Evidence map›Paper›PMID 32542216›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2020

Adverse Events and Mortality in Anticoagulated Patients with Different Categories of Pulmonary Embolism.

Julia C Cambron, Elias S Saba, Robert D McBane, Ana I Casanegra, Hector R Villarraga, Damon E Houghton, Danielle T Vlazny, David Froehling, David Hodge, Lisa G Peterson and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03504007 (Standardized, Guidelines Directed But Patients Oriented Clinical Practice Prospectively Registered), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT03504007 recruitingnot on this map

Standardized, Guidelines Directed But Patients Oriented Clinical Practice Prospectively Registered

TypeobservationalSponsorMayo ClinicRan2013 to 2033Enrolled10,000ConditionsAcute Deep Vein Thrombosis, Acute Pulmonary Embolism
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  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

12 authors.

Julia C CambronMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN.
Elias S SabaMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN.
Robert D McBaneDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Ana I CasanegraDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Hector R VillarragaDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Damon E HoughtonDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Danielle T VlaznyDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
David FroehlingDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
David HodgeDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL.
Lisa G PetersonDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Dalene M Bott-KitslaarDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Waldemar E WysokinskiDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether the pulmonary embolism (PE) categories of massive, submassive, PE with no right ventricle dysfunction (NRVD), and subsegmental only (SSO) adequately predict clinical outcome.

methodsPatients treated for acute PE (March 1, 2013, through July 31, 2019) were followed forward prospectively to compare venous thromboembolism (VTE) recurrence, all-cause mortality, major bleeding, and clinically relevant nonmajor bleeding (CRNMB) across 4 PE categories.

resultsOf 2703 patients with VTE, 1188 (44%) had PE, of which 1021 (85.9%) completed at least 3 months of therapy or had clinical outcomes precluding further treatment (27 with massive, 217 submassive, 557 NRVD, and 220 SSO PE). One patient with massive, 8 with submassive, 23 with NRVD, and 5 with SSO PE had recurrent VTE (3.90, 5.33, 5.36, and 3.66 per 100 person-years, respectively;

conclusionIn the setting of anticoagulation therapy with maximal standardization and evidence-based practice, there is no evidence of a difference between PE categories and outcomes.

trial registrationclinicaltrials.gov Identifier: NCT03504007.

Indexed as

AHA, American Heart AssociationCRNMB, clinically relevant nonmajor bleedingCT, computed tomographyDVT, deep vein thrombosisHR, hazard ratioNRVD, no right ventricle dysfunctionPE, pulmonary embolismPESI, Pulmonary Embolism Severity IndexRV, right ventricleSSO, subsegmental onlyVTE, venous thromboembolism

Identifiers

PMID32542216
PMCPMC7283932

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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.