Evidence map›Paper›PMID 29898910›Full record

ArticleBMJ case reports2018

Fulminant pulmonary embolism with fatal outcome in a patient with low clinical prediction scores.

Christian Degen, Severin Poechtrager, Gregor Leibundgut

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 88% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

3 authors at 1 institution in 1 country.

Christian DegenDepartment of Medicine, Kantonsspital Baselland, Liestal, Switzerland.ORCID http://orcid.org/0000-0002-7555-5567
Severin PoechtragerDepartment of Medicine, Kantonsspital Baselland, Liestal, Switzerland.
Gregor LeibundgutDepartment of Cardiology, Kantonsspital Baselland, University of Basel, Basel, Switzerland.
Kantonsspital Baselland · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of a 72-year-old man with submassive acute pulmonary thromboembolism. Pulmonary embolism severity index Score and common clinical risk stratification recommended systemic anticoagulation and a clinical course without complications was expected. A primary reperfusion strategy was not indicated by the current guidelines. Under established anticoagulation, the patient was found in cardiac arrest immediately after mobilisation from the bed the next morning. Right heart catheterisation under ongoing resuscitation revealed a complete obstruction of the right pulmonary artery by a big thrombus. Catheter-directed intervention trying to bypass the thrombus with interventional guidewires failed. Ultimately, the patient died from acute right heart failure. The current case raises concern that the prediction scores available for pulmonary embolism may insufficiently predict short-term outcome in isolated patients.

Indexed as

Acute DiseaseAgedAngiographyAnticoagulantsDecision Support TechniquesFatal OutcomeHeart ArrestHeart FailureHumansLungMalePulmonary ArteryPulmonary EmbolismSeverity of Illness IndexThrombosisAnticoagulantsadult intensive careinterventional cardiologypulmonary embolismvenous thromboembolism

Identifiers

PMID29898910
PMCPMC6011495
OpenAlexW2808606147

What OpenQuestion holds

Textmetadata
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.