Evidence map›Paper›PMID 25592634›Full record

Observational studyJournal of cardiothoracic surgery2015

Time-dependent changes of plasma inflammatory biomarkers in type A aortic dissection patients without optimal medical management.

Jun Gu, Jia Hu, Hong-wei Zhang, Zheng-hua Xiao, Zhi Fang, Hong Qian, Ming-hua Zhong, Ying-qiang Guo, Er-yong Zhang, Ying-kang Shi and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of cardiothoracic surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
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  11. Bio-chemo-mechanics of the thoracic aorta.Vascular biology (Bristol, England) · 2021
    Review
  12. Article
  13. Review
  14. Article
  15. The genetics and biomechanics of thoracic aortic diseases.Vascular biology (Bristol, England) · 2019
    Review
  16. Author`s Reply.Anatolian journal of cardiology · 2018
    Article
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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

11 authors at 1 institution in 1 country.

Jun GuDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. doctorgujun@gmail.com.
Jia HuDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. humanjia@msn.com.
Hong-wei ZhangDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. hxzhanghongwei@126.com.
Zheng-hua XiaoDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. hxxiaozhenghua@163.com.
Zhi FangDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. hxfangzhi@126.com.
Hong QianDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. hxqianhong@163.com.
Ming-hua ZhongDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. hxzhongminghua@163.com.
Ying-qiang GuoDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. hxguoyingqiang@126.com.
Er-yong ZhangDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. zhangeryong0504@gmail.com.
Ying-kang ShiDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. hxshiyingkang@gmail.com.
Wei MengDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxue Alley 37, Cheng du, 610041, Sichuan, People's Republic of China. mengwei11111@gmail.com.
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the time-dependent changes in plasma levels of interleukin-6, C-reactive protein, and tumor necrosis factor-α in patients with type A aortic dissection (TAAD) who received unoptimal medical management since the onset of dissections. DESIGN AND

methodsPlasma levels of interleukin-6, C-reactive protein, and tumor necrosis factor-α were detected by ELISA and immuno-turbidimetric assay in 92 TAAD patients at hospital admission. Blood samples from 78 patients with uncontrolled hypertension and 82 healthy volunteers were also analyzed as controls. The occurrence of TAAD-related complication and its relationship with the plasma levels of these inflammatory biomarkers was also investigated.

resultsThe concentrations of inflammatory mediators were significant higher in TAAD than those in the uncontrolled hypertension and the healthy group. The time to peak plasma level of IL-6.and TNF-α was shorter than that of CRP in TAAD group. In the TAAD group, 51 patients suffered TAAD-related complications, and their plasma level of CRP was significantly higher than that in patients without TAAD-related complications (94.5 ± 58.8 mg/L versus 47.4 ± 47.8 mg/L, p < 0.001). Also, CRP levels strongly correlated with the value of PaO2/FiO2 ratio (r = -0.69, p < 0.001) and creatinine (r = 0.60, p < 0.001). The time to the peak level of CRP was shorter and the duration of persistently high CRP level was longer in the complication group than those in the complication-free group.

conclusionsElevated and persistently high levels of plasma CRP, IL-6 and TNF-α were associated with progressively development of the TAAD. The changing pattern of CRP might be a marker for diagnosis and prophylactic treatment of complications. Our findings suggested a critical role of the inflammation in the progression of dissection and TAAD-related complications.

Indexed as

Aortic Aneurysm, ThoracicAortic DissectionBiomarkersCase-Control StudiesC-Reactive ProteinFemaleHumansInflammationInterleukin-6MaleMiddle AgedProspective StudiesTime FactorsTumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID25592634
PMCPMC4302155
OpenAlexW2128777284

What OpenQuestion holds

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LicenceCC BY
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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.