Evidence map›Paper›PMID 31990819›Full record

ArticleJournal of the Chinese Medical Association : JCMA2020

Does preoperative serum creatinine affect the early surgical outcomes of acute Stanford type A aortic dissection?

Zi-Ning Wu, Xin-Liang Guan, Shi-Jun Xu, Xiao-Long Wang, Hai-Yang Li, Ming Gong, Hong-Jia Zhang

Open access · hybridAbstract read
In one paragraph

Article in Journal of the Chinese Medical Association : JCMA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

17 citing papers in PubMed, 18 citations in OpenAlex.

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  14. Does Preoperative Estimated Glomerular Filtration Rate (eGFR) Predict Short-Term Surgical Outcomes in Patients Undergoing Pancreatic Resections?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
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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

7 authors at 3 institutions in 1 country.

Zi-Ning WuDepartment of Cardiac surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Xin-Liang GuanDepartment of Cardiac surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Shi-Jun XuDepartment of Cardiac surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Xiao-Long WangDepartment of Cardiac surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Hai-Yang LiDepartment of Cardiac surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Ming GongDepartment of Cardiac surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Hong-Jia ZhangDepartment of Cardiac surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Beijing Institute of Water · CNBeijing Anzhen Hospital · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute Stanford type A aortic dissection is a lethal disease requiring surgery. Evidence regarding the effects of preoperative creatinine in mortality is limited, and few studies have evaluated the effect of postoperative dialysis treatment on it.

methodsIn this cohort study, we continuously recruited 632 surgical patients who were treated for acute type A aortic dissection in our hospital between January 2015 and May 2017. The preoperative level of serum creatinine was measured. All patients were followed up after surgery for 30 days to determine early mortality.

resultsThe 30-day mortality after surgery increased with elevated levels of preoperative serum creatinine. Median (interquartile range) serum creatinine levels in survivors were 9.61 μmol/dL (7.28-12.62 μmol/dL) versus 13.41 μmol/dL (10.28-20.63 μmol/dL) in death (p < 0.01). Adjusted odds ratios for increasing per μmol/dL serum creatinine were 1.09 (95% confidence interval, 1.03-1.15). We also found that the effect of preoperative creatinine on 30-day mortality was diminished by dialysis treatment after surgery.

conclusionPreoperative serum creatinine predicts outcome in patients undergoing surgery for Stanford type A aortic dissection, and postoperative dialysis treatment can reduce its hazard.

Indexed as

AdultAortic AneurysmAortic DissectionCreatinineFemaleGlomerular Filtration RateHumansMaleMiddle AgedRenal DialysisRetrospective StudiesCreatinine

Identifiers

PMID31990819
PMCPMC13048193
OpenAlexW3003999553

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.