Evidence map›Paper›PMID 31068182›Full record

Trial reportRespiratory research2019

Association of platelet count with all-cause mortality and risk of cardiovascular and respiratory morbidity in stable COPD.

Ashraf Fawzy, Julie A Anderson, Nicholas J Cowans, Courtney Crim, Robert Wise, Julie C Yates, Nadia N Hansel

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01313676 (A Clinical Outcomes Study to Compare the Effect of Fluticasone Furoate/Vilanterol Inhalation Powder 100/25mcg With Placebo on Survival in Subjects With Moderate Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT01313676 phase3completednot on this map

A Clinical Outcomes Study to Compare the Effect of Fluticasone Furoate/Vilanterol Inhalation Powder 100/25mcg With Placebo on Survival in Subjects With Moderate Chronic Obstructive Pulmonary Disease (COPD) and a History of or at Increased Risk for Cardiovascular Disease

TypeinterventionalSponsorGlaxoSmithKlineRan2011 to 2015Enrolled16,568ConditionsPulmonary Disease, Chronic ObstructiveArmsfluticasone furoate/vilanterol, fluticasone furoate, vilanterol, Placebo
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 35 citations in OpenAlex.

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  14. Prognostic Significance of Thrombocytopenia and Mean Platelet Volume in COPD Patients with Acute Exacerbations in ICU Settings.Medical science monitor : international medical journal of experimental and clinical research · 2024
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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 at 3 institutions in 2 countries.

Ashraf FawzyDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University, 1830 E. Monument St. 5th Floor, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-6089-366X
Julie A AndersonResearch & Development, GlaxoSmithKline plc, Stockley Park, Middlesex, UK.
Nicholas J CowansStatistics and Programming, Veramed Ltd, Twickenham, UK.
Courtney CrimResearch & Development, GlaxoSmithKline plc, Research Triangle Park, NC, USA.
Robert WiseDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University, 1830 E. Monument St. 5th Floor, Baltimore, MD, USA.
Julie C YatesResearch & Development, GlaxoSmithKline plc, Research Triangle Park, NC, USA.
Nadia N HanselDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University, 1830 E. Monument St. 5th Floor, Baltimore, MD, USA. nhansel1@jhmi.edu.
Johns Hopkins University · USResearch Triangle Park Foundation · USGlaxoSmithKline (United Kingdom) · GB

Funding

The role of platelet activation and particulate matter exposure in COPD morbidityF32ES028576 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI FAWZY, ASHRAF · 2017 to 2018
$135k
GlaxoSmithKline plc SUMMIT; HZC113782/NCT01313676NIEHS NIH HHS F32 ES028576NIH NIEHS F32ES028576 (AF)
6 · The paper itself

Abstract

backgroundPlatelet count is a prognostic indicator in the general population and elderly. Thrombocytosis during acute exacerbation of COPD (AECOPD) has been associated with mortality; however, the relationship between platelet count and mortality in stable COPD is unknown.

methodsWe performed post hoc secondary analysis on a subsample of 1797 patients in the Study to Understand Mortality and Morbidity in COPD (SUMMIT) who had blood samples drawn at baseline. Participants were current or former smokers, 40-80 years old with moderate COPD and history or increased risk of cardiovascular (CV) disease. The primary outcome was on and post-treatment all-cause mortality. Secondary outcomes included first-on-treatment moderate/severe AECOPD and on-treatment CV composite event (CV death, myocardial infarction, stroke, unstable angina and transient ischemic attack). Multivariable Cox proportional hazards models were used to investigate study endpoint associations with platelet count quintile grouping, continuous platelet count utilizing two-term fractional polynomials, and categories of low, normal and high platelet count (< 150, ≥150 to < 300, ≥300 × 10

resultsPatients were followed for 2.3 ± 0.9 years for vital status and 1.6 ± 1.1 years for morbidity endpoints during which 105 (5.8%) died, 651 (36.2%) experienced AECOPD (159 with severe AECOPD) and 86 (4.8%) experienced a CV event. A U-shaped association between platelet count and all-cause mortality was observed. Compared to the third quintile group (Q3) of platelet count, risk of death was increased in the lowest quintile group (Q1; hazard ratio [HR]: 1.73; 95% confidence interval [CI]: 0.93-3.23) and highest quintile group (Q5; HR: 1.66; 95%CI: 0.89-3.10), though point estimates were imprecise. Using clinical cutoffs, compared with normal platelet counts (≥150 to < 300 × 10

conclusionsIn stable COPD platelet count demonstrated a U-shaped association with increased risk of 3-year all-cause mortality, though a platelet count level above or below which risk of mortality was increased could not be definitively identified.

trial registrationClinicalTrials.gov NCT01313676 .

Indexed as

AdultAgedAged, 80 and overCardiovascular DiseasesFemaleHumansInternationalityMaleMiddle AgedMorbidityMortalityPlatelet CountProspective StudiesPulmonary Disease, Chronic ObstructiveRisk FactorsCardiovascular diseaseChronic obstructive pulmonary diseaseExacerbationsMortalityPlatelet count

Identifiers

PMID31068182
PMCPMC6507019
OpenAlexW2947888071

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.