Evidence map›Paper›PMID 31483116›Full record

SynthesisCroatian medical journal2019

Admission C-reactive protein and outcomes in acute aortic dissection: a systematic review.

Mislav Vrsalović, Ana Vrsalović Presečki

Registry-linked trialOpen access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Croatian medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07534722 (Transcutaneous Auricular Vagus Nerve Stimulation for Attenuation of Inflammatory Response and Blood Pressure in Type B Aortic Dissection), which is not on this map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
4.0field-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.

NCT07534722 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Transcutaneous Auricular Vagus Nerve Stimulation for Attenuation of Inflammatory Response and Blood Pressure in Type B Aortic Dissection

TypeinterventionalSponsorWashington University School of MedicineRan2026 to 2027Enrolled60ConditionsType B Aortic DissectionArmsAuricular Vagus Nerve Stimulator, 3D Printed Earpiece
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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  15. Predictive value of admission COScientific reports · 2023
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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

2 authors at 1 institution in 1 country.

Mislav VrsalovićMislav Vrsalović, Department of Cardiology, Sestre Milosrdnice University Hospital Center, University of Zagreb School of Medicine, Vinogradska 29, 10000 Zagreb, Croatia, mislav.vrsalovic@gmail.com.
Ana Vrsalović Presečki
University of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the prognostic role of admission C-reactive protein (CRP) in patients with acute aortic dissection (AAD).

methodsWe searched Medline and Scopus for studies published before January 2019 that evaluated the prognostic impact of CRP on all-cause mortality during short- and mid-term follow-up period in patients with AAD. Additional studies were identified by manual search of the references from the original studies. Receiver-operating characteristic curves were used to determine the optimal cut-off values of admission CRP for the prediction of mortality, and patients were categorized into two groups based on the CRP cut-off levels.

resultsMedline, Scopus, and manual literature search yielded 138 citations. Based on the title and abstract analysis and review of potentially relevant studies, five studies, involving 711 patients, were included in the final analysis. Multivariate statistical analysis was performed in all the studies. The median admission CRP value across the studies was 13 mg/L (range 4-21 mg/L). Two out of three studies that evaluated in-hospital outcome and all of the studies that evaluated medium-term outcome reported a significant association between elevated CRP values and mortality. The studies that included treatment strategy (surgery vs conservative treatment) as a confounding variable confirmed a significant effect of elevated CRP values on both in-hospital and mid-term unfavorable outcomes.

conclusionThis systematic review demonstrated a clear association between elevated admission serum CRP levels and increased in-hospital and mid-term mortality risk in AAD.

Indexed as

AdultAortic AneurysmAortic DissectionBiomarkersC-Reactive ProteinFemaleHospitalizationHumansMaleMiddle AgedMultivariate AnalysisPrognosisROC CurveTime FactorsBiomarkersC-Reactive Protein

Identifiers

PMID31483116
PMCPMC6734568
OpenAlexW2974285864

What OpenQuestion holds

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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.