Evidence map›Paper›PMID 30370469›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2019

Diagnostic and prognostic value of plasma volume status at emergency department admission in dyspneic patients: results from the PARADISE cohort.

Tahar Chouihed, Patrick Rossignol, Adrien Bassand, Kévin Duarte, Masatake Kobayashi, Déborah Jaeger, Sonia Sadoune, Aurélien Buessler, Lionel Nace, Gaetan Giacomin and 6 more

Abstract read
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In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 42 citations in OpenAlex.

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  6. Estimated plasma volume status as a prognostic marker in patients with lower extremity artery disease.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Article
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  14. Estimated plasma volume status in heart failure: clinical implications and future directions.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Review
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  16. Article
  17. Observational
  18. Article
  19. Prognostic impact of plasma volume estimated from hemoglobin and hematocrit in heart failure with preserved ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Article
  20. Ultrasound indices of congestion in patients with acute heart failure according to body mass index.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    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

16 authors at 3 institutions in 2 countries.

Tahar ChouihedEmergency Department, University Hospital of Nancy, Vandoeuvre les Nancy, France.ORCID http://orcid.org/0000-0003-2486-3049
Patrick RossignolINSERM, Centre d'Investigations Cliniques Plurithématique 1433, Institut Lorrain du Coeur et des Vaisseaux, Vandoeuvre les Nancy, France.
Adrien BassandEmergency Department, University Hospital of Nancy, Vandoeuvre les Nancy, France.
Kévin DuarteINSERM, Centre d'Investigations Cliniques Plurithématique 1433, Institut Lorrain du Coeur et des Vaisseaux, Vandoeuvre les Nancy, France.
Masatake KobayashiINSERM, Centre d'Investigations Cliniques Plurithématique 1433, Institut Lorrain du Coeur et des Vaisseaux, Vandoeuvre les Nancy, France.
Déborah JaegerEmergency Department, University Hospital of Nancy, Vandoeuvre les Nancy, France.
Sonia SadouneEmergency Department, University Hospital of Nancy, Vandoeuvre les Nancy, France.
Aurélien BuesslerEmergency Department, University Hospital of Nancy, Vandoeuvre les Nancy, France.
Lionel NaceRéanimation Médicale, Hôpital Central, CHRU Nancy, Vandoeuvre les Nancy, France.
Gaetan GiacominEmergency Department, University Hospital of Nancy, Vandoeuvre les Nancy, France.
Thibaut HutterEmergency Department, University Hospital of Nancy, Vandoeuvre les Nancy, France.
Françoise BarbéBiochimie, Biologie moléculaire, Nutrition, Métabolisme, Hôpital de Brabois, CHRU Nancy, Nancy, France.
Sylvain SalignacHématologie, Hôpital de Brabois, CHRU Nancy, Vandoeuvre les Nancy, France.
Nicolas JayDepartment of Medical Informatics, University Hospital, Vandoeuvre les Nancy, France.
Faiez ZannadINSERM, Centre d'Investigations Cliniques Plurithématique 1433, Institut Lorrain du Coeur et des Vaisseaux, Vandoeuvre les Nancy, France.
Nicolas GirerdINSERM, Centre d'Investigations Cliniques Plurithématique 1433, Institut Lorrain du Coeur et des Vaisseaux, Vandoeuvre les Nancy, France. nicolas_girerd@yahoo.com.
Centre Hospitalier Régional et Universitaire de Nancy · FRInserm · FRInstitut national de recherche en sciences et technologies du numérique · FR

Funding

French National Research Agency Fighting Heart Failure ANR-15-RHU-0004
6 · The paper itself

Abstract

backgroundSystemic congestion, evaluated by estimated plasma volume status (ePVS), is associated with in-hospital mortality in acute heart failure (AHF). However, the diagnostic and prognostic value of ePVS in patients with acute dyspnea has been insufficiently studied.

objectivesTo assess the association between the first ePVS calculated from blood samples on admission in the emergency department (ED) and discharge diagnosis of AHF and in-hospital mortality in patients admitted for acute dyspnea.

methodsThe study included 1369 patients admitted for dyspnea in the ED in 2015. ePVS was calculated from hematocrit and hemoglobin values at admission. Comparisons of baseline characteristics according to ePVS tertiles were carried out and then associations between ePVS and the two outcomes "AHF diagnosis" and "intra-hospital mortality" were assessed using a logistic regression model.

results36.6% had a BNP > 400 pg/mL and median ePVS was 4.58 dL/g [3.96-5.55]. Overall in-hospital mortality was 11.1% (n = 149). In multivariable analysis, the third ePVS tertile (> 5.12 dL/g) had a significantly increased risk of having AHF (OR = 1.64 [1.16-2.33], p = 0.005). In-hospital mortality rose across ePVS tertiles (8.4-13.8% p < 0.01). ePVS greater than the first or second tertile threshold (respectively, 4.17 dL/g and 5.12 dL/g) were both significantly associated with a higher risk of in-hospital mortality (OR for 2nd/3rd tertile = 2.06 [1.25-3.38], p = 0.004 and OR for 3rd tertile = 1.54 [1.01-2.36], p = 0.04).

conclusionHigher ePVS values determined from first blood sample at admission are associated with a higher probability of AHF and in-hospital mortality in patients admitted in the ED for acute dyspnea.

Indexed as

Hospitals, UniversityAcute DiseaseAgedAged, 80 and overBiomarkersDyspneaEmergency Service, HospitalFemaleFollow-Up StudiesFranceHeart FailureHospitalizationHospital MortalityHumansMaleMiddle AgedBiomarkersAcute dyspneaAcute heart failureCongestionEmergencyEstimated plasma volume statusMortality

Identifiers

PMID30370469
OpenAlexW2898291481

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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.