Evidence map›Paper›PMID 29434357›Full record

ArticleScientific reports2018

Risk stratification based on components of the complete blood count in patients with acute coronary syndrome: A classification and regression tree analysis.

Xiaowei Niu, Guoyong Liu, Lichao Huo, Jingjing Zhang, Ming Bai, Yu Peng, Zheng Zhang

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
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  4. Clustering of blood cell count abnormalities and future risk of death.European journal of clinical investigation · 2021
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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

7 authors.

Xiaowei NiuThe First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu, China.
Guoyong LiuDepartment of Cardiology, the First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Lichao HuoThe First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu, China.
Jingjing ZhangBaiyin Second People's Hospital, Baiyin, Gansu, China.
Ming BaiDepartment of Cardiology, the First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Yu PengDepartment of Cardiology, the First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Zheng ZhangDepartment of Cardiology, the First Hospital of Lanzhou University, Lanzhou, Gansu, China. zhangccu@yeah.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To develop a risk stratification model based on complete blood count (CBC) components in patients with acute coronary syndrome (ACS) using a classification and regression tree (CART) method. CBC variables and the Global Registry of Acute Coronary Events (GRACE) scores were determined in 2,693 patients with ACS. The CART analysis was performed to classify patients into different homogeneous risk groups and to determine predictors for major adverse cardiovascular events (MACEs) at 1-year follow-up. The CART algorithm identified the white blood cell count, hemoglobin, and mean platelet volume levels as the best combination to predict MACE risk. Patients were stratified into three categories with MACE rates ranging from 3.0% to 29.8%. Kaplan-Meier analysis demonstrated MACE risk increased with the ascending order of the CART risk categories. Multivariate Cox regression analysis showed that the CART risk categories independently predicted MACE risk. The predictive accuracy of the CART risk categories was tested by measuring discrimination and graphically assessing the calibration. Furthermore, the combined use of the CART risk categories and GRACE scores yielded a more accurate predictive value for MACEs. Patients with ACS can be readily stratified into distinct prognostic categories using the CART risk stratification tool on the basis of CBC components.

Indexed as

Acute Coronary SyndromeAgedAlgorithmsBlood Cell CountFemaleHumansKaplan-Meier EstimateLeukocyte CountMaleMean Platelet VolumeMiddle AgedPrognosisRegression AnalysisRisk Assessment

Identifiers

PMID29434357
PMCPMC5809451

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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.