor
Heather L Bartlett
Clifford Chin
Charles E Canter
Ranae L Larsen
R Erik Edens
Steven D Colan
Jeffrey A Towbin
Steven E Lipshultz
James K Kirklin
David C Naftel
Daphne T Hsu
Cincinnati Children's Hospital Medical Center · USUniversity of Alabama at Birmingham · USLoma Linda University · USUniversity of Miami · USBoston Children's Hospital · USHospital for Sick Children · CA

Funding

PEDIATRIC CARDIOMYOPATHY REGISTRYR01HL053392 · NHLBI · UNIVERSITY OF ROCHESTER · PI LIPSHULTZ, STEVEN EDWARD · 1995 to 2009
$8.3M
NHLBI NIH HHS R01 HL053392NHLBI NIH HHS R01 HL 53392
6 · The paper itself

Abstract

backgroundThe importance of clinical presentation and pretransplantation course on outcome in children with dilated cardiomyopathy listed for heart transplantation is not well defined. METHODS AND

resultsThe impact of age, duration of illness, sex, race, ventricular geometry, and diagnosis of myocarditis on outcome in 261 children with dilated cardiomyopathy enrolled in the Pediatric Cardiomyopathy Registry and Pediatric Heart Transplant Study was studied. End points included listing as United Network for Organ Sharing status 1, death while waiting, and death after transplantation. The median age at the time of diagnosis was 3.4 years, and the mean time from diagnosis to listing was 0.62±1.3 years. Risk factors associated with death while waiting were ventilator use and older age at listing in patients not mechanically ventilated (P=0.0006 and P=0.03, respectively). Shorter duration of illness (P=0.04) was associated with listing as United Network for Organ Sharing status 1. Death after transplantation was associated with myocarditis at presentation (P=0.009), nonwhite race (P<0.0001), and a lower left ventricular end-diastolic dimension z score at presentation (P=0.04). In the myocarditis group, 17% (4 of 23) died of acute rejection after transplantation.

conclusionsMechanical ventilator use and older age at listing predicted death while waiting, whereas nonwhite race, smaller left ventricular dimension, and myocarditis were associated with death after transplantation. Although 97% of children with clinically or biopsy-diagnosed myocarditis at presentation survived to transplantation, they had significantly higher posttransplantation mortality compared with children without myocarditis, raising the possibility that preexisting viral infection or inflammation adversely affects graft survival.

Indexed as

Heart TransplantationAge FactorsCardiomyopathy, DilatedCause of DeathChildChild, PreschoolFemaleHeart VentriclesHumansInfantKaplan-Meier EstimateMaleMyocarditisPostoperative ComplicationsProportional Hazards ModelsRacial Groups

Identifiers

PMID22800850
PMCPMC3510785
OpenAlexW2013603520

What OpenQuestion holds

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Registered trials

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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.