Evidence map›Paper›PMID 27294086›Full record

ArticleAnnals of translational medicine2016

Lower mean corpuscular hemoglobin concentration is associated with poorer outcomes in intensive care unit admitted patients with acute myocardial infarction.

Yuan-Lan Huang, Zhi-De Hu

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Article in Annals of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

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33citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

33 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Yuan-Lan Huang1 Department of Laboratory Medicine, No. 455 Hospital of the Chinese People's Liberation Army, Shanghai 200052, China ; 2 Department of Laboratory Medicine, the General Hospital of Ji'nan Military Command Region, Ji'nan 250031, China.
Zhi-De Hu1 Department of Laboratory Medicine, No. 455 Hospital of the Chinese People's Liberation Army, Shanghai 200052, China ; 2 Department of Laboratory Medicine, the General Hospital of Ji'nan Military Command Region, Ji'nan 250031, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccumulated studies have shown that hematological parameters [e.g., red blood cell distribution width (RDW), hemoglobin, platelet count] and serum potassium level can impact the prognosis of patients with acute myocardial infarction (AMI). However, no previous study has evaluated the prognostic values of these laboratory tests simultaneously.

methodsThis study is based on an intensive care unit (ICU) database named Multiparameter Intelligent Monitoring in Intensive Care II (MIMIC II). Adult patients with AMI were included, and their hematological parameters and serum ion levels on admission were extracted. The relationships between these laboratory tests and hospital mortality were evaluated using a logistic regression model and receiver operating characteristic (ROC) curve analysis. The effects of these laboratory tests on 1-year mortality were evaluated using a Cox hazard regression model and Kaplan-Meier curve analysis.

resultsIn univariable analysis, increased white blood cell (WBC), neutrophil percentage, mean corpuscular volume (MCV), RDW, potassium and decreased red blood cell (RBC), hemoglobin, mean corpuscular hemoglobin concentration (MCHC), hematocrit and percentage of lymphocyte, monocyte, basophil and eosinophil were significantly associated with hospital mortality. In multivariable analyses, basophil percentage, potassium, WBC and MCHC were independently associated with hospital morality, while WBC, RDW, MCHC, potassium and percentages of neutrophil and lymphocyte were associated with 1-year mortality.

conclusionsHematological parameters and serum potassium can provide prognostic information in AMI patients. MCHC is an independent prognostic factor for both short and long term outcomes of AMI.

Indexed as

Acute myocardial infarction (AMI)hematological parametermean corpuscular hemoglobin concentration (MCHC)potassiumprognosis

Identifiers

PMID27294086
PMCPMC4885905

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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.