Evidence map›Paper›PMID 31339668›Full record

ArticleESC heart failure2019

Cardiovascular biomarkers predict post-discharge re-hospitalization risk and mortality among Swedish heart failure patients.

John Molvin, Amra Jujic, Erasmus Bachus, Widet Gallo, Gordana Tasevska-Dinevska, Hannes Holm, Olle Melander, Artur Fedorowski, Martin Magnusson

Abstract read
In one paragraph

Article in ESC heart failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Article
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  4. Review
  5. Article
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  10. Review
  11. Review
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  14. Weight loss, malnutrition, and cachexia in COVID-19: facts and numbers.Journal of cachexia, sarcopenia and muscle · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Biomarkers in Heart Failure.Arquivos brasileiros de cardiologia · 2019
    Article
  19. Review
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

9 authors.

John MolvinDepartment of Clinical Sciences, Lund University, Malmö, Malmö, Sweden.ORCID 0000-0003-2107-0510
Amra JujicDepartment of Clinical Sciences, Lund University, Malmö, Malmö, Sweden.ORCID 0000-0002-9506-0158
Erasmus BachusDepartment of Clinical Sciences, Lund University, Malmö, Malmö, Sweden.ORCID 0000-0001-8665-6892
Widet GalloDepartment of Clinical Sciences, Lund University, Malmö, Malmö, Sweden.ORCID 0000-0002-6258-9848
Gordana Tasevska-DinevskaDepartment of Cardiology, Skåne University Hospital, Malmö, Carl-Bertil Laurells gata 9, 214 28, Malmö, Sweden.ORCID 0000-0002-6633-0067
Hannes HolmDepartment of Clinical Sciences, Lund University, Malmö, Malmö, Sweden.
Olle MelanderDepartment of Clinical Sciences, Lund University, Malmö, Malmö, Sweden.ORCID 0000-0002-2581-484X
Artur FedorowskiDepartment of Clinical Sciences, Lund University, Malmö, Malmö, Sweden.ORCID 0000-0002-5352-6327
Martin MagnussonDepartment of Clinical Sciences, Lund University, Malmö, Malmö, Sweden.ORCID 0000-0003-1710-5936

Funding

Crafoord FoundationErnhold Lundström StiftelseHjärt-LungfondenHulda och E Conrad Mossfelts Stiftelse för Vetenskaplig Forskning Inom Hjärt- och Kärlsjukdomarnas OmrådeKnut och Alice Wallenbergs StiftelseKockska FoundationMedicinska Fakulteten, Lunds UniversitetRegion SkåneResearch Funds of Region SkåneSkåne University HospitalSouthwest Skåne Diabetes FoundationWallenberg Center for Molecular Medicine
6 · The paper itself

Abstract

aimThe aim of this study was to assess the predictive role of biomarkers, associated with cardiovascular stress and its neuroendocrine response as well as renal function, in relation to mortality and risk of re-hospitalization among consecutive patients admitted because of heart failure (HF). METHODS AND

resultsA total of 286 patients (mean age, 75 years; 29% women) hospitalized for newly diagnosed or exacerbated HF were analysed. Associations between circulating levels of mid-regional pro-adrenomedullin (MR-proADM), copeptin, C-terminal pro-endothelin-1, N-terminal pro-brain natriuretic peptide (NT-proBNP), cystatin C, and all-cause mortality as well as risk of re-hospitalization due to cardiac causes were assessed using multivariable Cox regression models. A two-sided Bonferroni-corrected P-value of 0.05/5 = 0.010 was considered statistically significant. All biomarkers were related to echocardiographic measurements of cardiac dimensions and function. A total of 57 patients died (median follow-up time, 17 months). In the multivariable-adjusted Cox regression analyses, all biomarkers, except C-terminal pro-endothelin-1, were significantly associated with increased mortality: NT-proBNP [hazard ratio (HR) 1.85, 95% confidence interval (CI) 1.17-2.17; P = 4.0 × 10

conclusionsAmong patients hospitalized for HF, elevated plasma levels of NT-proBNP, MR-proADM, copeptin, and cystatin C are associated with higher mortality after discharge, whereas NT-proBNP is the only biomarker that predicts the risk of re-hospitalization due to cardiac causes.

Indexed as

AdrenomedullinAgedAged, 80 and overBiomarkersCardiovascular SystemCystatin CEchocardiographyEndothelin-1FemaleGlycopeptidesHeart FailureHumansMaleMiddle AgedNatriuretic Peptide, BrainPatient DischargeAdrenomedullinBiomarkerscopeptinsC-terminal proendothelin-1Cystatin CEndothelin-1Glycopeptidesmid-regional pro-adrenomedullin, humanNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Protein PrecursorsCopeptinC-terminal pro-endothelin-1 (CT-pro-ET-1)Cystatin CHeart failure (HF)Mid-regional pro-adrenomedullin (MR-proADM)N-terminal pro-brain natriuretic peptide (NT-proBNP)

Identifiers

PMID31339668
PMCPMC6816068

What OpenQuestion holds

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Registered trials

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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.