Evidence map›Paper›PMID 31519895›Full record

ArticleNature communications2019

Perioperative use of renin-angiotensin system inhibitors and outcomes in patients undergoing cardiac surgery.

Qian Ding, Zugui Zhang, Hong Liu, Huang Nie, Mark Berguson, Jordan E Goldhammer, Nilas Young, Douglas Boyd, Rohinton Morris, Jianzhong Sun

Abstract readMulticenter Study
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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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.

Qian DingDepartment of Anesthesiology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.ORCID http://orcid.org/0000-0001-5017-3514
Zugui ZhangThe Value Institute, Christiana Care Health System, Newark, DE, USA.
Hong LiuDepartment of Anesthesiology and Pain Medicine, University of California Davis Medical Center, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0003-3611-7131
Huang NieDepartment of Anesthesiology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Mark BergusonDepartment of Anesthesiology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Jordan E GoldhammerDepartment of Anesthesiology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Nilas YoungDivision of Cardiothoracic Surgery, University of California Davis Medical Center, Sacramento, CA, 95817, USA.
Douglas BoydDivision of Cardiothoracic Surgery, University of California Davis Medical Center, Sacramento, CA, 95817, USA.
Rohinton MorrisDivision of Cardiothoracic Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Jianzhong SunDepartment of Anesthesiology, Thomas Jefferson University, Philadelphia, PA, 19107, USA. jian-zhong.sun@jefferson.edu.ORCID http://orcid.org/0000-0001-7195-7510

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It remains disputable about perioperative use of renin-angiotensin system inhibitors (RASi) and their outcome effects. This multicenter retrospective cohort study examines association between use of perioperative RASi and outcomes in patients undergoing coronary artery bypass graft and/or valve surgery. After the exclusion, the patients are divided into 2 groups with or without preoperative RASi (PreRASi, n = 8581), or 2 groups with or without postoperative RASi (PostRASi, n = 8130). With using of propensity scores matching to reduce treatment selection bias, the study shows that PreRASi is associated with a significant reduction in postoperative 30-day mortality compared with without one (3.41% vs. 5.02%); PostRASi is associated with reduced long-term mortality rate compared with without one (6.62% vs. 7.70% at 2-year; 17.09% vs. 19.95% at 6-year). The results suggest that perioperative use of RASi has a significant benefit for the postoperative and long-term survival among patients undergoing cardiac surgery.

Indexed as

Perioperative CareAgedAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCoronary Artery BypassFemaleHeart ValvesHumansMaleRenin-Angiotensin SystemRetrospective StudiesTreatment OutcomeAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor Antagonists

Identifiers

PMID31519895
PMCPMC6744557

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.