Evidence map›Paper›PMID 32642148›Full record

ArticleJournal of thoracic disease2020

Vasoplegia following heart transplantation and left ventricular assist device explant is not associated with inferior outcomes.

Jason M Ali, Serena Patel, Pedro Catarino, Alain Vuylsteke, Stephen Pettit, Sai Bhagra, Anna Kydd, Clive Lewis, Jayan Parameshwar, Pradeep Kaul and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

15 authors at 3 institutions in 1 country.

Jason M AliDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
Serena PatelDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
Pedro CatarinoDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
Alain VuylstekeDepartment of Intensive Care, Royal Papworth Hospital, Cambridge, UK.
Stephen PettitDepartment of Transplantation Cardiology, Royal Papworth Hospital, Cambridge, UK.
Sai BhagraDepartment of Transplantation Cardiology, Royal Papworth Hospital, Cambridge, UK.
Anna KyddDepartment of Transplantation Cardiology, Royal Papworth Hospital, Cambridge, UK.
Clive LewisDepartment of Transplantation Cardiology, Royal Papworth Hospital, Cambridge, UK.
Jayan ParameshwarDepartment of Transplantation Cardiology, Royal Papworth Hospital, Cambridge, UK.
Pradeep KaulDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
Catherine SudarshanDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
Steven TsuiDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
David JenkinsDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
Yasir Abu-OmarDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
Marius BermanDepartment of Cardiothoracic Transplantation, Royal Papworth Hospital, Cambridge, UK.
Papworth Hospital · GBRoyal Victoria Hospital · GBUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVasoplegia has been associated with inferior outcomes following heart transplantation (HTx). This observational study was designed to investigate outcomes in recipients with vasoplegia following left ventricular assist device (LVAD) explant HTx.

methodsPatients undergoing LVAD explant followed by HTx from 01/2013-12/2018 at our centre were included. Vasoplegia was defined as the requirement for high dose vasopressor [noradrenaline (>0.5 μg/kg/min) and vasopressin (>1 U/h)] over the first 24 hours following HTx. Demographic and outcome data were retrieved from the transplant unit database.

resultsDuring the study period 24 patients underwent LVAD explant HTx. Of these, 13 (54.2%) developed vasoplegia. Both groups had similar duration of LVAD support (median 684

conclusionsVasoplegia is seen with a high incidence in HTx recipients bridged with an LVAD. This appears to be associated with the presence of driveline infections. Early aggressive management is advocated, resulting in equivalent 1-year survival to those patients not developing vasoplegia.

Indexed as

continuous flowheart transplantation (HTx)left ventricular assist device (LVAD)Vasoplegia

Identifiers

PMID32642148
PMCPMC7330418
OpenAlexW3016030954

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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.