Evidence map›Paper›PMID 33001050›Full record

ArticleAnatolian journal of cardiology2020

Correlation of thrombosed vessel location and clot burden score with severity of disease and risk stratification in patients with acute pulmonary embolism.

Ilim Irmak, Ümran Sertçelik, Aslı Öncel, Berrin Er, Gözde İnam, Gamze Durhan, Ahmet Demir, Lütfi Çöplü

Open access · diamondAbstract read
In one paragraph

Article in Anatolian journal of cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

8 authors at 1 institution in 1 country.

Ilim IrmakDepartments of Chest Diseases, Faculty of Medicine, Hacettepe University; Ankara-Turkey.
Ümran SertçelikDepartments of Chest Diseases, Faculty of Medicine, Hacettepe University; Ankara-Turkey.
Aslı ÖncelDepartments of Chest Diseases, Faculty of Medicine, Hacettepe University; Ankara-Turkey.
Berrin ErDepartments of Intensive Care Unit, Faculty of Medicine, Hacettepe University; Ankara-Turkey.
Gözde İnamDepartments of Chest Diseases, Faculty of Medicine, Hacettepe University; Ankara-Turkey.
Gamze DurhanDepartments of Radiology, Faculty of Medicine, Hacettepe University; Ankara-Turkey.
Ahmet DemirDepartments of Chest Diseases, Faculty of Medicine, Hacettepe University; Ankara-Turkey.
Lütfi ÇöplüDepartments of Chest Diseases, Faculty of Medicine, Hacettepe University; Ankara-Turkey.
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveComputed tomography pulmonary angiography (CTPA) is used for the main diagnosis in acute pulmonary embolism (APE). Determining the thrombus location in the pulmonary vascular tree is also important for predicting disease severity. This study aimed to analyze the correlation of the thrombus location and the clot burden with the disease severity and the risk stratification in patients with APE.

methodsThe study included patients with APE diagnosed by CTPA who were admitted to the hospital between January 28, 2016, and July 1, 2019. Data collected were markers of severity in APE, including patient demographics, comorbidities, length of hospital stay, pulmonary embolism severity index (PESI) score, modified PESI score, Wells score, risk stratification according to the American Heart Association, systolic blood pressure (SBP), right ventricle diameter to left ventricle diameter ratio, pulmonary arterial pressure, brain natriuretic peptide, troponin, D-dimer, and plasma lactate levels, and vessel location of the thrombus, clot burden score, ratio of the pulmonary artery trunk diameter/aortic diameter, superior vena cava diameter (SVC) by CTPA, and survival. All parameters were analyzed in correlation with clot load and vessel location.

resultsThrombus vascular location was found to be correlated with risk stratification and negatively correlated with SBP. Simplified Mastora score was correlated with risk stratification, SVC diameter, and D-dimer and negatively correlated with SBP. Occlusion of both the pulmonary artery trunk and any pulmonary artery with thrombus was associated with massive APE.

conclusionThe level of the occluded vessel on CTPA may provide the ability to risk-stratify, and the clot burden score may be used for assessing both risk stratification and cardiac strain.

Indexed as

AdultAgedAged, 80 and overCohort StudiesComputed Tomography AngiographyFemaleHumansMaleMiddle AgedPulmonary EmbolismRetrospective StudiesRisk AssessmentSeverity of Illness IndexYoung Adult

Identifiers

PMID33001050
PMCPMC7585957
OpenAlexW3022366133

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.