Evidence map›Paper›PMID 33399012›Full record

ArticleJournal of the American Heart Association2021

Determinants of Morbidity and Mortality Associated With Isolated Tricuspid Valve Surgery.

Akram Kawsara, Fahad Alqahtani, Vuyisile T Nkomo, Mackram F Eleid, Sorin V Pislaru, Charanjit S Rihal, Rick A Nishimura, Hartzell V Schaff, Juan A Crestanello, Mohamad Alkhouli

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
9.3field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Outcomes of isolated tricuspid valve replacement: a systematic review and meta-analysis of 5,316 patients from 35 studies.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
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  12. Transcatheter valve repair of tricuspid regurgitation: 1-year outcomes from the TriCLASP study.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
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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 at 4 institutions in 1 country.

Akram KawsaraDivision of Cardiology Department of Medicine West Virginia University Morgantown WV.
Fahad AlqahtaniDivision of Cardiology Department of Medicine University of Kentucky Lexington KY.
Vuyisile T NkomoDepartment of Cardiovascular Diseases Mayo Clinic School of Medicine Rochester MN.
Mackram F EleidDepartment of Cardiovascular Diseases Mayo Clinic School of Medicine Rochester MN.
Sorin V PislaruDepartment of Cardiovascular Diseases Mayo Clinic School of Medicine Rochester MN.
Charanjit S RihalDepartment of Cardiovascular Diseases Mayo Clinic School of Medicine Rochester MN.
Rick A NishimuraDepartment of Cardiovascular Diseases Mayo Clinic School of Medicine Rochester MN.
Hartzell V SchaffDepartment of Cardiovascular Surgery Mayo Clinic School of Medicine Rochester MN.
Juan A CrestanelloDepartment of Cardiovascular Surgery Mayo Clinic School of Medicine Rochester MN.
Mohamad AlkhouliDepartment of Cardiovascular Diseases Mayo Clinic School of Medicine Rochester MN.
Mayo Clinic · USMayo Clinic in Arizona · USUniversity of Kentucky · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Whether the poor outcomes of isolated tricuspid valve surgery are related to the operation itself or to certain patient characteristics including late referral is unknown. Methods and Results Adult patients who underwent isolated tricuspid valve surgery were identified in the Nationwide Readmissions Database (2016-2017). Patients who had redo tricuspid valve surgery, endocarditis, or congenital heart disease were excluded. Multivariable logistic regression was performed to identify contributors to postoperative mortality. A total of 1513 patients were included (mean age 55.7±16.6 years, 49.6% women). Surrogates of late referral were frequent: 41% of patients were admitted with decompensated heart failure, 44.3% had a nonelective surgery status, 16.8% had advanced liver disease, and 31% had an unplanned hospitalization in the prior 90 days. The operation was performed on day 0 to 1 of the hospitalization in only 50% of patients, and beyond day 10 in 22% of patients. In-hospital mortality occurred in 8.7% of patients. Median length of stay was 14 days (7-35 days), and median cost was $87 223 ($43 122-$200 872). In multivariable logistic regression analysis, surrogates for late referrals (acute heart failure decompensation, nonelective surgery status, or advanced liver disease) were the strongest predictors of in-hospital mortality (odds ratio [OR], 4.75; 95% CI, 2.74-8.25 [

Indexed as

Cardiac Surgical ProceduresHeart FailureHeart Valve Prosthesis ImplantationPostoperative ComplicationsReoperationTricuspid ValveTricuspid Valve InsufficiencyCausalityFemaleHospital MortalityHumansMaleMiddle AgedReferral and ConsultationSeverity of Illness IndexTime-to-Treatmentheart failuretricuspid regurgitationtricuspid valve repairtricuspid valve replacement

Identifiers

PMID33399012
PMCPMC7955319
OpenAlexW3119894908

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.