Evidence map›Paper›PMID 28754654›Full record

ArticleJournal of the American Heart Association2017

Impact of Right Ventricular Performance in Patients Undergoing Extracorporeal Membrane Oxygenation Following Cardiac Surgery.

Philipp E Bartko, Dominik Wiedemann, Lore Schrutka, Christina Binder, Carlos G Santos-Gallego, Andreas Zuckermann, Barbara Steinlechner, Herbert Koinig, Gottfried Heinz, Alexander Niessner and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
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

15 authors at 4 institutions in 2 countries.

Philipp E BartkoDepartment of Internal Medicine II, Medical University of Vienna, Austria.
Dominik WiedemannDepartment of Cardiac Surgery, Medical University of Vienna, Austria.
Lore SchrutkaDepartment of Internal Medicine II, Medical University of Vienna, Austria.
Christina BinderDepartment of Internal Medicine II, Medical University of Vienna, Austria.
Carlos G Santos-GallegoIcahn School of Medicine at Mount Sinai, Mount Sinai Heart, New York, NY.
Andreas ZuckermannDepartment of Cardiac Surgery, Medical University of Vienna, Austria.
Barbara SteinlechnerDivision of Cardiothoracic and Vascular Anaesthesia and Intensive Care Medicine, Medical University of Vienna, Austria.
Herbert KoinigDepartment of Anaesthesia and Intensive Care Medicine, Karl Landsteiner University of Health Sciences University Hospital Krems, Krems, Austria.
Gottfried HeinzDepartment of Internal Medicine II, Medical University of Vienna, Austria.
Alexander NiessnerDepartment of Internal Medicine II, Medical University of Vienna, Austria.
Daniel ZimpferDepartment of Cardiac Surgery, Medical University of Vienna, Austria.
Günther LauferDepartment of Cardiac Surgery, Medical University of Vienna, Austria.
Irene M LangDepartment of Internal Medicine II, Medical University of Vienna, Austria.
Klaus DistelmaierDepartment of Internal Medicine II, Medical University of Vienna, Austria klaus.distelmaier@meduniwien.ac.at.
Georg GoliaschDepartment of Internal Medicine II, Medical University of Vienna, Austria.
Medical University of Vienna · ATHarvard University · USIcahn School of Medicine at Mount Sinai · USKarl Landsteiner University of Health Sciences · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtracorporeal membrane oxygenation following cardiac surgery safeguards end-organ oxygenation but unfavorably alters cardiac hemodynamics. Along with the detrimental effects of cardiac surgery to the right heart, this might impact outcome, particularly in patients with preexisting right ventricular (RV) dysfunction. We sought to determine the prognostic impact of RV function and to improve established risk-prediction models in this vulnerable patient cohort. METHODS AND

resultsOf 240 patients undergoing extracorporeal membrane oxygenation support following cardiac surgery, 111 had echocardiographic examinations at our institution before implantation of extracorporeal membrane oxygenation and were thus included. Median age was 67 years (interquartile range 60-74), and 74 patients were male. During a median follow-up of 27 months (interquartile range 16-63), 75 patients died. Fifty-one patients died within 30 days, 75 during long-term follow-up (median follow-up 27 months, minimum 5 months, maximum 125 months). Metrics of RV function were the strongest predictors of outcome, even stronger than left ventricular function (

conclusionsRV function is strongly linked to mortality, even after adjustment for baseline variables and clinical risk scores. RV performance improves established risk prediction models for short- and long-term mortality.

Indexed as

Ventricular Function, RightAgedArea Under CurveCardiac Surgical ProceduresEchocardiographyExtracorporeal Membrane OxygenationFemaleHemodynamicsHumansKaplan-Meier EstimateMaleMiddle AgedPredictive Value of TestsProportional Hazards ModelsRegistriesRisk Assessmentextracorporeal circulationextracorporeal membrane oxygenationright ventricleright ventricular dysfunctionright ventricular function

Identifiers

PMID28754654
PMCPMC5586414
OpenAlexW2740031201

What OpenQuestion holds

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LicenceCC BY-NC
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.