Evidence map›Paper›PMID 32770579›Full record

ArticleClinical cardiology2020

Preoperative soluble VCAM-1 contributes to predict late mortality after coronary artery surgery.

Ramon Corbalan, Mauricio Garcia, Luis Garrido-Olivares, Lorena Garcia, Gonzalo Perez, Rosemarie Mellado, Ricardo Zalaquett, Mario Chiong, Jorge Quitral, Sergio Lavandero

Abstract read
In one paragraph

Article in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

3 citing papers in PubMed.

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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.

Ramon CorbalanDivision of Cardiovascular Diseases, Faculty of Medicine, Pontificia Unversidad Catolica de Chile, Santiago, Chile.ORCID https://orcid.org/0000-0002-4675-6191
Mauricio GarciaDivision of Cardiovascular Diseases, Faculty of Medicine, Pontificia Unversidad Catolica de Chile, Santiago, Chile.
Luis Garrido-OlivaresCardiovascular Surgery, Division of Surgery, Faculty of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Lorena GarciaAdvanced Center for Chronic Diseases (ACCDiS), Faculty of Chemical and Pharmaceutical Sciences and Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Gonzalo PerezDivision of Cardiovascular Diseases, Faculty of Medicine, Pontificia Unversidad Catolica de Chile, Santiago, Chile.
Rosemarie MelladoFaculty of Chemistry and Pharmacy, Pontificia Unversidad Catolica de Chile, Santiago, Chile.
Ricardo ZalaquettCardiovascular Surgery, Division of Surgery, Faculty of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Mario ChiongAdvanced Center for Chronic Diseases (ACCDiS), Faculty of Chemical and Pharmaceutical Sciences and Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Jorge QuitralDivision of Cardiovascular Diseases, Faculty of Medicine, Pontificia Unversidad Catolica de Chile, Santiago, Chile.
Sergio LavanderoAdvanced Center for Chronic Diseases (ACCDiS), Faculty of Chemical and Pharmaceutical Sciences and Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Funding

Agencia Nacional de Ciencia y Desarrollo (Chile) FONDAP 15130011 to RZ SL RC LG MChAgencia Nacional de Ciencia y Desarrollo (Chile) FONDECYT 1141137 1100801 & 1181147 to RC
6 · The paper itself

Abstract

backgroundSoluble vascular cell adhesion molecule-1 has been associated with long-term cardiovascular mortality in patients with stable coronary artery disease and to the development of new atrial fibrillation in subjects with cardiovascular risk factors but no evidence of cardiac disease. HYPOTHESIS: Preoperative soluble vascular cell adhesion molecule-1 predicts the risk of future all-cause death and cardiovascular death among patients submitted to elective coronary artery bypass surgery.

methodsFrom a cohort of 312 patients who underwent elective coronary artery bypass surgery prospectively followed for a median of 6.7 years, we evaluated the prognostic role of preoperative soluble vascular cell adhesion molecule-1, inflammatory markers, CHA2DS2-VASc score and development of postoperative atrial fibrillation (POAF). Univariable and multivariable Cox regression analyses were performed to establish an association of these parameters with long term all-cause death and cardiovascular death.

resultsDuring 2112 person-years of follow-up, we observed 41 deaths, 10 were cardiovascular deaths. Independently increased levels of preoperative soluble vascular cell adhesion molecule-1, POAF, and CHA2DS2-VASc score were associated with all-cause mortality. After multivariate adjustment, elevated preoperative soluble vascular cell adhesion molecule-1 and POAF were the only independent predictors of all-cause death. Also, preoperative soluble vascular cell adhesion molecule-1, POAF, and CHA2DS2-VASc score resulted in being independent predictors of cardiovascular mortality.

conclusionsIncreased circulating levels of preoperative soluble vascular cell adhesion molecule-1, together with POAF and CHA2DS2-VASc score, were significantly associated with future all-cause death and cardiovascular death among patients submitted to coronary artery bypass surgery.

Indexed as

Postoperative ComplicationsBiomarkersChileCoronary Artery BypassCoronary Artery DiseaseFemaleHumansMaleMiddle AgedPredictive Value of TestsPreoperative PeriodProspective StudiesRisk AssessmentROC CurveSurvival RateTime FactorsBiomarkersVascular Cell Adhesion Molecule-1atrial fibrillationcardiovascular deathCHA2DS2-VAScsoluble VCAM-1

Identifiers

PMID32770579
PMCPMC7661653

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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.