Evidence map›Paper›PMID 26903690›Full record

ArticleDisease markers2016

Measurement of the Red Blood Cell Distribution Width Improves the Risk Prediction in Cardiac Resynchronization Therapy.

András Mihály Boros, Péter Perge, Zsigmond Jenei, Júlia Karády, Endre Zima, Levente Molnár, Dávid Becker, László Gellér, Zoltán Prohászka, Béla Merkely and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Disease markers, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Quality of life measured with EuroQol-five dimensions questionnaire predicts long-term mortality, response, and reverse remodelling in cardiac resynchronization therapy patients.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2018
    Observational
  6. Article
  7. Complement C3a predicts outcome in cardiac resynchronization therapy of heart failure.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2016
    Observational
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.

András Mihály BorosHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
Péter PergeHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
Zsigmond JeneiThird Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Júlia KarádyHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
Endre ZimaHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
Levente MolnárHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
Dávid BeckerHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
László GellérHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
Zoltán ProhászkaThird Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Béla MerkelyHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
Gábor SzéplakiHeart and Vascular Center, Semmelweis University, Városmajor Utca 68, Budapest 1122, Hungary.
Semmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIncreases in red blood cell distribution width (RDW) and NT-proBNP (N-terminal pro-B-type natriuretic peptide) predict the mortality of chronic heart failure patients undergoing cardiac resynchronization therapy (CRT). It was hypothesized that RDW is independent of and possibly even superior to NT-proBNP from the aspect of long-term mortality prediction.

designThe blood counts and serum NT-proBNP levels of 134 patients undergoing CRT were measured. Multivariable Cox regression models were applied and reclassification analyses were performed.

resultsAfter separate adjustment to the basic model of left bundle branch block, beta blocker therapy, and serum creatinine, both the RDW > 13.35% and NT-proBNP > 1975 pg/mL predicted the 5-year mortality (n = 57). In the final model including all variables, the RDW [HR = 2.49 (1.27-4.86); p = 0.008] remained a significant predictor, whereas the NT-proBNP [HR = 1.18 (0.93-3.51); p = 0.07] lost its predictive value. On addition of the RDW measurement, a 64% net reclassification improvement and a 3% integrated discrimination improvement were achieved over the NT-proBNP-adjusted basic model.

conclusionsIncreased RDW levels accurately predict the long-term mortality of CRT patients independently of NT-proBNP. Reclassification analysis revealed that the RDW improves the risk stratification and could enhance the optimal patient selection for CRT.

Indexed as

Erythrocyte IndicesAgedCardiac Resynchronization TherapyFemaleHeart FailureHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsPredictive Value of TestsPrognosisSurvival AnalysisTreatment OutcomeNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID26903690
PMCPMC4745303
OpenAlexW2287490495

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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.