Evidence map›Paper›PMID 33764158›Full record

ArticleJournal of the American Heart Association2021

Creation and Validation of a Novel Sex-Specific Mortality Risk Score in LVAD Recipients.

Aditi Nayak, Yingtian Hu, Yi-An Ko, Rebecca Steinberg, Subrat Das, Anurag Mehta, Chang Liu, John Pennington, Rongbing Xie, James K Kirklin and 4 more

Open access · goldAbstract readMulticenter StudyValidation Study
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. How to select a patient for LVAD.Indian journal of thoracic and cardiovascular surgery · 2023
    Review
  5. Article
  6. Article
  7. Review
  8. 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

14 authors at 6 institutions in 1 country.

Aditi NayakDivision of Cardiology Department of Medicine Emory Clinical Cardiovascular Research InstituteEmory University School of Medicine Atlanta GA.
Yingtian HuDepartment of Biostatistics and Bioinformatics Rollins School of Public Health Emory University Atlanta GA.
Yi-An KoDivision of Cardiology Department of Medicine Emory Clinical Cardiovascular Research InstituteEmory University School of Medicine Atlanta GA.
Rebecca SteinbergDivision of Cardiology Department of Medicine Emory Clinical Cardiovascular Research InstituteEmory University School of Medicine Atlanta GA.
Subrat DasIcahn School of Medicine at Mount Sinai New York City NY.
Anurag MehtaDivision of Cardiology Department of Medicine Emory Clinical Cardiovascular Research InstituteEmory University School of Medicine Atlanta GA.
Chang LiuDivision of Cardiology Department of Medicine Emory Clinical Cardiovascular Research InstituteEmory University School of Medicine Atlanta GA.
John PenningtonDepartment of Surgery University of Alabama at Birmingham AL.
Rongbing XieDepartment of Surgery University of Alabama at Birmingham AL.
James K KirklinDepartment of Surgery University of Alabama at Birmingham AL.
Robert L KormosDepartment of Cardiothoracic Surgery University of Pittsburgh PA.
Jennifer CowgerDivision of Cardiovascular Medicine Department of Medicine Henry Ford Hospital Detroit MI.
Marc A SimonDepartments of Medicine (Division of Cardiology) and Bioengineering Pittsburgh Heart, Lung, Blood and Vascular Medicine Institute McGowan Institute for Regenerative MedicineClinical and Translational Science InstituteUniversity of Pittsburgh PA.
Alanna A MorrisDivision of Cardiology Department of Medicine Emory Clinical Cardiovascular Research InstituteEmory University School of Medicine Atlanta GA.
Emory University · USUniversity of Alabama at Birmingham · USIcahn School of Medicine at Mount Sinai · USUniversity of Pittsburgh · USUniversity of Pittsburgh Medical Center · USWayne State University · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Vascular Subphenotypes of Lung DiseaseP01HL103455 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MORRIS, ALISON · 2011 to 2020
$26.1M
Phase II Trial of Metformin for Pulmonary Hypertension in Heart Failure with Preserved Ejection FractionR01AG058659 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SIMON, MARC A · 2018 to 2022
$3.2M
Metabolomics, Oxidative Stress, and Vascular Function in Heart Failure PatientsK23HL124287 · NHLBI · EMORY UNIVERSITY · PI MORRIS, ALANNA AMYRE · 2015 to 2019
$804k
Understanding Racial Differences in Vascular Function and Ventricular-Vascular Coupling in Heart Failure with Preserved Ejection FractionR03HL146874 · NHLBI · EMORY UNIVERSITY · PI MORRIS, ALANNA AMYRE · 2019 to 2020
$156k
American Heart Association-American Stroke Association 19POST34400057NCATS NIH HHS UL1 TR001857NHLBI NIH HHS K23 HL124287NHLBI NIH HHS P01 HL103455NHLBI NIH HHS R03 HL146874NIA NIH HHS R01 AG058659
6 · The paper itself

Abstract

Background Prior studies have shown that women have worse 3-month survival after receiving a left ventricular assist device compared with men. Currently used prognostic scores, including the Heartmate II Risk Score, do not account for the increased residual risk in women. We used the IMACS (International Society for Heart and Lung Transplantation Mechanically Assisted Circulatory Support) registry to create and validate a sex-specific risk score for early mortality in left ventricular assist device recipients. Methods and Results Adult patients with a continuous-flow LVAD from the IMACS registry were randomly divided into a derivation cohort (DC; n=9113; 21% female) and a validation cohort (VC; n=6074; 21% female). The IMACS Risk Score was developed in the DC to predict 3-month mortality, from preoperative candidate predictors selected using the Akaike information criterion, or significant sex × variable interaction. In the DC, age, cardiogenic shock at implantation, body mass index, blood urea nitrogen, bilirubin, hemoglobin, albumin, platelet count, left ventricular end-diastolic diameter, tricuspid regurgitation, dialysis, and major infection before implantation were retained as significant predictors of 3-month mortality. There was significant ischemic heart failure × sex and platelet count × sex interaction. For each quartile increase in IMACS risk score, men (odds ratio [OR], 1.86; 95% CI, 1.74-2.00;

Indexed as

Heart-Assist DevicesRegistriesAgedFemaleFollow-Up StudiesHeart FailureHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsROC CurveSex DistributionSex FactorsSurvival Rateleft ventricular assist devicemortalityprognosisrisk scoresex disparity

Identifiers

PMID33764158
PMCPMC8174331
OpenAlexW3138368452

What OpenQuestion holds

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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.