Evidence map›Paper›PMID 26336429›Full record

ArticleKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2014

Do age, diabetes and left ventricular function affect the outcomes of ischemic mitral valve repair?

Loreta Jankauskiene, Milda Svagzdiene, Edmundas Sirvinskas, Sarunas Kinduris, Darius Adomavicius

Open access · diamondAbstract read
In one paragraph

Article in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 1 institution in 1 country.

Loreta JankauskieneInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania ; Clinic of Cardiothoracic and Vascular Surgery, Lithuanian University of Health Sciences, Medical Academy Hospital, Kaunas, Lithuania.
Milda SvagzdieneInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania ; Clinic of Cardiothoracic and Vascular Surgery, Lithuanian University of Health Sciences, Medical Academy Hospital, Kaunas, Lithuania.
Edmundas SirvinskasInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania ; Clinic of Cardiothoracic and Vascular Surgery, Lithuanian University of Health Sciences, Medical Academy Hospital, Kaunas, Lithuania.
Sarunas KindurisInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania ; Clinic of Cardiothoracic and Vascular Surgery, Lithuanian University of Health Sciences, Medical Academy Hospital, Kaunas, Lithuania.
Darius AdomaviciusClinic of Cardiothoracic and Vascular Surgery, Lithuanian University of Health Sciences, Medical Academy Hospital, Kaunas, Lithuania.
Lithuanian University of Health Sciences · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is well documented that older age, chronic concomitant diseases (such as diabetes mellitus, chronic obstructive lung disease, etc.), and poor left ventricular function can increase the postoperative complication rate and worsen the general outcomes of coronary artery bypass (CABG) and concomitant repair of ischemic mitral regurgitation (MR). MATERIAL AND

methodsRetrospective data of 394 patients after CABG and mitral valve (MV) repair (mainly annuloplasty) were analyzed. Patients were grouped according to age, diabetes mellitus (DM), and left ventricular ejection fraction (LVEF). Echocardiography data, the rate of postoperative complications (cardiogenic shock, preoperative myocardial infarction, bleeding from the gastrointestinal tract, cognitive disorders, stroke, sepsis, deep wound infection), and early and late mortality were compared between paired groups.

resultsThere were no differences between age groups in reverse positive remodeling of LV. A significantly higher incidence of sepsis and deep wound infection in younger patients was observed. Patients with DM had no change in the pre-postoperative NYHA class and a higher rate of perioperative MI (10.3% vs. 3.1% respectively, p < 0.05) in comparison to patients with no DM. In all LVEF groups, MR was significantly decreased, but reverse positive remodeling of LV was pronounced only in those with "poor" and "moderately lowered" LVEF. Postoperative complications did not differ among these three groups.

conclusionsElderly age, concomitant DM and lowered LVEF do not influence either early or late mortality, including early postoperative outcomes after MV repair for ischemic MR following CABG. Concomitant DM increases the rate of perioperative MI and impairs reverse remodeling of LV.

Indexed as

cardiac surgery procedurescomplicationsischemic mitral valve repairrisk factors

Identifiers

PMID26336429
PMCPMC4283876
OpenAlexW2164302962

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LicenceCC BY-NC-ND
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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.