Evidence map›Paper›PMID 33771227›Full record

ArticleEuropean journal of medical research2021

EuroScore and IL-6 predict the course in ICU after cardiac surgery.

Andreas Bauer, Insa Korten, Gerd Juchem, Isabel Kiesewetter, Erich Kilger, Jens Heyn

Abstract read
In one paragraph

Article in European journal of medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Does Mental Distress Predict Cardiac Surgical Outcome?The Thoracic and cardiovascular surgeon · 2025
    Article
  6. Article
  7. Observational
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Impact of CytoSorb® on interleukin-6 in cardiac surgery.Frontiers in cardiovascular medicine · 2023
    Article
  19. Article
  20. 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

6 authors.

Andreas Bauer *Department of Anaesthesiology, University of Munich (LMU), Wolkerweg 16, 81375, Munich, Germany.
Insa Korten *Division of Respiraotry Medicine, Department of Pediatrics, Inselspital and University of Bern, 3010 Bern, Switzerland.
Gerd JuchemDepartment of Cardiac Surgery, University of Munich (LMU), Wolkerweg 16, 81375, Munich, Germany.
Isabel KiesewetterDepartment of Anaesthesiology, University of Munich (LMU), Wolkerweg 16, 81375, Munich, Germany.
Erich KilgerDepartment of Anaesthesiology, University of Munich (LMU), Wolkerweg 16, 81375, Munich, Germany.
Jens HeynDepartment of Anaesthesiology, University of Munich (LMU), Wolkerweg 16, 81375, Munich, Germany. Jens.Heyn@web.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite modern advances in intensive care medicine and surgical techniques, mortality rates in cardiac surgical patients are still about 3%. Considerable efforts were made to predict morbidity and mortality after cardiac surgery. In this study, we analysed the predictive properties of EuroScore and IL-6 for mortality in ICU, prolonged postoperative mechanical ventilation, and prolonged stay in ICU.

methodsWe enrolled 2972 patients undergoing cardiac surgery. The patients either underwent aortic valve surgery (AV), mitral valve surgery (MV), coronary artery bypass grafting (CABG), and combined operations of aortic valve and coronary artery bypass grafting (AV + CABG) or of mitral and tricuspid valve (MV + TV). Different laboratory and clinical parameters were analysed.

resultsEuroScore as well as IL-6 were associated with increased mortality after cardiac surgery. Furthermore, a higher EuroScore and elevated levels of IL-6 were predictors for prolonged mechanical ventilation and a longer stay in ICU. Especially, highly significant elevated IL-6 levels and an increased EuroScore showed a strong association. Statistics suggested superiority when both parameters were combined in a single model.

conclusionOur results suggest that EuroScore and IL-6 are helpful in predicting the course in ICU after cardiac surgery, and therefore, the use of intensive care resources. Especially, the combination of highly elevated levels of IL-6 and EuroScore may prove to be excellent predictors for an unfortunate postoperative course in ICU.

Indexed as

Cardiac Surgical ProceduresIntensive Care UnitsAgedBiomarkersCardiovascular DiseasesFemaleFollow-Up StudiesGermanyHumansIncidenceInterleukin-6Length of StayMaleMiddle AgedPostoperative ComplicationsPredictive Value of TestsBiomarkersInterleukin-6Cardiac surgeryEuroScoreIL-6Intensive care medicineOutcome

Identifiers

PMID33771227
PMCPMC7995398

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.