Evidence map›Paper›PMID 31506584›Full record

ArticleScientific reports2019

Full blood count as potential predictor of outcomes in patients undergoing cardiac resynchronization therapy.

Nikolaos Papageorgiou, Debbie Falconer, Adam Ioannou, Tanakal Wongwarawipat, Sergio Barra, Dimitris Tousoulis, Wei Yao Lim, Fakhar Z Khan, Syed Ahsan, Amal Muthumala and 10 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

20 authors at 4 institutions in 3 countries.

Nikolaos PapageorgiouElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom. drnpapageorgiou@yahoo.com.
Debbie FalconerInstitute of Cardiovascular Science, University College London, London, United Kingdom.
Adam IoannouInstitute of Cardiovascular Science, University College London, London, United Kingdom.
Tanakal WongwarawipatInstitute of Cardiovascular Science, University College London, London, United Kingdom.
Sergio BarraCardiology Department, Papworth Hospital, Cambridge, United Kingdom.
Dimitris Tousoulis1st Cardiology Department, Hippokration Hospital, Athens, Greece.
Wei Yao LimElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Fakhar Z KhanElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Syed AhsanElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Amal MuthumalaElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Ross J HunterElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Malcolm FinlayElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Antonio CretaElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Edward RowlandElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Martin LoweElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Oliver R SegalElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Richard J SchillingElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Pier D LambiaseElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Anthony W ChowElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
Rui ProvidênciaElectrophysiology Department, Barts Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.ORCID http://orcid.org/0000-0001-9141-9883
St Bartholomew's Hospital · GBUniversity College London · GBHippocration General Hospital · GRPapworth Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Almost a third of patients fulfilling current guidelines criteria have suboptimal responses following cardiac resynchronization therapy (CRT). Circulating biomarkers may help identify these patients. We aimed to assess the predictive role of full blood count (FBC) parameters in prognosis of heart failure (HF) patients undergoing CRT device implantation. We enrolled 612 consecutive CRT patients and FBC was measured within 24 hours prior to implantation. The follow-up period was a median of 1652 days (IQR: 837-2612). The study endpoints were i) composite of all-cause mortality or transplant, and ii) reverse left ventricular (LV) remodeling. On multivariate analysis [hazard ratio (HR), 95% confidence interval (CI)] only red cell count (RCC) (p = 0.004), red cell distribution width (RDW) (p < 0.001), percentage of lymphocytes (p = 0.03) and platelet count (p < 0.001) predicted all-cause mortality. Interestingly, RDW (p = 0.004) and platelet count (p = 0.008) were independent predictors of reverse LV remodeling. This is the first powered single-centre study to demonstrate that RDW and platelet count are independent predictors of long-term all-cause mortality and/or heart transplant in CRT patients. Further studies, on the role of these parameters in enhancing patient selection for CRT implantation should be conducted to confirm our findings.

Indexed as

Erythrocyte IndicesAgedBlood Cell CountCardiac Resynchronization TherapyFemaleHeart FailureHumansMaleMiddle AgedPrognosisSurvival RateTreatment OutcomeVentricular Remodeling

Identifiers

PMID31506584
PMCPMC6736835
OpenAlexW2973122861

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.