Evidence map›Paper›PMID 31850548›Full record

ArticleJournal of cardiac surgery2020

Omega-3 and hemocompatibility-related adverse events.

Teruhiko Imamura, Ann Nguyen, Daniel Rodgers, Gene Kim, Jayant Raikhelkar, Sara Kalantari, Nikhil Narang, Colleen Juricek, Takeyoshi Ota, Valluvan Jeevanandam and 2 more

Abstract read
In one paragraph

Article in Journal of cardiac surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Teruhiko ImamuraDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.ORCID http://orcid.org/0000-0002-7294-7637
Ann NguyenDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Daniel RodgersDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Gene KimDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Jayant RaikhelkarDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Sara KalantariDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Nikhil NarangDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Colleen JuricekDepartment of Surgery, University of Chicago Medical Center, Chicago, Illinois.
Takeyoshi OtaDepartment of Surgery, University of Chicago Medical Center, Chicago, Illinois.
Valluvan JeevanandamDepartment of Surgery, University of Chicago Medical Center, Chicago, Illinois.
Gabriel SayerDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Nir UrielDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.

Funding

MULTIDISCIPLINARY CARDIAC SCIENCEST32HL007381 · NHLBI · UNIVERSITY OF CHICAGO · PI JEANNE M DECARA, Yoav Gilad · 1985 to 2026
$12.5M
NHLBI NIH HHS T32 HL007381
6 · The paper itself

Abstract

backgroundHemocompatibility-related clinical adverse events (HRAEs) are major causes of readmission in patients with left ventricular assist devices (LVADs). Omega-3 is an unsaturated fatty acid that possesses anti-inflammatory and antiangiogenic properties. We aimed to investigate the impact of omega-3 therapy on HRAEs during LVAD support.

methodsConsecutive LVAD patients who were followed for 6 months were enrolled, and stratified by the use of omega-3. Freedom from any HRAEs and net burden of HRAEs, which was calculated by using a hemocompatibility score (using 4 escalating tiers of hierarchal severity to derive a total score for events), were compared between those with and without omega-3 therapy.

resultsAmong 169 LVAD patients (57 years old and 124 males), 31 patients received 4 g/d of omega-3 therapy and 138 patients were in the control group. During the 6-month observational period, freedom from any HRAEs was 90% in the omega-3 group compared with 70% in the control group with a hazard ratio of 0.35 (95% confidence interval 0.11-0.87 and P = .042). The average hemocompatibility score in the omega-3 group was significantly lower compared with the control group (0.23 vs 0.91; P = .042), due to reduced Tier I scores (mild HRAE; P = .003) and Tier IIIB scores (severe HRAE; P < .001). The similar trends remained at propensity-matched populations.

conclusionsOmega-3 therapy was associated with reduced HRAEs including both bleeding and thromboembolic events in LVAD patients.

Indexed as

Fatty Acids, Omega-3FemaleGastrointestinal HemorrhageHeart-Assist DevicesHumansMaleMiddle AgedStrokeThromboembolismFatty Acids, Omega-3bleedingLVADomega-3strokeunsaturated fatty acid

Identifiers

PMID31850548
PMCPMC7135915

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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.