Evidence map›Paper›PMID 33622367›Full record

ArticleJournal of cardiothoracic surgery2021

Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report.

Seyed Hosssein Ahmadi Tafti, Farshid Alaeddini, Mahmood Shirzad, Jamshid Bagheri, Abbas Salehi Omran, Mehrdad Mahalleh, Shiva Shoja, Negar Omidi

Abstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  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
    Pooled it
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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.

Seyed Hosssein Ahmadi TaftiTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Farshid AlaeddiniTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Mahmood ShirzadTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Jamshid BagheriTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Abbas Salehi OmranTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Mehrdad MahallehCardiovascular Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Shiva ShojaAl-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Negar OmidiTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. negar.omidi@gmail.com.ORCID http://orcid.org/0000-0003-2344-1661

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven that isolated tricuspid valve (TV) repair or replacement is performed relatively rarely, we sought to evaluate the rate of long-term mortality and readmission following this surgery.

methodsThe current study was conducted in Tehran Heart Center on patients who underwent isolated TV repair or replacement between 2010 and 2018. Totally, 197 patients (repair = 150 vs replacement = 47) were included in our study and were then followed right after surgery for a median of 8 years to assess the incidence of postoperative events, readmission, and all-cause mortality.

resultsThe final analysis was conducted on 197 patients at a mean age of 44.4 ± 13.8 years. Most of the patients were female (56.9%). Ejection fraction, TAPSE, and right ventricular function improved in both groups after TV surgery. Length of stay in the intensive care unit per hour and hospitalization per day were higher in the replacement group and compared to the repair group (158.34 vs. 55.11 and 18.21 vs. 9.34, respectively). In-hospital mortality occurred in 20 patients, of whom 15 had TV replacement. Readmission occurred in five (2.5%) patients,all were in the repair group.

conclusionsThe result of this single-center study showed that TV replacement is associated with a higher rate of postoperative events and all-cause mortality compared to TV repair. Whereas, repair group had a higher rate of readmission. Therefore, the overwhelming tendency is toward repair; nonetheless, no hesitation is permissible if a replacement is adjudged to confer a better outcome for the patient.

Indexed as

AdultFemaleFollow-Up StudiesHeart Valve Prosthesis ImplantationHospital MortalityHumansIncidenceIranMaleMiddle AgedPlastic Surgery ProceduresPostoperative ComplicationsRetrospective StudiesSurvival RateTime FactorsTreatment OutcomeIn-hospital mortalityTricuspid valveValve repair/replacement

Identifiers

PMID33622367
PMCPMC7903743

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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.