Evidence map›Paper›PMID 33784845›Full record

ArticleThe International journal of artificial organs2021

Impact of gender in patients with continuous-flow left ventricular assist device therapy in end-stage heart failure.

Alina Zubarevich, Marcin Szczechowicz, Anja Osswald, Arian Arjomandi Rad, Robert Vardanyan, Michel Pompeu Bo Sá, Jef Van den Eynde, Bastian Schmack, Daniel Wendt, Achim Koch and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The International journal of artificial organs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

15 authors at 3 institutions in 3 countries.

Alina ZubarevichDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-2444-5747
Marcin SzczechowiczDepartment of Cardiothoracic Surgery, Heart Center Essen Huttrop, University Hospital Essen, Essen, Germany.
Anja OsswaldDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.
Arian Arjomandi RadDepartment of Medicine, Faculty of Medicine, Imperial College London, London, UK.
Robert VardanyanDepartment of Medicine, Faculty of Medicine, Imperial College London, London, UK.
Michel Pompeu Bo SáDepartment of Cardiovascular Surgery at the Pronto Socorro Cardiológico de Pernambuco (PROCAPE), Recife, PE, Brazil.
Jef Van den EyndeDepartment of Cardiovascular Diseases, University Hospitals Leuven, Leuven, Belgium.
Bastian SchmackDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.
Daniel WendtDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.
Achim KochDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-1616-4873
Nikolaus PizanisDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.
Markus KamlerDepartment of Cardiothoracic Surgery, Heart Center Essen Huttrop, University Hospital Essen, Essen, Germany.
Arjang RuhparwarDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.
Alexander WeymannDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.
Konstantin ZhigalovDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-6440-3736
West German Heart and Vascular Center Essen · DEImperial College London · GBKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an ongoing debate about the influence of the female gender on postoperative outcomes after durable left ventricular assist device (LVAD) implantation. Despite the differences in pathophysiology of heart failure in females, therapy concepts are the same as in the male population. The aim of this study was to investigate the role of the female gender in surgical heart failure therapy. MATERIALS AND

methodsBetween August 2010 and January 2020, 207 patients were treated with durable LVAD at out institution. We matched 111 patients in two groups to compare the outcomes in male and female patients and to stratify the risk factors of mortality.

resultsThe groups were matched 2:1 and were comparable after matching. We found no difference in in-hospital and follow-up mortality between male and female patients. Postoperative adverse events and complications were found to be unvaried across male and female patients. Female patients had higher rates of postoperative LVAD-thrombosis compared to their male counterparts (13.5% vs 0,

conclusionsDurable continuous flow left ventricular assist devices as a bridge to transplantation or recovery in female patients are associated with a higher risk of acute kidney injury requiring RRT and are at a higher risk of LVAD-thrombosis. Nevertheless, survival rates between genders are similar.

Indexed as

Heart-Assist DevicesHeart FailureHeart TransplantationSex FactorsFemaleHumansMaleRetrospective StudiesSurvival RateTreatment Outcomefemale genderGenderheart failureLVADMCS

Identifiers

PMID33784845
PMCPMC8581712
OpenAlexW3149529449

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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.