Evidence map›Paper›PMID 27304214›Full record

Observational studyPloS one2016

Metrics of High-Density Lipoprotein Function and Hospital Mortality in Acute Heart Failure Patients.

Ines Potočnjak, Vesna Degoricija, Matias Trbušić, Sanda Dokoza Terešak, Bojana Radulović, Gudrun Pregartner, Andrea Berghold, Beate Tiran, Gunther Marsche, Saša Frank

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. High-Density Lipoprotein and Heart Failure.Reviews in cardiovascular medicine · 2023
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Observational
  15. HDL subclasses and mortality in acute heart failure patients.Clinica chimica acta; international journal of clinical chemistry · 2019
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 4 institutions in 2 countries.

Ines PotočnjakUniversity Hospital Centre Sisters of Charity, Department of Medicine, Zagreb, Croatia.
Vesna DegoricijaUniversity Hospital Centre Sisters of Charity, Department of Medicine, Zagreb, Croatia.
Matias TrbušićUniversity Hospital Centre Sisters of Charity, Department of Medicine, Zagreb, Croatia.
Sanda Dokoza TerešakUniversity Hospital Centre Sisters of Charity, Department of Medicine, Zagreb, Croatia.
Bojana RadulovićUniversity Hospital Centre Zagreb, Zagreb, Croatia.
Gudrun PregartnerInstitute for Medical Informatics, Statistics und Documentation, Medical University of Graz, Graz, Austria.
Andrea BergholdInstitute for Medical Informatics, Statistics und Documentation, Medical University of Graz, Graz, Austria.
Beate TiranClinical Institute for Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Gunther MarscheInstitute of Experimental and Clinical Pharmacology, Medical University of Graz, Graz, Austria.
Saša FrankInstitute of Molecular Biology and Biochemistry, Centre of Molecular Medicine, Medical University Graz, Graz, Austria.
Medical University of Graz · ATSisters of Charity Hospital · HRUniversity of Zagreb · HRUniversity Hospital Centre Zagreb · HR

Funding

Austrian Science Fund FWF P 27166
6 · The paper itself

Abstract

objectiveThe functionality of high-density lipoprotein (HDL) is impaired in chronic ischaemic heart failure (HF). However, the relationship between HDL functionality and outcomes in acute HF (AHF) has not been studied. The present study investigates whether the metrics of HDL functionality, including HDL cholesterol efflux capacity and HDL-associated paraoxonase (PON)-1 arylesterase (AE) activity are associated with hospital mortality in AHF patients. METHODS AND

resultsThe study was performed as a prospective, single-centre, observational research on 152 patients, defined and categorised according to the ESC and ACCF/AHA Guidelines for HF by time of onset, final clinical presentation and ejection fraction. The mean age of the included patients (52% female) was 75.2 years (SD 10.3) and hospital mortality was 14.5%. HDL cholesterol efflux capacity was examined by measuring the capacity of apoB depleted serum to remove tritium-labelled cholesterol from cultured macrophages. The AE activity of the HDL fraction was examined by a photometric assay. In a univariable regression analysis, low cholesterol efflux, but not AE activity, was significantly associated with hospital mortality [odds ratio (OR) 0.78, 95% confidence interval (CI) 0.64-0.96, p = 0.019]. In multivariable analysis progressively adjusting for important clinical and laboratory parameters the association obtained for cholesterol efflux capacity and hospital mortality by univariable analysis, despite a stable OR, did not stay significant (p = 0.179).

conclusionOur results suggest that HDL cholesterol efflux capacity (but not AE activity) contributes to, but is not an independent risk factor for, hospital mortality in AHF patients. Larger studies are needed to draw firm conclusions.

Indexed as

Hospital MortalityAcute DiseaseAgedAged, 80 and overBody Mass IndexCarboxylic Ester HydrolasesCholesterol, HDLFemaleHeart FailureHumansLipoproteins, HDLLogistic ModelsMaleMultivariate AnalysisProspective StudiesarylesteraseCarboxylic Ester HydrolasesCholesterol, HDLLipoproteins, HDL

Identifiers

PMID27304214
PMCPMC4909230
OpenAlexW2425310808

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.