Evidence map›Paper›PMID 29864407›Full record

ArticleThe Annals of thoracic surgery2018

The Association Between Novel Biomarkers and 1-Year Readmission or Mortality After Cardiac Surgery.

Jeffrey P Jacobs, Shama S Alam, Sherry L Owens, Devin M Parker, Michael Rezaee, Donald S Likosky, David M Shahian, Marshall L Jacobs, Heather Thiessen-Philbrook, Moritz Wyler von Ballmoos and 5 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Annals of thoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
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  7. Article
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 9 institutions in 1 country.

Jeffrey P JacobsDivision of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins All Children's Hospital and Florida Hospital for Children, St. Petersburg, Tampa, and Orlando, Florida.
Shama S AlamDartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire.
Sherry L OwensDartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire.
Devin M ParkerDartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire.
Michael RezaeeDartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire.
Donald S LikoskyDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
David M ShahianDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Marshall L JacobsDivision of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins All Children's Hospital and Florida Hospital for Children, St. Petersburg, Tampa, and Orlando, Florida.
Heather Thiessen-PhilbrookProgram of Applied Translational Research, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Moritz Wyler von BallmoosDivision of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, North Carolina.
Kevin LobdellCarolinas HealthCare System, Charlotte, North Carolina.
Todd MacKenzieDepartment of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire.
Allen D EverettDivision of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Chirag R ParikhProgram of Applied Translational Research, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Jeremiah R BrownDartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire; Department of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire; Department of Epidemiology, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire. Electronic address: jeremiah.r.brown@dartmouth.edu.
Dartmouth College · USDartmouth Institute for Health Policy and Clinical Practice · USJohns Hopkins Medicine · USYale University · USCarolinas Healthcare System · USDuke Medical Center · USJohns Hopkins All Children's Hospital · USMassachusetts General Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

Novel Biomarkers to Predict Readmission in Pediatric and Adult Heart SurgeryR01HL119664 · NHLBI · DARTMOUTH COLLEGE · PI BROWN, JEREMIAH R · 2014 to 2017
$3.2M
NHLBI NIH HHS R01 HL119664
6 · The paper itself

Abstract

backgroundNovel cardiac biomarkers including soluble suppression of tumorigenicity 2, galectin-3, and the N-terminal prohormone of brain natriuretic peptide may be associated with long-term adverse outcomes after cardiac surgery. We sought to measure the association between cardiac biomarker levels and 1-year hospital readmission or mortality.

methodsPlasma biomarkers from 1,047 patients discharged alive after isolated coronary artery bypass graft surgery from 8 medical centers were measured in a cohort from the Northern New England Cardiovascular Disease Study Group between 2004 and 2007. We evaluated the association between preoperative and postoperative biomarkers and 1-year readmission or mortality using Kaplan-Meier estimates and Cox proportional hazards modeling, adjusting for covariates used in The Society of Thoracic Surgeons 30-day readmission model.

resultsThe median follow-up time was 365 days. After adjustment for established risk factors, above-median levels of postoperative galectin-3 (median 10.35 ng/mL; hazard ratio, 1.40; 95% confidence interval, 1.08 to 1.80; p = 0.010) and N-terminal prohormone of brain natriuretic peptide (median = 15.21 ng/mL, hazard ratio, 1.42; 95% confidence interval, 1.07 to 1.87; p = 0.014) were each significantly associated with 1-year readmission or mortality.

conclusionsIn patients undergoing cardiac surgery, novel cardiac biomarkers were associated with readmission or mortality independent of established risk factors. Measurement of these biomarkers may improve our ability to identify patients at highest risk for readmission or mortality before discharge. This will also allow resource allocation accordingly, while implementing strategies for personalized medicine based on the biomarker profile of the patient.

Indexed as

RegistriesAgedBiomarkersCause of DeathCohort StudiesCoronary Artery BypassCoronary DiseaseFemaleHospital MortalityHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisNatriuretic Peptide, BrainNew EnglandBiomarkersGAL3ST2 protein, humanNatriuretic Peptide, BrainSulfotransferasesSulfurtransferases

Identifiers

PMID29864407
PMCPMC6685203
OpenAlexW2806874702

What OpenQuestion holds

Textmetadata
LicenceTDM
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.