Evidence map›Paper›PMID 30561257›Full record

ArticleJournal of the American Heart Association2018

Metabolomic Fingerprinting of Infants Undergoing Cardiopulmonary Bypass: Changes in Metabolic Pathways and Association With Mortality and Cardiac Intensive Care Unit Length of Stay.

Jesse A Davidson, Zachary Pfeifer, Benjamin Frank, Suhong Tong, Tracy T Urban, Paul A Wischmeyer, Peter Mourani, Bruce Landeck, Uwe Christians, Jelena Klawitter

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Jesse A Davidson1 Department of Pediatrics University of Colorado/Children's Hospital Colorado Aurora CO.
Zachary Pfeifer3 School of Medicine University of Colorado Aurora CO.
Benjamin Frank1 Department of Pediatrics University of Colorado/Children's Hospital Colorado Aurora CO.
Suhong Tong2 Department of Biostatistics University of Colorado/Children's Hospital Colorado Aurora CO.
Tracy T Urban5 Department of Research Institute Children's Hospital Colorado Aurora CO.
Paul A Wischmeyer6 Department of Anesthesiology Duke University Durham NC.
Peter Mourani1 Department of Pediatrics University of Colorado/Children's Hospital Colorado Aurora CO.
Bruce Landeck1 Department of Pediatrics University of Colorado/Children's Hospital Colorado Aurora CO.
Uwe Christians4 Department of Anesthesiology University of Colorado Aurora CO.
Jelena Klawitter4 Department of Anesthesiology University of Colorado Aurora CO.

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Alkaline Phosphatase in Infant Cardiopulmonary Bypass: Kinetics and RelationshipK23HL123634 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DAVIDSON, JESSE · 2014 to 2018
$826k
American Heart Association-American Stroke Association 13CRP17300016NCATS NIH HHS UL1 TR001082NCATS NIH HHS UL1 TR002535NCRR NIH HHS UL1 RR025780NHLBI NIH HHS K23 HL123634
6 · The paper itself

Abstract

Background Mortality for infants undergoing complex cardiac surgery is >10% with a 30% to 40% risk of complications. Early identification and treatment of high-risk infants remains challenging. Metabolites are small molecules that determine the minute-to-minute cellular phenotype, making them ideal biomarkers for postsurgical monitoring and potential targets for intervention. Methods and Results We measured 165 serum metabolites by tandem mass spectroscopy in infants ≤120 days old undergoing cardiopulmonary bypass. Samples were collected prebypass, during rewarming, and 24 hours after surgery. Partial least squares-discriminant analysis, pathway analysis, and receiver operator characteristic curve analysis were used to evaluate changes in the metabolome, assess altered metabolic pathways, and discriminate between survivors/nonsurvivors as well as upper/lower 50% intensive care unit length of stay. Eighty-two infants had preoperative samples for analysis; 57 also had rewarming and 24-hour samples. Preoperation, the metabolic fingerprint of neonates differed from older infants ( R

Indexed as

Chromatography, High Pressure LiquidCoronary Care UnitsIntensive Care Units, NeonatalLength of StayTandem Mass SpectrometryAge FactorsBiomarkersCardiopulmonary BypassFemaleHeart Defects, CongenitalHospital MortalityHumansInfantInfant, NewbornMaleMetabolomicsBiomarkerscongenital heart diseasecritical carekynurenic acidmetabolitemetabolomemethylnicotinamideneonate

Identifiers

PMID30561257
PMCPMC6405618

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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.