Evidence map›Paper›PMID 33518553›Full record

Observational studyJournal of atherosclerosis and thrombosis2022

Clinical Impact of Measures for Frailty Severity in Poor-Risk Patients Undergoing Revascularization for Chronic Limb-Threatening Ischemia.

Mitsuyoshi Takahara, Osamu Iida, Yoshimitsu Soga, Nobuyoshi Azuma, Shinsuke Nanto

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of atherosclerosis and thrombosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 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

5 authors.

Mitsuyoshi TakaharaDepartment of Diabetes Care Medicine, and Department of Metabolic Medicine, Osaka University Graduate School of Medicine.
Osamu IidaCardiovascular Center, Kansai Rosai Hospital.
Yoshimitsu SogaDepartment of Cardiology, Kokura Memorial Hospital.
Nobuyoshi AzumaDepartment of Vascular Surgery, Asahikawa Medical University.
Shinsuke NantoDepartment of Cardiology, Nishinomiya Municipal Central Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to demonstrate the clinical impact of various frailty-related aspects in poor-risk patients undergoing revascularization for chronic limb-threatening ischemia (CLTI).

methodsWe analyzed a clinical database of a prospective multicenter observational study. A total of 562 CLTI patients who required assistance for their daily lives and were candidates for revascularization were included. We examined various measures of frailty severity, including activities of daily living (ADL)/mobility, physical performance, nutritional status, cognitive function, and cardiac function at baseline (before revascularization). Data on inflammatory markers at baseline and ADL/mobility before CLTI onset were also collected.

resultsThe patients were aged 77±10 years, 65% were non-ambulatory, and 38% were categorized as mild dementia or severer. The correlation coefficients between the frailty measures ranged from 0.00 to 0.91. The random forest analysis for one-year mortality risk showed that these frailty-related measures, as well as age and inflammatory markers, had a relatively high variable importance compared with comorbidities and limb severity.

conclusionThe correlations between measures of frailty severity were not always strong but rather widely varied in CLTI patients who required assistance for their daily lives and were candidates for revascularization. Measures of frailty severity, as well as age and inflammatory markers, had a relatively large predictive impact on one-year mortality risk compared with comorbidities and limb severity in the population.

Indexed as

Limb SalvageSeverity of Illness IndexActivities of Daily LivingAgedAged, 80 and overChronic Limb-Threatening IschemiaCohort StudiesFemaleFrailtyHumansJapanMalePatient SelectionPredictive Value of TestsTreatment OutcomeChronic limb-threatening ischemiaCorrelationFrailtyRevascularization

Identifiers

PMID33518553
PMCPMC8803558

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Registered trials

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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.