Evidence map›Paper›PMID 33282007›Full record

ArticleDisease markers2020

Serum Anion Gap Is Associated with All-Cause Mortality among Critically Ill Patients with Congestive Heart Failure.

Yiyang Tang, Wenchao Lin, Lihuang Zha, Xiaofang Zeng, Xiaoman Zeng, Guojun Li, Zhenghui Liu, Zaixin Yu

Open access · hybridAbstract read
In one paragraph

Article in Disease markers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 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

8 authors at 2 institutions in 1 country.

Yiyang TangDepartment of Cardiology, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID https://orcid.org/0000-0002-3441-7918
Wenchao LinDepartment of Cardiology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Lihuang ZhaDepartment of Cardiology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xiaofang ZengDepartment of Cardiology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xiaoman ZengDepartment of Cardiology, Wenchang People's Hospital, Wenchang, Hainan, China.
Guojun LiDepartment of Emergency, The Third Hospital of Changsha, Changsha, Hunan, China.
Zhenghui LiuDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Zaixin YuDepartment of Cardiology, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID https://orcid.org/0000-0002-3555-1887
Central South University · CNThird Hospital of Changsha · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongestive heart failure (CHF) is a complex clinical syndrome, with high morbidity and mortality. Serum anion gap (SAG) is associated with the severity of various cardiovascular diseases. However, the role of SAG indicators in CHF is unclear. METHODS AND

resultsA retrospective analysis of data from Multiparameter Intelligent Monitoring in Intensive Care III version 1.4 was conducted in critically ill patients with CHF. The clinical information of each patient, including demographic data, comorbidities, vital signs, scores, and laboratory indicators, were successfully obtained. Cox proportional hazards models were used to determine the relationship between SAG and mortality in patients with CHF, the consistency of which was further verified by subgroup analysis.

resultsA total of 7426 subjects met the inclusion criteria. Multivariate analysis showed that after adjusting for age, gender, ethnicity, and other potential confounders, increased SAG was significantly related to an increase in 30- and 90-day all-cause mortalities of critically ill patients with CHF compared with decreased SAG (tertile 3 versus tertile 1: adjusted hazard ratio, 95% confidence interval: 1.74, 1.46-2.08; 1.53, 1.32-1.77). Subgroup analysis indicated that the association between SAG and all-cause mortality presented similarities in most strata.

conclusionSAG at admission could be a promising predictor of all-cause mortality in critically ill patients with CHF.

Indexed as

Acid-Base ImbalanceAgedAged, 80 and overAnionsBiomarkersComorbidityCritical IllnessFemaleHeart FailureHumansMaleMiddle AgedAnionsBiomarkers

Identifiers

PMID33282007
PMCPMC7688352
OpenAlexW3101573738

What OpenQuestion holds

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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.