Evidence map›Paper›PMID 31349819›Full record

ArticleBMC cardiovascular disorders2019

Homocysteine and education but not lipoprotein (a) predict estimated 10-year risk of cardiovascular disease in blood donors: a community based cross-sectional study.

Francesco Vadini, Francesca Santilli, Giuseppe Casalini, Mario dell'Isola, Ornella Iuliani, Damiano D'Ardes, Luisa Lattanzio, Marta Di Nicola, Giancarlo Di Iorio, Patrizia Accorsi

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Francesco VadiniFIDAS (Italian Federation of Associations of Blood Donors), Pescara, Italy.
Francesca SantilliDepartment of Medicine and Aging, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy. fra.santilli22@gmail.com.ORCID 0000-0002-4593-905X
Giuseppe CasaliniDepartment of Hematology, Transfusion Medicine and Biotechnologies, Pescara General Hospital, Pescara, Italy.
Mario dell'IsolaDepartment of Hematology, Transfusion Medicine and Biotechnologies, Pescara General Hospital, Pescara, Italy.
Ornella IulianiDepartment of Hematology, Transfusion Medicine and Biotechnologies, Pescara General Hospital, Pescara, Italy.
Damiano D'ArdesDepartment of Medicine and Aging, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.
Luisa LattanzioFIDAS (Italian Federation of Associations of Blood Donors), Pescara, Italy.
Marta Di NicolaDepartment of Medicine and Aging, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.
Giancarlo Di IorioClinical Pathology Unit, Pescara General Hospital, Pescara, Italy.
Patrizia AccorsiDepartment of Hematology, Transfusion Medicine and Biotechnologies, Pescara General Hospital, Pescara, Italy.
Azienda USL di Pescara · ITUniversity of Chieti-Pescara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith aging of the population, screening and prevention health programs for blood donors will increasingly be a priority. We aimed at: assessing the 10 year-cardiovascular disease (CVD) risk in blood donors, according to Italian CUORE risk score (CRS); determining the association of homocysteine (Hcy), lipoprotein (Lp)(a) and socio-demographic or lifestyle variables with estimated 10-year CVD risk.

methodsBetween June 2015 and July 2017, 1,447 (61.2% men) unselected blood donors (aged 18-69 years) were enrolled at the Blood Transfusion Service of the Pescara General Hospital, Italy. The project entailed evaluation of unalterable (age and gender) and modifiable CV risk factors (total cholesterol, HDL, LDL, triglycerides, fasting glucose, smoking, hypertension). The educational attainment, socio-demographic and lifestyle behavior information were obtained through a structured self-report questionnaire, and Health-related quality of life (HRQoL) through the Short Form Survey (SF-12). Plasma Hcy and Lp(a) were determined in the fasting state.

resultsA CRS within the moderate-high risk range was reported in 21.7% donors. Multivariate logistic regression, after adjustment for clinical and demographic variables, showed that Hcy [OR (95% CI): 1.09 (1.04-1.13); p < 0.001) and low educational attainment [1.71 (1.09-2.73); p = 0.019] are independent risk factors for moderate-to-high CVD risk. Instead, Lp(a), evaluated in 774 donors, was > 30 mg/dL in 22.4% of the examined population, but without any significant correlation with CRS.

conclusionsOur study highlights a previously unappreciated need for CV risk assessment in blood donors, which may include evaluation of educational attainment as a non-traditional risk marker.

Indexed as

Blood DonorsEducational StatusSocial Determinants of HealthAdolescentAdultAgedBiomarkersCardiovascular DiseasesCross-Sectional StudiesFemaleHealth StatusHomocysteineHumansItalyLife StyleLipoprotein(a)BiomarkersHomocysteineLipoprotein(a)Blood donorsCardiovascular riskEducationHomocysteine

Identifiers

PMID31349819
PMCPMC6660663
OpenAlexW2966769725

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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.